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        <BookValueAmt>9962</BookValueAmt>
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        <DepreciationAmt>410411</DepreciationAmt>
        <BookValueAmt>14535</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2803120</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal Income Taxes</Desc>
      </OtherLiabilitiesOrgGrp>
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        <Desc>Due to Affiliates</Desc>
        <Amt>423528</Amt>
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      <TotalLiabilityAmt>423528</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization administers the endowment funds on behalf of the Nathan Adelson Hospice, and the funds are used to support the hospice and its operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization (except Monarch) is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code (IRC) and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. Additionally, the Organization has been determined not to be a private foundation under Section 509(a) of the IRC. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Nevada for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2024 and 2023.</ExplanationTxt>
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        <Event2Nm>Serenades of Life</Event2Nm>
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        <GrossRevenueTotalGamingAmt>86435</GrossRevenueTotalGamingAmt>
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      <LicensedInd>false</LicensedInd>
      <ExplanationIfNoTxt>Organizations are not required to be licensed in the state of Nevada.</ExplanationIfNoTxt>
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      <IndividualWithBooksNm>Marian Guerra</IndividualWithBooksNm>
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        <AddressLine1Txt>4131 University Center Dr</AddressLine1Txt>
        <CityNm>Las Vegas</CityNm>
        <StateAbbreviationCd>NV</StateAbbreviationCd>
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          <BusinessNameLine1Txt>NATHAN ADELSON HOSPICE</BusinessNameLine1Txt>
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          <AddressLine1Txt>4131 University Center Dr</AddressLine1Txt>
          <CityNm>Las Vegas</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89119</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2147199</CashGrantAmt>
        <PurposeOfGrantTxt>Support Hospice Programs</PurposeOfGrantTxt>
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        <GrantTypeTxt>Patient Assistance</GrantTypeTxt>
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        <NonCashAssistanceAmt>6427</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Meals for patients and families</NonCashAssistanceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant funds are provided to related organizations and unrelated organizations to support exempt functions. The financial statements of the related organizations are reviewed on a monthly basis to ensure grant funds are used for their intended purpose.</ExplanationTxt>
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        <PersonNm>KAREN S RUBEL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CALEEN NORROD JOHNSON</PersonNm>
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        <OtherCompensationFilingOrgAmt>792</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>NATHAN ADELSON HOSPICE (NAH), A RELATED TAX EXEMPT ORGANIZATION, IS THE COMMON PAY AGENT FOR NAHF. THE PROCESS FOR DETERMINING COMPENSATION FOR NAHF'S OFFICERS IS UNDERTAKEN BY NAH.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>NAH SENIOR LEADERS' ANNUAL INCENTIVE PLAN IS BASED ON ACHIEVEMENT OF THREE GOALS. GOAL 1 IS NAH NET SURPLUS, GOAL 2 IS NAH FOUNDATION REVENUE BUDGET AND GOAL 3 IS EMPLOYEE ENGAGEMENT AVERAGE SCORE. *PERFORMANCE BETWEEN THRESHOLD AND TARGET AND BETWEEN TARGET AND MAXIMUM WILL BE PRORATED TO REFLECT THE APPROPRIATE PERCENTAGE ACHIEVEMENT BETWEEN THE TWO LEVELS. *THE HIGHEST AWARD TO BE PAID IS MAXIMUM, REGARDLESS OF ACHIEVEMENT ABOVE THAT LEVEL. *PERFORMANCE BELOW THRESHOLDS WILL RESULT IN NO AWARD. AWARD LEVELS FOR EACH GOAL ARE ADJUSTED FOR ITS WEIGHT. *PAYMENTS UNDER THE INCENTIVE COMPENSATION PLAN WILL BE MADE NO LATER THAN MARCH 1ST OF THE YEAR FOLLOWING THE PERFORMANCE PERIOD.</ExplanationTxt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>17828</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <ContributionCnt>6</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <RealEstateOtherGrp>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>87727</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Other - Difference between FMV and actual rent obligation</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Certificates</Desc>
        <ContributionCnt>111</ContributionCnt>
        <NoncashContributionsRptF990Amt>112766</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Miscellaneous Noncash contributions</Desc>
        <ContributionCnt>104</ContributionCnt>
        <NoncashContributionsRptF990Amt>19852</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - Gift Certificates NUMBER OF CONTRIBUTIONS Other - Miscellaneous Noncash contributions NUMBER OF CONTRIBUTIONS Real estate - Other - Land Lease Number of contributions Art - Works of art - Number of contributions Clothing and household goods - Number of Contributions Securities - Publicly traded - Number of contributions</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>The process to establish compensation of top management officials is undertaken by Nathan Adelson Hospice, a related organization. The compensation arrangements for the organization's President and Chief Executive Officer (CEO) and other senior leaders are subject to the review and approval of the organization's Board of Trustees. A Board of Trustee appointed Compensation Committee comprised of the Vice President of Employee &amp; Volunteer Solutions and three independent Board of Trustee members, ensures the organization's pay structure and benefits programs are fair, competitive (based on market data), and aligned with the organization's business strategy and mission. Additionally, the committee responsibilities include the following: 1) Overseeing all aspects of compensation provided to senior leadership of the organization, including the President/CEO, in order to reward performance while ensuring fiscal responsibility; 2) Establishing overall total compensation philosophy for the organization; 3) Assuring that the hospice's compensation practices are in compliance with applicable laws and regulations; 4) Analyzing state and national survey data; and 5) Retaining advisers to include compensation experts, as it may deem necessary. The Compensation Committee provides an annual salary analysis, including the compensation package for the CEO and other senior leaders, to the Finance Committee. The Finance Committee reviews the compensation package for the Chief Executive Officer and Senior Leadership, in an annual executive session. Once approved by the committee, it is included in the following year's budget which is ultimately approved by the full Board of Trustees. Formal approval of the annual compensation package is documented in the minutes of the Board of Trustees' meeting. NAH engaged an independent group, CBIZ Human Capital Services Group, to perform an organization wide compensation analysis, including a review of current compensation practices and development of a Market Based Compensation Plan. This plan was approved by the Compensation Committee, Finance Committee and Board of Trustees and adopted by NAH in accordance with the organization's compensation policies. This organization wide compensation analysis was last done in 2018. A top-down analysis is recommended periodically as a best practice. For the five years following a compensation study, CBIZ provides a report of actual and projected salary adjustments for all organizations in the Western US including specific healthcare industry compensation. CBIZ will continue to provide updated information annually through 2024. This data is then utilized by the Compensation Committee to make recommendations and adjustments to the organization's salary structure for all employees; including the President and CEO and other senior leaders for the following fiscal year. In 2018, NAH also engaged CBIZ to analyze the compensation for the Senior Leadership members. The report included an intermediate sanctions overview, compensation study methodology and findings and recommendations for compensation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT COMPENSATE ANY OTHER OFFICERS OR KEY EMPLOYEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees may appoint an Executive Committee which shall be comprised of the Chairman of the Board of Trustees, the Vice Chairman of the Board of Trustees, the President and, if applicable, the Chairperson(s) of any standing committee of the Board of Trustees. The Executive Committee shall advise and aid the officers of the Corporation in all matters concerning the Corporation's interests and management of its business. When the Board of Trustees is not in session, the Executive Committee shall have the power and authority of the Board of Trustees to transact all regular business of the Corporation, subject to any limitation imposed by law, the Board of Trustees or the Bylaws. The Executive Committee shall subsequently report to the Board of Trustees at its next regular meeting all action it has taken.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>KAREN S. RUBEL, SCOTT MACTAGGART, MICHAEL RUMBOLZ, ELLIS LANDAU, ALAN MOLASKY, LOUIS SILVESTRI, DENNIS L. KENNEDY, EDWIN C. KINGSLEY, KARLA PEREZ, ALAN DUNCAN, LYNN BILLINGSLEY, CHRISTIAN HAASE, MICHAEL E. LUCE, JERI CRAWFORD, JEANNE R. JONES, FRANK SCHRECK, RICHARD S. WORTHINGTON, STEVE PETERSON, REED RADOSEVICH - Business relationship</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Nathan Adelson Hospice Foundation has as its sole member its parent organization which is Nathan Adelson Hospice a 501(c)(3) public charity.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Nathan Adelson Hospice, as the sole member of Nathan Adelson Hospice Foundation, has the right to appoint any board member.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR AND A REPRESENTATIVE FROM THE ORGANIZATION'S TAX PREPARATION FIRM REVIEW THE COMPLETED FORM 990 WITH THE FULL BOARD OF TRUSTEES FOR APPROVAL FOR FILING. ALL MEMBERS OF THE BOARD OF TRUSTEES RECEIVE COPIES OF THE FORM 990 FOR REVIEW PRIOR TO FILING WITH THE IRS. ALL ACTIONS TAKEN BY THE BOARD OF TRUSTEES RELATED TO THE REVIEW AND APPROVAL OF THE FORM 990 ARE DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD OF TRUSTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES (INTERESTED PERSONS) ARE REQUIRED TO FILE A DISCLOSURE OF POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WITH THE ORGANIZATION. DISCLOSURES ARE REVIEWED BY THE BOARD PRESIDENT AND COPIES ARE PROVIDED TO OUR INDEPENDENT AUDITORS UPON REQUEST. INTERESTED PERSONS WITH A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS/VOTING RELATED TO A TRANSACTION WHERE A CONFLICT EXISTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflicts of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. As such, the organization's financial statements, governing documents, and Conflict of Interest Policy are not available to the public at this time.</ExplanationTxt>
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          <AddressLine1Txt>4131 UNIVERSITY CENTER DR</AddressLine1Txt>
          <CityNm>LAS VEGAS</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATHAN ADELSON HOSPICE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4131 UNIVERSITY CENTER DR</AddressLine1Txt>
          <CityNm>LAS VEGAS</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89119</ZIPCd>
        </USAddress>
        <EIN>880161009</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MONARCH HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4131 UNIVERSITY CENTER DR</AddressLine1Txt>
          <CityNm>LAS VEGAS</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89119</ZIPCd>
        </USAddress>
        <EIN>455165668</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATHAN ADELSON HOSPICE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>