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        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
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        <ProgramServices>52418</ProgramServices>
        <ManagementAndGeneral>122310</ManagementAndGeneral>
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      <CompDisqualPersons>
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      </CompDisqualPersons>
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        <ProgramServices>2180760</ProgramServices>
        <ManagementAndGeneral>124236</ManagementAndGeneral>
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      <PensionPlanContributions>
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      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
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      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>99895</Total>
        <ProgramServices>40150</ProgramServices>
        <ManagementAndGeneral>59745</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>14960</Total>
        <ProgramServices>8976</ProgramServices>
        <ManagementAndGeneral>5984</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>115787</Total>
        <ProgramServices>101958</ProgramServices>
        <ManagementAndGeneral>13829</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>56515</Total>
        <ProgramServices>52579</ProgramServices>
        <ManagementAndGeneral>3936</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>100501</Total>
        <ProgramServices>97284</ProgramServices>
        <ManagementAndGeneral>3217</ManagementAndGeneral>
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      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>103265</Total>
        <ProgramServices>90951</ProgramServices>
        <ManagementAndGeneral>12314</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>11887</ProgramServices>
        <ManagementAndGeneral>590</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>12780</Total>
        <ProgramServices>12724</ProgramServices>
        <ManagementAndGeneral>56</ManagementAndGeneral>
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      <Interest>
        <Total>232946</Total>
        <ProgramServices>139768</ProgramServices>
        <ManagementAndGeneral>93178</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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        <Total>1320743</Total>
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        <ManagementAndGeneral>86747</ManagementAndGeneral>
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        <ProgramServices>49145</ProgramServices>
        <ManagementAndGeneral>12286</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>TAXES AND LICENSES</Description>
        <Total>117559</Total>
        <ProgramServices>95458</ProgramServices>
        <ManagementAndGeneral>22101</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>66778</Total>
        <ProgramServices>63100</ProgramServices>
        <ManagementAndGeneral>3678</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>670032</Total>
        <ProgramServices>644706</ProgramServices>
        <ManagementAndGeneral>25326</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>OTHER</Description>
        <Total>47234</Total>
        <ProgramServices>34780</ProgramServices>
        <ManagementAndGeneral>12454</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL/MAINTENANCE</Description>
        <Total>484009</Total>
        <ProgramServices>481459</ProgramServices>
        <ManagementAndGeneral>2550</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>51813</Total>
        <ProgramServices>51342</ProgramServices>
        <ManagementAndGeneral>471</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>605008</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>3217127</EOY>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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      <ReceivablesFromOfficersEtc>
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      <OtherNotesLoansReceivableNet>
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      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>379307</EOY>
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      <LandBuildingsEquipmentBasis>22878066</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      <InvestmentsProgramRelated>
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      <TotalAssets>
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      <MortNotesPyblSecuredInvestProp>
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      <TotalLiabilities>
        <BOY>4055138</BOY>
        <EOY>3720134</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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        <EOY>17065134</EOY>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>1342909</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <OtherCostOrOtherBasis>12126487</OtherCostOrOtherBasis>
        <Depreciation>2386548</Depreciation>
        <BookValue>9739939</BookValue>
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      <Equipment>
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        <BookValue>10889</BookValue>
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      <IndependentConsultant>X</IndependentConsultant>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Documents are provided upon request.</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>Executive director salaries are reviewed and approved by the board of director's compensation committee. The Center utilizes an independent consulting firm that provides independent healthcare salary survey information which is used to evaluate and deterimine compensation levels for all employees.</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>The Cancer Center's Compliance Plan has a chapter entitled Conflict of Interest, that gives a policy statement, and overview. It defines conflicts in general, for employees and for board members. It gives penalties for non-compliance. The chapter also covers education, training, auditing and monitoring. Every employee, on-site volunteers and board members have annual education on the compliance plan and sign a form acknowledging the training and identifying any areas they may have a conflict of interest.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Draft 990 returns are presented to and reviewed with the Board of Directors prior to filing with the Internal Revenue Service. Review is documented in the Board of Directors meeting minutes.</Explanation>
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          <City>PASCO</City>
          <State>WA</State>
          <ZIPCode>99301</ZIPCode>
        </AddressUS>
        <EIN>910349750</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>170(B)</ExemptCodeSection>
        <PublicCharityStatus>501(C)(3)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <City>KENNEWICK</City>
          <State>WA</State>
          <ZIPCode>99336</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>PUBLIC HEALTH DISTRICT</PrimaryActivities>
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          <City>RICHLAND</City>
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          <City>KENNEWICK</City>
          <State>WA</State>
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        <PrimaryActivities>SUPPORT THE TRI-CITIES CANCER CENTER</PrimaryActivities>
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      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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