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      <TotalRevenue>
        <TotalRevenueColumn>17865896</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17112196</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>286969</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>140023</Total>
        <ManagementAndGeneral>138813</ManagementAndGeneral>
        <Fundraising>1210</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>10716624</Total>
        <ProgramServices>8730890</ProgramServices>
        <ManagementAndGeneral>1787119</ManagementAndGeneral>
        <Fundraising>198615</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>213637</Total>
        <ProgramServices>175022</ProgramServices>
        <ManagementAndGeneral>33069</ManagementAndGeneral>
        <Fundraising>5546</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>867955</Total>
        <ProgramServices>704803</ProgramServices>
        <ManagementAndGeneral>149458</ManagementAndGeneral>
        <Fundraising>13694</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1095764</Total>
        <ProgramServices>885128</ProgramServices>
        <ManagementAndGeneral>194296</ManagementAndGeneral>
        <Fundraising>16340</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>480</Total>
        <ManagementAndGeneral>480</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>26590</Total>
        <ManagementAndGeneral>26590</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1556648</Total>
        <ProgramServices>1221300</ProgramServices>
        <ManagementAndGeneral>331082</ManagementAndGeneral>
        <Fundraising>4266</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>59385</Total>
        <ManagementAndGeneral>58682</ManagementAndGeneral>
        <Fundraising>703</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>25898</Total>
        <ManagementAndGeneral>25898</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>264993</Total>
        <ProgramServices>185155</ProgramServices>
        <ManagementAndGeneral>77548</ManagementAndGeneral>
        <Fundraising>2290</Fundraising>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>45371</Total>
        <ProgramServices>5650</ProgramServices>
        <ManagementAndGeneral>38349</ManagementAndGeneral>
        <Fundraising>1372</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>150656</Total>
        <ProgramServices>105266</ProgramServices>
        <ManagementAndGeneral>44088</ManagementAndGeneral>
        <Fundraising>1302</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>372561</Total>
        <ProgramServices>260315</ProgramServices>
        <ManagementAndGeneral>109027</ManagementAndGeneral>
        <Fundraising>3219</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>101682</Total>
        <ProgramServices>71047</ProgramServices>
        <ManagementAndGeneral>29756</ManagementAndGeneral>
        <Fundraising>879</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>200089</Total>
        <ProgramServices>88556</ProgramServices>
        <ManagementAndGeneral>108847</ManagementAndGeneral>
        <Fundraising>2686</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <Total>251877</Total>
        <ManagementAndGeneral>251877</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>AUTO</Description>
        <Total>513237</Total>
        <ProgramServices>511960</ProgramServices>
        <Fundraising>1277</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>953572</Total>
        <ProgramServices>886457</ProgramServices>
        <ManagementAndGeneral>66267</ManagementAndGeneral>
        <Fundraising>848</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>396273</Total>
        <ProgramServices>308369</ProgramServices>
        <ManagementAndGeneral>75225</ManagementAndGeneral>
        <Fundraising>12679</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17953315</Total>
        <ProgramServices>14139918</ProgramServices>
        <ManagementAndGeneral>3546471</ManagementAndGeneral>
        <Fundraising>266926</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1820917</BOY>
        <EOY>1396880</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>251018</BOY>
        <EOY>20029</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2676203</BOY>
        <EOY>2762768</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>38613</BOY>
        <EOY>42775</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>189505</BOY>
        <EOY>213647</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>9415169</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>3846402</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5281991</BOY>
        <EOY>5568767</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1921465</BOY>
        <EOY>1946894</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>3186</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>2093827</BOY>
        <EOY>2478292</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>14276725</BOY>
        <EOY>14430052</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1501198</BOY>
        <EOY>1653742</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>312568</BOY>
        <EOY>286040</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2279489</BOY>
        <EOY>2159237</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>4093255</BOY>
        <EOY>4099019</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>8312486</BOY>
        <EOY>8460742</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>568414</BOY>
        <EOY>481871</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1302570</BOY>
        <EOY>1388420</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>10183470</BOY>
        <EOY>10331033</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14276725</BOY>
        <EOY>14430052</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-87419</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>234982</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.5">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.5">
      <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="11000144" softwareVersion="2011v1.5">
      <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>1664</RalliesDemonstrationsAmount>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>1664</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>Two of the organization's employees attended a conference lead by the National Association for Home Care &amp; Hospice (NAHC). NAHC is an advocacy organization which lobbies for the interests of the nation's home care and hospice organizations, as well as their employees.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.5">
      <CurrentYear>
        <BeginningOfYearBalance>3957097</BeginningOfYearBalance>
        <Contributions>157737</Contributions>
        <InvestmentEarningsOrLosses>273551</InvestmentEarningsOrLosses>
        <OtherExpenditures>315246</OtherExpenditures>
        <EndOfYearBalance>4073139</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>4058046</BeginningOfYearBalance>
        <Contributions>59037</Contributions>
        <InvestmentEarningsOrLosses>-49563</InvestmentEarningsOrLosses>
        <OtherExpenditures>110423</OtherExpenditures>
        <EndOfYearBalance>3957097</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>3635079</BeginningOfYearBalance>
        <Contributions>429310</Contributions>
        <InvestmentEarningsOrLosses>244365</InvestmentEarningsOrLosses>
        <OtherExpenditures>250708</OtherExpenditures>
        <EndOfYearBalance>4058046</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.51190</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.36270</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.12540</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>1285591</OtherCostOrOtherBasis>
        <BookValue>1285591</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6025718</OtherCostOrOtherBasis>
        <Depreciation>2719218</Depreciation>
        <BookValue>3306500</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>2103860</OtherCostOrOtherBasis>
        <Depreciation>1127184</Depreciation>
        <BookValue>976676</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>5568767</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>CIP</Description>
        <BookValue>2478292</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2478292</TotalBookValueOtherAssets>
      <TotalRevenue>17865896</TotalRevenue>
      <TotalExpenses>17953315</TotalExpenses>
      <ExcessOrDeficitForYear>-87419</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>234982</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>234982</TotalAdjustments>
      <ExcessOrDeficitPerFS>147563</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>18115365</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>234982</NetUnrealizedGainsInvestments>
      <OtherRevenues>14487</OtherRevenues>
      <RevenueNotRptdF990>249469</RevenueNotRptdF990>
      <RevenueSubtotal>17865896</RevenueSubtotal>
      <TotalRevenuePerForm990>17865896</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17967802</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>14487</OtherExpensesIncluded>
      <ExpensesNotRptdF990>14487</ExpensesNotRptdF990>
      <ExpensesSubtotal>17953315</ExpensesSubtotal>
      <TotalExpensesPerForm990>17953315</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>Fundraiser expenses grouped with revenue $14487</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>Fundraiser expenses grouped with revenue $14487</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="11000144" softwareVersion="2011v1.5">
      <MailSolicitations>X</MailSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <LicensedStates>WA</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>HOME AT LAST GALA</NameOfEvent1>
        <GrossReceiptsEvent1>106680</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>95160</CharitableContributionsEvent1>
        <GrossRevenueEvent1>11520</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>1531</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>12439</FoodAndBeverageEvent1>
        <EntertainmentEvent1>50</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>467</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>106680</GrossReceiptsTotal>
        <CharitableContributionsTotal>95160</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>11520</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>1531</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>12439</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>50</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>467</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>14487</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-2967</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <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>A compensation committee is utilized to set base salaries and recommend raises based on performance indicators and salaries at other similar organizations. The committee makes recommendations to the board. the board must ultimately approve any salary adjustment.</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 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>THE FORM IS REVIEWED BY THE FINANCE DIRECTOR AND CEO. THEN IT IS GIVEN TO THE FINANCE COMMITTEE (A BOARD OF DIRECTORS SUBCOMMITTEE) FOR FINAL REVIEW AND APPROVAL PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>