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      </AccountsPayableAccrExpnssGrp>
      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>20057</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>49977</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1779970</BOYAmt>
        <EOYAmt>2013564</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1779970</BOYAmt>
        <EOYAmt>2013564</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1821104</BOYAmt>
        <EOYAmt>2063541</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>229057</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4537</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>1065554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1024432</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>989184</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>891453</CurrentTaxYearAmt>
        <TotalAmt>4867095</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1065554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1024432</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>989184</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>891453</CurrentTaxYearAmt>
        <TotalAmt>4867095</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>4867095</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>2644</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1771</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1271</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10999</CurrentTaxYearAmt>
        <TotalAmt>16685</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearAmt>64</CurrentTaxYearAmt>
        <TotalAmt>64</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>4883844</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>993033</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99660</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous - 2022 Amount: $ 64.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>1392</DepreciationAmt>
        <BookValueAmt>2278</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>11407</DepreciationAmt>
        <BookValueAmt>486</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2764</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Didgwalic Wellness Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8212 S March Point Rd</AddressLine1Txt>
          <CityNm>Anacortes</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98221</ZIPCd>
        </USAddress>
        <RecipientEIN>611955704</RecipientEIN>
        <CashGrantAmt>49377</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Opiod addiction intervention</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sea-Mar Community Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1040 South Henderson St</AddressLine1Txt>
          <CityNm>Seattle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98108</ZIPCd>
        </USAddress>
        <RecipientEIN>911020139</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>26285</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Opiod addiction intervention</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization reserves the right to request supporting documentation from grantees demonstrating how funds were utilized.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Adam Kartmn</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>Medical Director/President</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Initial start-up financing for the organization</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>20052</OriginalPrincipalAmt>
        <BalanceDueAmt>20057</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>0</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>0</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>20057</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Adam Kartman and Jon Ransom share a business relationship through related organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The President will review the tax return before submission to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization requires officers and board governors to sign a statement stating their understanding and compliance with the conflict of interest policy. The organization also performs periodic reviews of compensation arrangements and arrangemnts such as partnerships and joint ventures to ensure they conform with the organization's policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director's salary is set by the governing board. The board takes into consideration the Washington State str followed by SOR grants suggested figured for medical director compensation, as well as the hours worked and comparative pay with similar organizations in the region.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Heading, Line J:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://cascade-medical-advantage.business.site/</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
