<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.1" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-10-02T11:11:47-07:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>111679599</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>St Marys Hospital for Children</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>2901 216th Street</AddressLine1Txt>
        <CityNm>Bayside</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>11360</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>112728736</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ST MARYS FOUNDATION FOR CHILDREN INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>STMA</BusinessNameControlTxt>
      <PhoneNum>7182818777</PhoneNum>
      <USAddress>
        <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
        <CityNm>BAYSIDE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>11360</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>EDWIN F SIMPSER MD</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <SignatureDt>2024-10-02</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ST MARY'S HOSPITAL FOR CHILDREN</PreparerPersonNm>
      <SSN>XXX-XX-XXXX</SSN>
      <PhoneNum>7182818777</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <PrincipalOfficerNm>EDWIN F SIMPSER MD</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
        <CityNm>BAYSIDE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>11360</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>5432053</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.STMARYSKIDS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1985</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>St. Mary's Foundation for Children's(the "Foundation")mission is to support the provision of highly specialized care to children and young adults with medically complex special needs.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>5</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>4</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>4</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>3434377</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3819096</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>707955</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1490718</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-65620</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-119807</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4076712</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>5190007</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1221155</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1886793</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>504670</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>391812</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>270424</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>87136</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>228478</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1812961</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2507083</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2263751</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2682924</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>45154553</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>51793274</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>47810272</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>47083809</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>-2655719</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>4709465</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>St. Marys Foundation for Children, Inc. is dedicated to the enhancement of health, safety and quality of life for children with special needs.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1886793</ExpenseAmt>
      <GrantAmt>1886793</GrantAmt>
      <Desc>The Foundations primary exempt mission is to fundraise in support of innovative, beneficial and much-needed programs offered by St. Marys Healthcare System for Children, Inc., including but not limited to:Feeding Disorders Program:An estimated 25% of all children have a moderate or severe feeding disorder. Since being formed in 2001, the Center for Pediatric Feeding Disorders at St. Marys Hospital for Children has been New Yorks only intensive day patient program specializing in the evaluation and treatment of pediatric feeding and swallowing disorders. The program serves children with a broad spectrum of eating difficulties, such as nutritional deficiencies, dependence on tube feedings, ongoing weight loss or poor weight gain, food refusal and mealtime tantrums. The program utilizes clinicians from different fields to address the clinical, psychological, behavioral and nutritional factors underlying a pediatric feeding disorder. St. Marys interdisciplinary team focuses on treating the whole child, addressing the clinical and behavioral aspects of their feeding disorder and developing a treatment plan to address their specific needs.Many patients in the Feeding Program are admitted to the program relying primarily or solely on feeding tubes. Nearly all of them are discharged with increased feeding and significantly decreased rates of tube feeding. St. Marys patient outcomes often exceed the expectations of parents and referring physicians, as patients are discharged with the ability to tolerate new foods, improve mealtime behaviors, suck from a straw, and chew or swallow more easily.Healing Arts Program:At St. Marys, the arts are essential to promoting health and well-being in children. Research has demonstrated that artistic expression plays a vital role in the most successful approaches to holistic pediatric healthcare. In addition, art therapy can help improve a patients quality of life and promote physical and emotional wellness by reducing stress, alleviating pain, stimulating expression and communication, and promoting physical rehabilitation and learning. On a more fundamental level, making art is a lot of fun for St. Marys patients and a welcome distraction from the less pleasant aspects of medical treatments, rehabilitation, and therapy.St. Marys Hospital for Children, Inc. has developed a robust arts program to ensure that the children and young adults in the facility can experience the healing power of arts while away from home. The daily art therapy activities consist of group sessions, as well as one-on-one sessions tailored to the childrens individual needs. Under the supervision of certified recreational therapists, the children participate in a wide range of artistic activities, including but not limited to: painting; drawing; constructing collages; sculpting with clay; and making music with assistive musical equipment. The benefits of the Arts for Healing Program to the kids at the hospital have been numerous, including but not limited to: increased independence; greater socialization; increased confidence and self-esteem; an improved sense of well-being; and significant advancements in the childrens therapeutic goals. In short, the arts are critical to keeping St. Marys kids active, happy, and engaged every day.Palliative Care:Over 30 years ago, St. Marys Hospital for Children, Inc. pioneered this countrys first Pediatric Palliative Care Program. Offered alongside appropriate therapies, St. Marys palliative care team works with the other professionals and the patients family to develop a plan of care that provides optimum comfort and addresses individual care goals. Additional resources, education and increased staff support are available for both child and family, including religious and spiritual counseling, if requested. Through specially trained volunteers, complementary therapies, assistance with advance directives and treatment choice guidance, the palliative care program promotes a healing and compassionate environment in the midst of loss.St. Marys offers pediatric palliative care at any time in the childs disease progression, not just at the end of life. Using a multidisciplinary, holistic and patient- and family-centered approach, the program provides the services the patient and family needphysical, emotional and spiritual. These services are delivered by an integrated, caring team that includes experienced professionals in medicine, nursing, social work, psychology, rehabilitation, nutrition, chaplaincy, therapeutic activities as well as trained doula volunteers.Telehealth Program:A core belief of St. Marys Healthcare System for Children, Inc. is that home is generally the most ideal setting to provide health care to a sick child. It contributes to the health and well-being of a child to be in their familiar home setting and with their family instead of an institutionalized setting such as an inpatient facility. In the less restrictive home setting, a child with a special need is able to embark on a richer life filled with family support, education, recreation, and long-term rehabilitation and care. As such, St. Marys always strives to safely discharge our patients from our inpatient facility to a home care setting whenever it is possible to do so without compromising their quality of care.A key component of this objective is the Telehealth Program offered by Extraordinary Home Care d/b/a St. Marys Home Care. Utilizing advanced technology, the Telehealth Program provides preventative care to medically fragile children living in home settings, ensuring that the childs health is being maintained outside of a hospital setting. In conjunction with regularly scheduled home visits, our team of pediatric specialists remotely monitors changes in the childs clinical status and medication adherence allowing our team to identify potential health complications and intervene before the problems escalate to ER visits or hospitalizations.Since being formed in 2014, the Telehealth Program has had numerous positive outcomes for children with special needs and their families. Over the course of just one year, it was found that the program resulted in a 39% reduction in hospitalizations (567 total enrolled patients).</Desc>
      <TotalProgramServiceExpensesAmt>1886793</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">true</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRSScheduleD">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="IRS990ScheduleG">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="IRS990ScheduleG">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</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 referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="IRS990ScheduleM">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="IRS990ScheduleR">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>false</BackupWthldComplianceInd>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <Form8282FiledCnt>0</Form8282FiledCnt>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>5</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>4</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</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>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>MELISSA SANDLER DIR OF FINANCE</PersonNm>
        <PhoneNum>7188192889</PhoneNum>
        <USAddress>
          <AddressLine1Txt>5 DAKOTA DRIVE SUITE 200</AddressLine1Txt>
          <CityNm>NEW HYDE PARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11042</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWIN F SIMPSER MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>966595</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>74822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM L MEAD</PersonNm>
        <TitleTxt>COO/CFO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>597001</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58681</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA CANGEMI</PersonNm>
        <TitleTxt>VP/CMO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>458385</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45122</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN LALLY</PersonNm>
        <TitleTxt>VP FOUNDATION</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>407948</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>55070</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM WAXER</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>345078</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56001</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA HACKENJOS</PersonNm>
        <TitleTxt>VP OF HR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>300678</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61739</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN POLINSKY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>304448</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42506</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CINDY JOHNSON</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS KISSANE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL R KARETSKY</PersonNm>
        <TitleTxt>SECRETARY/TREAS</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY LEVINE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotReportableCompRltdOrgAmt>3380133</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>393941</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>720895</FundraisingAmt>
      <AllOtherContributionsAmt>3098201</AllOtherContributionsAmt>
      <NoncashContributionsAmt>36608</NoncashContributionsAmt>
      <TotalContributionsAmt>3819096</TotalContributionsAmt>
      <TotalProgramServiceRevenueAmt>0</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>968124</TotalRevenueColumnAmt>
        <ExclusionAmt>968124</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>522594</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>522594</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>522594</TotalRevenueColumnAmt>
        <ExclusionAmt>522594</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>122239</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>720895</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>242046</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-119807</TotalRevenueColumnAmt>
        <ExclusionAmt>-119807</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5190007</TotalRevenueColumnAmt>
        <ExclusionAmt>1370911</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1886793</TotalAmt>
        <ProgramServicesAmt>1886793</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>0</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>286675</TotalAmt>
        <ManagementAndGeneralAmt>89168</ManagementAndGeneralAmt>
        <FundraisingAmt>197507</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>18094</TotalAmt>
        <ManagementAndGeneralAmt>5628</ManagementAndGeneralAmt>
        <FundraisingAmt>12466</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>70345</TotalAmt>
        <ManagementAndGeneralAmt>21880</ManagementAndGeneralAmt>
        <FundraisingAmt>48465</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>16698</TotalAmt>
        <ManagementAndGeneralAmt>5194</ManagementAndGeneralAmt>
        <FundraisingAmt>11504</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>169500</TotalAmt>
        <ManagementAndGeneralAmt>169500</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>18074</TotalAmt>
        <ManagementAndGeneralAmt>18074</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>27151</TotalAmt>
        <ManagementAndGeneralAmt>27151</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>0</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>482</TotalAmt>
        <FundraisingAmt>482</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>108</TotalAmt>
        <ManagementAndGeneralAmt>108</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>0</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>0</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Bank Fees</Desc>
        <TotalAmt>13163</TotalAmt>
        <ManagementAndGeneralAmt>13163</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2507083</TotalAmt>
        <ProgramServicesAmt>1886793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>349866</ManagementAndGeneralAmt>
        <FundraisingAmt>270424</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1372307</BOYAmt>
        <EOYAmt>1266614</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>43603721</BOYAmt>
        <EOYAmt>49571332</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>43525</BOYAmt>
        <EOYAmt>820328</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <EOYAmt>0</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>135000</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>135000</BOYAmt>
        <EOYAmt>135000</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>45154553</BOYAmt>
        <EOYAmt>51793274</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>35862</BOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>19000000</BOYAmt>
        <EOYAmt>18000000</EOYAmt>
      </GrantsPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>28774410</BOYAmt>
        <EOYAmt>29083809</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>47810272</BOYAmt>
        <EOYAmt>47083809</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-2655719</BOYAmt>
        <EOYAmt>4709465</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-2655719</BOYAmt>
        <EOYAmt>4709465</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>45154553</BOYAmt>
        <EOYAmt>51793274</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2682924</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4682260</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="23017517" softwareVersionNum="2023v5.1">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2176752</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4432344</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2239824</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3434377</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3819096</CurrentTaxYearAmt>
        <TotalAmt>16102393</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2176752</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4432344</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2239824</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3434377</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3819096</CurrentTaxYearAmt>
        <TotalAmt>16102393</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>3369570</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>12732823</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>161103</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>256925</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>172882</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>707955</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>968124</CurrentTaxYearAmt>
        <TotalAmt>2266989</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>127100</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24665</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28805</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>155820</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>122239</CurrentTaxYearAmt>
        <TotalAmt>458629</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>18828011</TotalSupportAmt>
      <PublicSupportCY170Pct>0.67630</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.66830</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="23017517" softwareVersionNum="2023v5.1">
      <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="IRS990ScheduleD" softwareId="23017517" softwareVersionNum="2023v5.1">
      <ArtPublicExhibitionAmountsGrp>
        <AssetsIncludedAmt>135000</AssetsIncludedAmt>
      </ArtPublicExhibitionAmountsGrp>
      <CollectionUsedPubExhibitionInd>X</CollectionUsedPubExhibitionInd>
      <SolicitedAssetsSaleInd>false</SolicitedAssetsSaleInd>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>135000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>135000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>135000</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ST. MARY'S ADMINISTRATIVE SERVICE</Desc>
        <Amt>4308954</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ST. MARY'S CASE MANAGEMENT</Desc>
        <Amt>90000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ST. MARY'S HOMECARE</Desc>
        <Amt>157176</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ST. MARY'S HOSPITAL FOR CHILDREN</Desc>
        <Amt>24527679</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>29083809</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4: Description of organization's collections and how it furthers its purpose.</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation holds various works of art that are displayed at the St. Marys Hospital for Children, (the "Hospital") for the enjoyment and appreciation of the Hospitals patients, visitors and employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Mary's Foundation for Children follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.St. Mary's Foundation for Children is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. St. Mary's Foundation for Children has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which there was nexus; and to identify and evaluate other matters that may be considered tax positions. St. Mary's Foundation for Children has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="23017517" softwareVersionNum="2023v5.1">
      <AgrmtProfFundraisingActyInd>false</AgrmtProfFundraisingActyInd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Tribute-2023</Event1Nm>
        <GrossReceiptsEvent1Amt>559255</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>468655</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>90600</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>242046</RentFacilityCostsEvent1Amt>
        <Event2Nm>Walk &amp; Others-2023</Event2Nm>
        <GrossReceiptsEvent2Amt>174779</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>174779</CharitableContriEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>109100</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>77461</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>31639</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>843134</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>720895</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>122239</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>242046</RentFcltyCostsTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>242046</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-119807</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="23017517" softwareVersionNum="2023v5.1">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EXTR HOME CARE DBA ST MAR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>YS HOME CARE 29-01 216ST</AddressLine1Txt>
          <CityNm>BASIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <RecipientEIN>272021133</RecipientEIN>
        <CashGrantAmt>257176</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT REHAB. AND OTHER PROG.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST MARYS CASE MANAGMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <RecipientEIN>272321384</RecipientEIN>
        <CashGrantAmt>97976</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT REHAB. AND OTHER PROG.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST MARYS HOSPITAL FOR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>CHILDREN 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <RecipientEIN>111679599</RecipientEIN>
        <CashGrantAmt>1495033</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT REHAB. AND OTHER PROG.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation only makes grants to related parties to support their respective tax-exempt missions. The Foundation monitors the granted funds by requiring grantees to submit check requests for the submission of funds. All grant requests must be made in furtherance of a mission related activity and the Foundation must be advised on the use of the funds and the departments where the funds will be utilized.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM WAXER</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>295138</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>28138</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>21802</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>22135</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33866</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>401079</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLA CANGEMI</PersonNm>
        <TitleTxt>VP/CMO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>441346</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>17039</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>14850</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30272</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>503507</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWIN F SIMPSER MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>700000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>75000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>191595</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>44550</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30272</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1041417</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA HACKENJOS</PersonNm>
        <TitleTxt>VP OF HR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>258994</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>24040</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>17644</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>28041</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33698</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>362417</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN LALLY</PersonNm>
        <TitleTxt>VP FOUNDATION</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>351457</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>30651</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25840</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>24750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30320</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>463018</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN POLINSKY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>256507</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>24198</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>23743</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12466</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30040</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>346954</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM L MEAD</PersonNm>
        <TitleTxt>COO/CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>502090</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>49014</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>45897</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>24750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33931</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>655682</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="23017517" softwareVersionNum="2023v5.1">
      <OtherNonCashContriTableGrp>
        <Desc>Toys and Gifts</Desc>
        <ContributionCnt>68</ContributionCnt>
        <NoncashContributionsRptF990Amt>36608</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost of Donors</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Mary's Foundation for Children's sole member is St. Marys Healthcare System for Children, Inc. (SMHSC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Mary's Foundation for Children's bylaws specifically reserve the power to appoint and remove its Board Members to the SMHSC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Mary's Foundation for Children's bylaws specifically reserve the following powers to SMHSC: *Mergers,*Sales or Dissolutions,*Amendments to the Certificate of Incorporation and or Bylaws,*Operating and Capital budgets,*Unbudgeted capital expenditures in excess of $500,000,*A strategic plan and hiring and firing of the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Mary's Foundation for Childrens Form 990 is reviewed by an external accounting firm prior to submission to the full Audit &amp; Compliance committee for review. Once the changes from both the accounting firm and Audit &amp; Compliance committees review are implemented, a final draft of the 990 is posted to the Board of Directors website for access by all board members prior to the electronic submission of the 990 to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Once a year, each board member, officer or key employee of the organization completes a conflict of interest questionnaire, statement and acknowledgement which confirm that each individual has disclosed any potential conflict of interest; has received a copy of the conflict of interest policy; has read, understands, and agrees to comply with the conflict of interest policy. During the course of the year, each board member, officer, and key employee is required to promptly advise the chief executive officer or his /her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire. The chief executive officer, or his/her designee, reviews all completed questionnaires and all subsequent advice of changes, taking such action as is deemed appropriate to address and eliminate potential conflicts of interest, including such steps as reassignment of responsibilities. All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the audit and compliance committee of the board, together, in each case, with the response or recommendation of management. The audit and compliance committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not shall take such further action as it deems appropriate. Each board member, and any officer or key employee representing a proposed transaction or other matter to the board shall disclose promptly and in good faith to the board such individual's interest in a proposed transaction or other matter to be considered by the board. The individual may not participate in any way in the board's deliberations concerning matters in which he/she has disclosed an interest. Following any such disclosure, and after such due diligence and such development and consideration of other alternatives, if any, as the board shall deem appropriate, the board may, in its discretion, authorize or approve the proposed transaction or actions as at least as fair and reasonable to the organization as would otherwise be obtainable by the organization. Such actions shall be by a vote sufficient for such purpose without counting the vote or votes of such interested person or persons and such person or persons may not participate in, determining the presence of a quorum at the meeting. Any disclosure, non-participation, and board action taken in accordance with this policy shall be clearly recorded in the minutes of the meeting at which the matter is addressed and resolved. Upon reasonable belief that a board member, officer or key employee failed to comply with the policies and directives set forth in its disclosure policy, the board or the audit and compliance committee shall inform the individual of the basis of the belief and provide an opportunity to explain the noncompliance. If after hearing the individual's response and making further appropriate investigations, the board or audit compliance committee determines that the individual has, in fact, failed to comply with such policies and directives, it shall take or recommend appropriate corrective action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Salaries for the Foundations executive team are paid by a related organization, SMH Administrative Services. The policies for determining compensation are as follows: St. Mary's Healthcare System for Children, the sole member of the organization, reviews market pay practices for senior executives in organizations of comparable size and type. This market analysis is then reviewed by the executive review/compensation committee and used as a factor in determining salary adjustments relative to market competitiveness and job performance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for other executives is managed in a similar manner, with the human resources department in consultation with the CEO, using periodic surveys of the local market to ensure that St. Mary's compensation is competitive.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Mary's Foundation for Children makes its organizing documents, conflict of interest policy and financial statements available to the public upon request and at managements discretion.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="23017517" softwareVersionNum="2023v5.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>CHILDREN INC 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>113574493</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARYS HOSPITAL FOR CHILDREN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>111679599</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STMARYS COMMUNITY CARE PROFESSIONALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>CORP 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>113360276</EIN>
        <PrimaryActivitiesTxt>PROFESSIONAL HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EXTRAORDINARY HOME CARE DBA ST MARYS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>HOME CARE 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>272021133</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SMH ADMINISTRATIVE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>271529374</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT AND SUPPORTING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARYS REHABILITATION CENTER FOR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>CHILDREN INC 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>136163550</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR CHILDRE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SMH CASE MANAGEMENT INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
        </USAddress>
        <EIN>272321384</EIN>
        <PrimaryActivitiesTxt>CASE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>St Marys Healthcare System for Childre</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
