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        <CityNm>CAMP HILL</CityNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI E REESE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WILKISON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KYLE C SNYDER MHA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM METZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINA SCANLAN</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10297</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICIA KEISLING</PersonNm>
        <TitleTxt>CRNP - NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>153372</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1359</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA MIDWIG</PersonNm>
        <TitleTxt>LPN RESIDENCE CHARGE NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>143902</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>583</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA OLENDER</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>244592</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27874</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA RING</PersonNm>
        <TitleTxt>CERTIFIED REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119905</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31259</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1235392</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>92817</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>56689</FederatedCampaignsAmt>
      <FundraisingAmt>371498</FundraisingAmt>
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      <TotalContributionsAmt>2033417</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>12442627</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12442627</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE, SELF PAY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1101444</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1101444</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13544071</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>349101</TotalRevenueColumnAmt>
        <ExclusionAmt>349101</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2507756</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2468752</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>39004</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>39004</TotalRevenueColumnAmt>
        <ExclusionAmt>39004</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>115280</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>371498</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>116878</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-1598</TotalRevenueColumnAmt>
        <ExclusionAmt>-1598</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3287</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3287</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3287</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15967282</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13547358</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>386507</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>2609199</TotalAmt>
        <ProgramServicesAmt>2609199</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>420926</TotalAmt>
        <ProgramServicesAmt>84185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252556</ManagementAndGeneralAmt>
        <FundraisingAmt>84185</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9331851</TotalAmt>
        <ProgramServicesAmt>8412101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>764380</ManagementAndGeneralAmt>
        <FundraisingAmt>155370</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>101543</TotalAmt>
        <ProgramServicesAmt>93875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6590</ManagementAndGeneralAmt>
        <FundraisingAmt>1078</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1200671</TotalAmt>
        <ProgramServicesAmt>1056921</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117117</ManagementAndGeneralAmt>
        <FundraisingAmt>26633</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>711743</TotalAmt>
        <ProgramServicesAmt>621100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73437</ManagementAndGeneralAmt>
        <FundraisingAmt>17206</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>217669</TotalAmt>
        <ManagementAndGeneralAmt>217669</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>97723</TotalAmt>
        <ManagementAndGeneralAmt>97723</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>43714</TotalAmt>
        <ManagementAndGeneralAmt>43714</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>371179</TotalAmt>
        <ProgramServicesAmt>365272</ProgramServicesAmt>
        <FundraisingAmt>5907</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>679387</TotalAmt>
        <ProgramServicesAmt>562440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94125</ManagementAndGeneralAmt>
        <FundraisingAmt>22822</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>149710</TotalAmt>
        <ProgramServicesAmt>141232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6869</ManagementAndGeneralAmt>
        <FundraisingAmt>1609</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>441945</TotalAmt>
        <ProgramServicesAmt>422758</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18594</ManagementAndGeneralAmt>
        <FundraisingAmt>593</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>38841</TotalAmt>
        <ProgramServicesAmt>30997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7744</ManagementAndGeneralAmt>
        <FundraisingAmt>100</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>189741</TotalAmt>
        <ProgramServicesAmt>169826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16134</ManagementAndGeneralAmt>
        <FundraisingAmt>3781</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>217930</TotalAmt>
        <ProgramServicesAmt>152869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65061</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES AND SE</Desc>
        <TotalAmt>2232655</TotalAmt>
        <ProgramServicesAmt>2232655</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OUTREACH</Desc>
        <TotalAmt>75262</TotalAmt>
        <ManagementAndGeneralAmt>75262</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE RECRUITMENT &amp;</Desc>
        <TotalAmt>54259</TotalAmt>
        <ProgramServicesAmt>47350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5598</ManagementAndGeneralAmt>
        <FundraisingAmt>1311</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BEREAVEMENT AND VOLUNTE</Desc>
        <TotalAmt>44806</TotalAmt>
        <ProgramServicesAmt>44806</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>86182</TotalAmt>
        <ProgramServicesAmt>8818</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33928</ManagementAndGeneralAmt>
        <FundraisingAmt>43436</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19316936</TotalAmt>
        <ProgramServicesAmt>17056404</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1896501</ManagementAndGeneralAmt>
        <FundraisingAmt>364031</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>50</BOYAmt>
        <EOYAmt>50</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5674002</BOYAmt>
        <EOYAmt>4785205</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1197888</BOYAmt>
        <EOYAmt>1180505</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>107063</BOYAmt>
        <EOYAmt>112093</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4566444</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2248783</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2444444</BOYAmt>
        <EOYAmt>2317661</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>9038136</BOYAmt>
        <EOYAmt>10335668</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>18461583</BOYAmt>
        <EOYAmt>18731182</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1155862</BOYAmt>
        <EOYAmt>3819001</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>92550</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1248412</BOYAmt>
        <EOYAmt>3819001</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>16827339</BOYAmt>
        <EOYAmt>14525997</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>385832</BOYAmt>
        <EOYAmt>386184</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>17213171</BOYAmt>
        <EOYAmt>14912181</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18461583</BOYAmt>
        <EOYAmt>18731182</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-3349654</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1048664</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1690003</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3937754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1813209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1816700</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2033417</CurrentTaxYearAmt>
        <TotalAmt>11291083</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1690003</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3937754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1813209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1816700</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2033417</CurrentTaxYearAmt>
        <TotalAmt>11291083</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1500719</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>9790364</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>146994</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>123820</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>169057</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>206210</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>349101</CurrentTaxYearAmt>
        <TotalAmt>995182</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>12286265</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>67249820</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.79690</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.81370</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>278</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>278</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING EXPENDITURES ARE A PORTION OF THE ANNUAL DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO). PER THE NHPCO $278 OF THE DUES WERE USED FOR DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE OR LOCAL GOVERNMENT TO INFLUENCE LEGISLATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>362500</OtherCostOrOtherBasisAmt>
        <BookValueAmt>362500</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3884429</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2085131</DepreciationAmt>
        <BookValueAmt>1799298</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>259666</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>121652</DepreciationAmt>
        <BookValueAmt>138014</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>59849</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>42000</DepreciationAmt>
        <BookValueAmt>17849</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2317661</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17007898</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1048664</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>35666</OtherRevenueAmt>
      <RevenueNotReportedAmt>1084330</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15923568</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>43714</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>43714</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15967282</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19308888</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>35666</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>35666</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19273222</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>43714</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>43714</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19316936</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ASSESSED THE ORGANIZATION'S EXPOSURE TO INCOME TAXES AT THE ENTITY LEVEL AS A RESULT OF UNCERTAIN TAX POSITIONS TAKEN IN CURRENT AND PREVIOUSLY FILED TAX RETURNS. EXAMPLES OF TAX POSITIONS TAKEN AT THE ENTITY LEVEL INCLUDE THE CONTINUING VALIDITY OF ITS EXEMPT ORGANIZATION STATUS, POTENTIAL FILING REQUIREMENT FOR UNRELATED BUSINESS INCOME AND OTHER TAX POSITIONS THAT COULD RESULT IN THE ASSESSMENT OF INCOME TAX LIABILITIES ARISING FROM EXAMINATIONS BY TAXING AUTHORITIES. PRESENTLY, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE ORGANIZATION'S TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING ANY APPEALS AND LITIGATION; CONSEQUENTLY, MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO EXPOSURE TO INCOME TAX LIABILITIES ARISING FROM UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS DIRECT EXPENSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS DIRECT EXPENSE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF &amp; TENNIS TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>227120</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>193052</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>34068</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>32166</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>3500</FoodAndBeverageEvent1Amt>
        <Event2Nm>GALA</Event2Nm>
        <GrossReceiptsEvent2Amt>210295</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>129433</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>80862</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>52240</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>28972</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>4</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>49013</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>49013</CharitableContriOtherEventsAmt>
        <GrossReceiptsTotalAmt>486428</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>371498</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>114930</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>84406</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>3500</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>28972</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>116878</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-1948</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FOUNDATION OF HOSPICE OF CENTRAL PENNSYLVANIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1320 LINGLESTOWN RD</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17110</ZIPCd>
        </USAddress>
        <RecipientEIN>364766622</RecipientEIN>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>2609199</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO PROVIDE ASSISTANCE TO THE FOUNDATION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GILBERT J BROWN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>260252</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>139229</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7828</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13617</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>420926</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA OLENDER</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>244592</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5114</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22760</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272466</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTINA SCANLAN</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>162241</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11899</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10297</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184437</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALICIA KEISLING</PersonNm>
        <TitleTxt>CRNP - NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>144122</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9250</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>266</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1093</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154731</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA RING</PersonNm>
        <TitleTxt>CERTIFIED REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>102655</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17250</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2046</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29213</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151164</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>GIL BROWN $75,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE OF HOSPICE OF CENTRAL PENNSYLVANIA WILL RECEIVE THE INITIAL DRAFT OF THE FORM 990. AT THE SAME TIME, THE BOARD WILL BE MADE AWARE THAT THE INITIAL DRAFT OF THE FORM 990 IS AVAILABLE FOR REVIEW UPON REQUEST. BASED UPON THEIR REVIEW, THE FINANCE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS REQUIRED TO SIGN A STATEMENT ANNUALLY STATING EITHER THAT THEY HAVE NO CONFLICTS OF INTEREST OR TO DISCLOSE ANY RELATIONSHIPS THAT MIGHT GIVE RISE TO A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HCP PARTICIPATES IN AND GATHERS DATA FROM A NATIONALLY RECOGNIZED COMPENSATION ORGANIZATION AS WELL AS DATA SUPPLIED FROM SURVEYS COMPLETED THROUGH NATIONAL HOSPICE ORGANIZATIONS. THIS DATA IS COMPARED TO CURRENT COMPENSATION LEVELS AND ADJUSTED ACCORDINGLY DURING THE ANNUAL PERFORMANCE EVALUATION PERIOD. FOR CLINICAL POSITIONS, WAGES ARE BASED ON YEARS OF EXPERIENCE TO ENSURE INTERNAL EQUITY. FOR NON-CLINICAL POSITIONS, WAGES ARE MORE LIKELY TO BE BASED ON SIMILAR POSITIONS PAID WITHIN THE SAME INDUSTRY AND REGION. WAGES ARE DISCUSSED WITH THE CEO AND DIRECTOR OF FINANCE AND ADMINISTERED BY HUMAN RESOURCES FOR ALL POSITIONS OTHER THAN THAT SALARY OF THE CEO/PRESIDENT. ANNUAL CORPORATE ACTIONS ARE DOCUMENTED BY HUMAN RESOURCES AND IMPLEMENTED IN OCTOBER. THE CEO/PRESIDENT SALARY IS APPROVED BY THE BOARD OF DIRECTORS BASED ON RECOMMENDATIONS BY THE PERSONNEL COMMITTEE. SUCH BOARD ACTIONS ARE DOCUMENTED IN MEETING MINUTES AND IMPLEMENTED IN MARCH. MARKET SALARY SURVEY INFORMATION WAS OBTAINED FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT FOR SIMILAR POSITIONS IN HOSPICES AND HEALTH CARE PROVIDERS OF COMPARABLE SIZE. CURRENT COMPENSATION LEVELS WERE COMPARED TO THOSE PRESENT IN THE RELEVANT MARKETPLACE. CONSIDERATION WAS GIVEN TO YEARS OF EXPERIENCE, JOB PERFORMANCE, YEARS OF SERVICE, AND INTERNAL EQUITY. CEO INPUT WAS OBTAINED FOR ALL NON-CEO POSITIONS. THE BOARD OF DIRECTORS APPROVED THE RECOMMENDATIONS OF THE PERSONNEL COMMITTEE FOR SALARY RANGES BY POSITION. BOARD ACTIONS ARE DOCUMENTED IN MEETING MINUTES THAT ARE PREPARED CONTEMPORANEOUSLY. THE SALARY RECOMMENDATIONS WERE IMPLEMENTED. SALARY RATES CHANGED IN JANUARY 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTAR WEBSITE, AND THE FORM 1023 IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE PROCESS FOR OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
