<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-10-30T14:18:44-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>540617257</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ANDERSON &amp; REED LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1515 FRANKLIN RD SW</AddressLine1Txt>
        <CityNm>ROANOKE</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>240165206</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>541566451</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CHILD HEALTH INVESTMENT PARTNERSHIP</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>DBA CHIP OF ROANOKE VALLEY</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>CHIL</BusinessNameControlTxt>
      <PhoneNum>5408576993</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1201 THIRD STREET</AddressLine1Txt>
        <CityNm>ROANOKE</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>24016</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>RACHEL HOPKINS</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>5408576993</PhoneNum>
      <SignatureDt>2023-10-30</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>RACHEL</PersonFirstNm>
        <PersonLastNm>HOPKINS</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>J DAVID WRIGHT</PreparerPersonNm>
      <PTIN>P00352105</PTIN>
      <PhoneNum>5403444333</PhoneNum>
      <PreparationDt>2023-10-30</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>RACHEL HOPKINS</PrincipalOfficerNm>
      <GrossReceiptsAmt>1513441</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CHIPOFROANOKEVALLEY.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1987</FormationYr>
      <LegalDomicileStateCd>VA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>CHIP PROMOTES THE HEALTH OF MEDICALLY UNDER-SERVED CHILDREN WITHIN THE GREATER ROANOKE VALLEY OF VIRGINIA BY ENSURING COMPREHENSIVE HEALTH CARE, STRENGTHENING FAMILIES, AND COORDINATING COMMUNITY RESOURCES IN A PUBLIC/PRIVATE PARTNERSHIP.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>24</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>24</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>40</TotalEmployeeCnt>
      <TotalVolunteersCnt>500</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1107181</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1239654</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>205046</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>182674</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>35351</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>44210</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>87589</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>27481</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>1435167</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>1494019</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1255089</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1379083</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>112954</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>376538</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>369149</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1631627</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>1748232</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-196460</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-254213</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>4053835</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>3869413</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>156601</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>151458</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>3897234</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>3717955</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>CHIP PROMOTES THE HEALTH OF MEDICALLY UNDER-SERVED CHILDREN WITHIN THE GREATER ROANOKE VALLEY OF VIRGINIA BY ENSURING COMPREHENSIVE HEALTH CARE, STRENGTHENING FAMILIES, AND COORDINATING COMMUNITY RESOURCES IN A PUBLIC/PRIVATE PARTNERSHIP.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1420434</ExpenseAmt>
      <RevenueAmt>182674</RevenueAmt>
      <Desc>DURING THE 2023 FISCAL YEAR (JULY 1, 2022-JUNE 30, 2023), CHIP STAFF SERVED 517 LOW-INCOME CHLDREN FROM 349 FAMILIES WHILE PROVIDING A TOTAL OF 3,791 VISITS INCLUDING 2,706 IN-PERSON HOME VISITS AND 1,085 TELE-HEALTH VISITS DURING THAT PERIOD. TELE-HEALTH VISITS WERE IMPLEMENTED AS PROTOCOL IN RESPONSE TO THE ONGOING COVID PANDEMIC. OF THE 1,085 TELE-HEALTH VISITS, 880 VIRTUAL VISITS (AUDIO &amp; VIDEO) AND 205 TELEPHONE VISITS (AUDIO ONLY) WERE CONDUCTED. HEALTH LITERACY 349/515 OR 67.77% OF CHIP CHILDREN HAD A MEDICAL HOME (HAVE HAD AT LEAST 1 WCV IN THE PAST YEAR). PHYSICAL HEALTH 48/63 OR 76.19% OF INFANTS ENROLLED BEFORE 15 MONTHS HAD 6 WELL-CHILD (EPSDT) VISITS WITHIN THE FIRST 15 MONTHS OF LIFE. 107/184 OR 58.15% OF CHILDREN AGES 3,4,5 OR 6 YEARS OLD WHO HAD AT LEAST ONE COMPREHENSIVE WELL CARE VISIT (EPSDT) PER YEAR. 39/50 OR 78% OF CHILDREN ENROLLED IN SERVICES AT 2 YEARS OF AGE HAD 4 DTAP, 3 IPV, 1 MMR, 3 HIB, 3 HBV, 1 VZV, 4 PCV IMMUNIZATIONS BY 24 MONTHS. 40/50 OR 80% OF CHILDREN ENROLLED IN SERVICES AT 2 YEARS OF AGE WERE SCREENED FOR LEAD AT LEAST ONCE ON OR BEFORE THEIR SECOND BIRTHDAY. ASTHMA 28 ASTHMA CASE MANAGED (ACM)/23 RESPIRATORY MONITORED (RM). 11/14 OR 79% OF CHILDREN HAD A CURRENT ASTHMA ACTION PLAN ON THE MOST RECENT ASSESSMENT COMPLETED. PRENATAL 39/40 OR 98% OF CHILDREN BORN WERE ENROLLED IN CHIP SERVICES. 11/40 OR 27.5% OF MEDICAID/CHIP DELIVERIES OF LIVE BIRTHS DURING MEASUREMENT PERIOD HAD A PRENATAL CARE VISIT IN THE FIRST TRIMESTER. 25/40 OR 62.5% OF MOTHERS WITH DELIVERIES OF LIVE BIRTHS DURING THE MEASUREMENT PERIOD RECEIVED A BEHAVIORAL HEALTH SCREENING RISK ASSESSMENT AS PART OF CHIP PRENATAL SERVICES. 29/41 OR 70.73% OF CHIP ENROLLED POSTPARTUM MOMS BREASTFED THEIR BABIES, SELF-REPORTED AT 1ST POSTPARTUM VISIT. MENTAL HEALTH ADULTS SERVED - 27 (RECEIVED AT LEAST 1 COUNSELING SESSION) CHILDREN SERVED - 5 (RECEIVED AT LEAST 1 COUNSELING SESSION) BEHAVIORAL HEALTH RISK ASSESSMENT - 31/38 OR 82% OF CAREGIVERS WHO RECEIVED A BEHAVIORAL HEALTH SCREENING RISK ASSESSMENT WITHIN THE PAST 6 MONTHS. SCHOOL READINESS IMMUNIZATION RECORD - 38/41 OR 92.68% OF SERVED CHILDREN ELIGIBLE TO ENTER KINDERGARTEN WHO HAVE COMPLETED THEIR IMMUNIZATION SERIES AS REQUIRED BY THE VIRGINIA DEPT OF HEALTH AND BASED ON THE SCHEDULE DEFINED BY THE CDC- REVISED AS OF JULY 1, 2022. 28/28 OR 100% OF CHIP CHILDREN WHO TOOK THE 5 YEAR ASQ SCORED AT OR ABOVE THE STANDARD DEVELOPMENT MILESTONES IN ALL AREAS.</Desc>
      <TotalProgramServiceExpensesAmt>1420434</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>9</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>40</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>24</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>24</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>THE ORGANIZATION</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>5408576993</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1201 THIRD STREET</AddressLine1Txt>
          <CityNm>ROANOKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24016</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL HOPKINS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>105463</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7744</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FELICITY ADAMS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN ADKINS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC LYNN ANDERSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUTHUR BEAZLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT GARD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER GUN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUG HENSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRAYSON HOLLINGSWORTH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MACEL JANOSCHKA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA JENNINGS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN MARTIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON MATTHIESSEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRITTANY MCGRAW</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD MCINTOSH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOLLY O'DELL</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTOFER RAU</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA SHANNON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALLY SOUTHARD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY STOCKBURGER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW THOMAS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THANIA TORRES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA UHERICK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACIE WRIGHT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARISSA YI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>105463</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>7744</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FederatedCampaignsAmt>42000</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>223270</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>974384</AllOtherContributionsAmt>
      <TotalContributionsAmt>1239654</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD PARTY BILLINGS</Desc>
        <TotalRevenueColumnAmt>182674</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>182674</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>182674</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>44210</TotalRevenueColumnAmt>
        <ExclusionAmt>44210</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>2500</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2500</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2500</TotalRevenueColumnAmt>
        <ExclusionAmt>2500</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>44403</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>19422</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>24981</TotalRevenueColumnAmt>
        <ExclusionAmt>24981</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1494019</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>182674</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>71691</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>113207</TotalAmt>
        <ProgramServicesAmt>62264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33962</ManagementAndGeneralAmt>
        <FundraisingAmt>16981</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1029328</TotalAmt>
        <ProgramServicesAmt>900851</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86889</ManagementAndGeneralAmt>
        <FundraisingAmt>41588</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>148579</TotalAmt>
        <ProgramServicesAmt>134685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7339</ManagementAndGeneralAmt>
        <FundraisingAmt>6555</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>87969</TotalAmt>
        <ProgramServicesAmt>73802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9657</ManagementAndGeneralAmt>
        <FundraisingAmt>4510</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>8500</TotalAmt>
        <ManagementAndGeneralAmt>8500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>4453</TotalAmt>
        <ProgramServicesAmt>434</ProgramServicesAmt>
        <FundraisingAmt>4019</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>27147</TotalAmt>
        <ProgramServicesAmt>16430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1029</ManagementAndGeneralAmt>
        <FundraisingAmt>9688</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>47170</TotalAmt>
        <ProgramServicesAmt>36449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8946</ManagementAndGeneralAmt>
        <FundraisingAmt>1775</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>16061</TotalAmt>
        <ProgramServicesAmt>15769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>292</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10493</TotalAmt>
        <ProgramServicesAmt>6332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3783</ManagementAndGeneralAmt>
        <FundraisingAmt>378</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>86613</TotalAmt>
        <ProgramServicesAmt>66863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16074</ManagementAndGeneralAmt>
        <FundraisingAmt>3676</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>20175</TotalAmt>
        <ProgramServicesAmt>18129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1049</ManagementAndGeneralAmt>
        <FundraisingAmt>997</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>88419</TotalAmt>
        <ProgramServicesAmt>37868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36478</ManagementAndGeneralAmt>
        <FundraisingAmt>14073</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SOFTWARE SUPPORT</Desc>
        <TotalAmt>28834</TotalAmt>
        <ProgramServicesAmt>20923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101</ManagementAndGeneralAmt>
        <FundraisingAmt>7810</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>20807</TotalAmt>
        <ProgramServicesAmt>20307</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89</ManagementAndGeneralAmt>
        <FundraisingAmt>411</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>5377</TotalAmt>
        <ProgramServicesAmt>4228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>656</ManagementAndGeneralAmt>
        <FundraisingAmt>493</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>5100</TotalAmt>
        <ProgramServicesAmt>5100</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1748232</TotalAmt>
        <ProgramServicesAmt>1420434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214844</ManagementAndGeneralAmt>
        <FundraisingAmt>112954</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>114740</BOYAmt>
        <EOYAmt>77889</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>166941</BOYAmt>
        <EOYAmt>187568</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>36111</BOYAmt>
        <EOYAmt>44809</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>15083</BOYAmt>
        <EOYAmt>12730</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2612879</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1138662</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1493600</BOYAmt>
        <EOYAmt>1474217</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2227360</BOYAmt>
        <EOYAmt>2072200</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>4053835</BOYAmt>
        <EOYAmt>3869413</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>156601</BOYAmt>
        <EOYAmt>151458</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>156601</BOYAmt>
        <EOYAmt>151458</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3863263</BOYAmt>
        <EOYAmt>3682418</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>33971</BOYAmt>
        <EOYAmt>35537</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3897234</BOYAmt>
        <EOYAmt>3717955</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4053835</BOYAmt>
        <EOYAmt>3869413</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-254213</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>74934</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1153119</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1377537</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1246781</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1107181</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1239654</CurrentTaxYearAmt>
        <TotalAmt>6124272</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1153119</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1377537</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1246781</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1107181</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1239654</CurrentTaxYearAmt>
        <TotalAmt>6124272</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>6124272</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>46201</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>45121</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>31057</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16997</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>46710</CurrentTaxYearAmt>
        <TotalAmt>186086</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>6310358</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>892261</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97050</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96990</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <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>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2227360</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>120840</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>276000</OtherExpendituresAmt>
        <EndYearBalanceAmt>2072200</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2349380</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-122020</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2227360</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1815078</BeginningYearBalanceAmt>
        <ContributionsAmt>152000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>382302</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2349380</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2047157</BeginningYearBalanceAmt>
        <ContributionsAmt>4000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-16079</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>220000</OtherExpendituresAmt>
        <EndYearBalanceAmt>1815078</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1164065</BeginningYearBalanceAmt>
        <ContributionsAmt>793882</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>154210</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>65000</OtherExpendituresAmt>
        <EndYearBalanceAmt>2047157</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>232000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>232000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1335300</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>295730</DepreciationAmt>
        <BookValueAmt>1039570</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>582469</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>434449</DepreciationAmt>
        <BookValueAmt>148020</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>463110</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>408483</DepreciationAmt>
        <BookValueAmt>54627</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1474217</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1568953</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>74934</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>74934</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1494019</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>1494019</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1748232</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>1748232</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>1748232</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>BREAKFAST WITH</Event1Nm>
        <GrossReceiptsEvent1Amt>44403</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>44403</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>19422</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>44403</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>44403</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>19422</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>19422</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>24981</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>CHIP PROMOTES THE HEALTH OF MEDICALLY UNDER-SERVED CHILDREN WITHIN THE GREATER ROANOKE VALLEY OF VIRGINIA BY ENSURING COMPREHENSIVE HEALTH CARE, STRENGTHENING FAMILIES, AND COORDINATING COMMUNITY RESOURCES IN A PUBLIC/PRIVATE PARTNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE 2023 FISCAL YEAR (JULY 1, 2022-JUNE 30, 2023), CHIP STAFF SERVED 517 LOW-INCOME CHLDREN FROM 349 FAMILIES WHILE PROVIDING A TOTAL OF 3,791 VISITS INCLUDING 2,706 IN-PERSON HOME VISITS AND 1,085 TELE-HEALTH VISITS DURING THAT PERIOD. TELE-HEALTH VISITS WERE IMPLEMENTED AS PROTOCOL IN RESPONSE TO THE ONGOING COVID PANDEMIC. OF THE 1,085 TELE-HEALTH VISITS, 880 VIRTUAL VISITS (AUDIO &amp; VIDEO) AND 205 TELEPHONE VISITS (AUDIO ONLY) WERE CONDUCTED. HEALTH LITERACY 349/515 OR 67.77% OF CHIP CHILDREN HAD A MEDICAL HOME (HAVE HAD AT LEAST 1 WCV IN THE PAST YEAR). PHYSICAL HEALTH 48/63 OR 76.19% OF INFANTS ENROLLED BEFORE 15 MONTHS HAD 6 WELL-CHILD (EPSDT) VISITS WITHIN THE FIRST 15 MONTHS OF LIFE. 107/184 OR 58.15% OF CHILDREN AGES 3,4,5 OR 6 YEARS OLD WHO HAD AT LEAST ONE COMPREHENSIVE WELL CARE VISIT (EPSDT) PER YEAR. 39/50 OR 78% OF CHILDREN ENROLLED IN SERVICES AT 2 YEARS OF AGE HAD 4 DTAP, 3 IPV, 1 MMR, 3 HIB, 3 HBV, 1 VZV, 4 PCV IMMUNIZATIONS BY 24 MONTHS. 40/50 OR 80% OF CHILDREN ENROLLED IN SERVICES AT 2 YEARS OF AGE WERE SCREENED FOR LEAD AT LEAST ONCE ON OR BEFORE THEIR SECOND BIRTHDAY. ASTHMA 28 ASTHMA CASE MANAGED (ACM)/23 RESPIRATORY MONITORED (RM). 11/14 OR 79% OF CHILDREN HAD A CURRENT ASTHMA ACTION PLAN ON THE MOST RECENT ASSESSMENT COMPLETED. PRENATAL 39/40 OR 98% OF CHILDREN BORN WERE ENROLLED IN CHIP SERVICES. 11/40 OR 27.5% OF MEDICAID/CHIP DELIVERIES OF LIVE BIRTHS DURING MEASUREMENT PERIOD HAD A PRENATAL CARE VISIT IN THE FIRST TRIMESTER. 25/40 OR 62.5% OF MOTHERS WITH DELIVERIES OF LIVE BIRTHS DURING THE MEASUREMENT PERIOD RECEIVED A BEHAVIORAL HEALTH SCREENING RISK ASSESSMENT AS PART OF CHIP PRENATAL SERVICES. 29/41 OR 70.73% OF CHIP ENROLLED POSTPARTUM MOMS BREASTFED THEIR BABIES, SELF-REPORTED AT 1ST POSTPARTUM VISIT. MENTAL HEALTH ADULTS SERVED - 27 (RECEIVED AT LEAST 1 COUNSELING SESSION) CHILDREN SERVED - 5 (RECEIVED AT LEAST 1 COUNSELING SESSION) BEHAVIORAL HEALTH RISK ASSESSMENT - 31/38 OR 82% OF CAREGIVERS WHO RECEIVED A BEHAVIORAL HEALTH SCREENING RISK ASSESSMENT WITHIN THE PAST 6 MONTHS. SCHOOL READINESS IMMUNIZATION RECORD - 38/41 OR 92.68% OF SERVED CHILDREN ELIGIBLE TO ENTER KINDERGARTEN WHO HAVE COMPLETED THEIR IMMUNIZATION SERIES AS REQUIRED BY THE VIRGINIA DEPT OF HEALTH AND BASED ON THE SCHEDULE DEFINED BY THE CDC- REVISED AS OF JULY 1, 2022. 28/28 OR 100% OF CHIP CHILDREN WHO TOOK THE 5 YEAR ASQ SCORED AT OR ABOVE THE STANDARD DEVELOPMENT MILESTONES IN ALL AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS E-MAILED TO THE BOARD PRIOR TO E-FILING IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS OF INTEREST ARE DISCUSSED DURING BOARD MEETINGS AND AN ANNUAL DISCLOSURE FORM IS SIGNED BY EACH BOARD MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE AFTER REVIEWING PERFORMANCE AND COMPARABILITY DATA AND TRENDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE AFTER REVIEWING PERFORMANCE AND COMPARABILITY DATA AND TRENDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
