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        <ProgramServicesAmt>29364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8282</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
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        <ProgramServicesAmt>75302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71626</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUESSUBSCRIPTIONSLICENSES</Desc>
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        <ProgramServicesAmt>18853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5318</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
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        <ProgramServicesAmt>16016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4517</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CHARITY CARE</Desc>
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        <ProgramServicesAmt>127373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11904</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>35029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6871</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7472168</TotalAmt>
        <ProgramServicesAmt>5611595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1860573</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>3213605</EOYAmt>
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        <EOYAmt>595518</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>18014</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>348472</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>324555</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>77397</BOYAmt>
        <EOYAmt>23917</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>376578</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>733909</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>4961541</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>406492</BOYAmt>
        <EOYAmt>473490</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>90633</BOYAmt>
        <EOYAmt>405708</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>497125</BOYAmt>
        <EOYAmt>879198</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4146550</BOYAmt>
        <EOYAmt>4082343</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4146550</BOYAmt>
        <EOYAmt>4082343</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4643675</BOYAmt>
        <EOYAmt>4961541</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-64207</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>41600</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1395335</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2354017</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>72935</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39218</CurrentTaxYearAmt>
        <TotalAmt>3903105</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>7297404</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7290431</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6794149</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6512464</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7260075</CurrentTaxYearAmt>
        <TotalAmt>35154523</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>7339004</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8685766</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9148166</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6585399</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7299293</CurrentTaxYearAmt>
        <TotalAmt>39057628</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>39057628</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>988</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>555</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1357</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5228</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>108668</CurrentTaxYearAmt>
        <TotalAmt>116796</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>988</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>555</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1357</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5228</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>108668</CurrentTaxYearAmt>
        <TotalAmt>116796</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>8686321</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9149523</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6590627</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7407961</CurrentTaxYearAmt>
        <TotalAmt>39174424</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99700</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>219549</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>195632</DepreciationAmt>
        <BookValueAmt>23917</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>128923</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>128923</DepreciationAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>23917</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>CASH SURR VALUE --LIFE INSURANCE</Desc>
        <BookValueAmt>412477</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT OF THE USE</Desc>
        <BookValueAmt>321432</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>733909</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>321432</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED LIABILITY</Desc>
        <Amt>84276</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>405708</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>7407961</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>7407961</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>7407961</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7472168</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>7472168</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>7472168</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LANI PLUTA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>175565</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5772</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8429</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189766</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLEEN RAAUM</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>215850</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5329</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9089</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230268</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General Explanation Attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD REVIEW A COMPENSATION SURVEY, RECEIVE BOARD APPROVAL AND NEGOTIATE A WRITTEN CONTRACT WITH THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended return information</FormAndLineReferenceDesc>
        <ExplanationTxt>TAXPAYER DETERMINED VARIOUS TRANSACTIONS WERE INADVERTANTLY OMITTED FROM THE ORIGINAL EFILING OF THIS TAX RETURN. THUS, THIS AMENDED TAX RETURN REPORTS A FULL ACCOUNTING OF TRANSACTIONS FOR A COMPLETE AND ACCURATE TAX FILING FOR 2023</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS PROCESS TO REVIEW THE FORM 990THE FORM 990 REPORT IS REVIEWED BY THE EXECUTIVE DIRECTOR, FINANCIAL MANAGER, AND THE FINANCIAL CONSULTANT. A DRAFT OF FORM 990 WAS ALSO REVIEWED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS POLICYTHE POLICY FOR CONFLICT OF INTEREST IS REVIEWED AND SIGNED BY EACH BOARD MEMBER. THE BOARD WOULD ENFORCE THE POLICY IF CIRSUMSTANCES INDICATE IT IS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION AND BENEFIT PAYMENTS ARE DETERMINED AND APPROVED THROUGH EVALUATIONS FOR YEARLY WAGE INCREASES AND BY MEASURING PERFORMANCE AGAINST STANDARDS PERIODICALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION AND BENEFIT PAYMENTS ARE DETERMINED AND APPROVED THROUGH EVALUATIONS FOR YEARLY WAGE INCREASES AND BY MEASURING PERFORMANCE AGAINST STANDARDS PERIODICALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF SUMMITWEST CARE IS TO SERVE THE NEEDS OF THE COMMUNITY WITH HIGHLY TECHNICAL AND SKILLED HEALTH CARE AT HOME FOR PEOPLE OF ALL AGES. THE ORGANIZATION ALSO PROVIDES SUPPORTIVE HOME-BASED SERVICES, INCLUDING CHARITY CARE. THE AGENCY AND STAFF OFTEN COOPERATE WITH OTHERS TO PROVIDE EDUCATIONAL SERVICES AND PROGRAMS IN COMMUNITY SETTINGS FOR THE PUBLIC HEALTH AND SAFETY INCLUDING FALL PREVENTION, AS WELL AS EMERGENCY AND PANDEMIC PREPAREDNESS. SUMMITWEST CARE HAS BEEN RECOGNIZED FOR ITS EFFORTS TO ASSIST WITH THE EDUCATION OF NURSES, BUSINESS AND OTHER STUDENTS BY PROVIDING EDUCATIONAL EXPERIENCES FOR STUDENTS FROM HIGH SCHOOL THROUGH COLLEGE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>