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        <OtherCompensationAmt>8070</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE UNLAND</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141711</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38790</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC WEHR</PersonNm>
        <TitleTxt>IT &amp; PROPERTY MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117704</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43641</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEB CARD</PersonNm>
        <TitleTxt>HOSPICE HOME &amp; EDUCATION M</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111326</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49544</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERICA JENSEN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER SUPERVISOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117110</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33886</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1033849</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>266492</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIS MANAGEMENT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>58 AZIMUTH COURT</AddressLine1Txt>
            <CityNm>ROCKY MOUNT</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27804</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DME MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>478489</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PALLIATIVE DRUG CARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2431 E 61ST STREET SUITE 450</AddressLine1Txt>
            <CityNm>TULSA</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74136</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACIST CONSULTS AND PRESCRIPTIONS</ServicesDesc>
        <CompensationAmt>398084</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MERCYONE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6260</AddressLine1Txt>
            <CityNm>WATERLOO</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50704</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INPATIENT SERVICES</ServicesDesc>
        <CompensationAmt>210493</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WESTERN HOME COMMUNITIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5307 CARAWAY LANE</AddressLine1Txt>
            <CityNm>CEDAR FALLS</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50613</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING FACILITY ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>180321</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLEN HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1825 LOGAN AVE</AddressLine1Txt>
            <CityNm>WATERLOO</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50703</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INPATIENT SERVICES</ServicesDesc>
        <CompensationAmt>158366</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>60405</FundraisingAmt>
      <GovernmentGrantsAmt>504546</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1498916</AllOtherContributionsAmt>
      <NoncashContributionsAmt>98443</NoncashContributionsAmt>
      <TotalContributionsAmt>2063867</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>11751029</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11751029</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID ROOM AND BOARD</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1102811</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1102811</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12853840</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>323543</TotalRevenueColumnAmt>
        <ExclusionAmt>323543</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2209982</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1938211</SecuritiesAmt>
        <OtherAmt>5031</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>271771</SecuritiesAmt>
        <OtherAmt>-5031</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>266740</TotalRevenueColumnAmt>
        <ExclusionAmt>266740</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>15050</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>60405</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>31807</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-16757</TotalRevenueColumnAmt>
        <ExclusionAmt>-16757</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INSURANCE PROCEEDS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>63076</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>63076</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15554309</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12853840</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>636602</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>223342</TotalAmt>
        <ProgramServicesAmt>223342</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>479987</TotalAmt>
        <ManagementAndGeneralAmt>479987</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>5786942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1365258</ManagementAndGeneralAmt>
        <FundraisingAmt>133593</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>288265</TotalAmt>
        <ProgramServicesAmt>218223</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>141195</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21765</TotalAmt>
        <ManagementAndGeneralAmt>21765</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>29706</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>10693</TotalAmt>
        <ProgramServicesAmt>6803</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>96035</TotalAmt>
        <ManagementAndGeneralAmt>96035</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>107530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190196</ManagementAndGeneralAmt>
        <FundraisingAmt>19029</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>292635</TotalAmt>
        <ProgramServicesAmt>234108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58527</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>139354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50131</ManagementAndGeneralAmt>
        <FundraisingAmt>9290</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>289201</TotalAmt>
        <ProgramServicesAmt>279205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9607</ManagementAndGeneralAmt>
        <FundraisingAmt>389</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>102244</TotalAmt>
        <ProgramServicesAmt>26252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75928</ManagementAndGeneralAmt>
        <FundraisingAmt>64</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>6483</TotalAmt>
        <ManagementAndGeneralAmt>6483</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>315646</TotalAmt>
        <ProgramServicesAmt>236735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63129</ManagementAndGeneralAmt>
        <FundraisingAmt>15782</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>32400</TotalAmt>
        <ProgramServicesAmt>24300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6480</ManagementAndGeneralAmt>
        <FundraisingAmt>1620</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT EXPENSES</Desc>
        <TotalAmt>2569417</TotalAmt>
        <ProgramServicesAmt>2569417</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUG</Desc>
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        <ProgramServicesAmt>987960</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL &amp; MAIN</Desc>
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        <ProgramServicesAmt>52087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97706</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>57904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199316</ManagementAndGeneralAmt>
        <FundraisingAmt>79696</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>12292627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3359916</ManagementAndGeneralAmt>
        <FundraisingAmt>297665</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1050</EOYAmt>
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        <EOYAmt>1586729</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>744019</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1708187</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>110535</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>7329796</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>4687556</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>9207815</EOYAmt>
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        <BOYAmt>59272</BOYAmt>
        <EOYAmt>331844</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>18178538</BOYAmt>
        <EOYAmt>18377735</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1569013</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>63085</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>299432</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1931530</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>15646552</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>799653</EOYAmt>
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        <EOYAmt>16446205</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>18377735</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus2YearsAmt>2320560</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>2320560</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1438753</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2063867</CurrentTaxYearAmt>
        <TotalAmt>13004884</TotalAmt>
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      <SubstantialContributorsTotAmt>732288</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>12272596</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>171215</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>524361</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>375280</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>323543</CurrentTaxYearAmt>
        <TotalAmt>1532665</TotalAmt>
      </GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>35533</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30834</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15050</CurrentTaxYearAmt>
        <TotalAmt>84064</TotalAmt>
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      <TotalSupportAmt>14621613</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>58708052</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.83930</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.86480</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING INCOME - 2022 AMOUNT: $ 35,533. 2023 AMOUNT: $ 30,834. 2024 AMOUNT: $ 2,647. 2025 AMOUNT: $ 15,050.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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="RetDoc1040000001">
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        <InvestmentEarningsOrLossesAmt>344610</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>343593</OtherExpendituresAmt>
        <EndYearBalanceAmt>2230900</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2225551</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>447853</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>443521</OtherExpendituresAmt>
        <EndYearBalanceAmt>2229883</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2225551</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>469393</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>469393</OtherExpendituresAmt>
        <EndYearBalanceAmt>2225551</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2225551</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-104072</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>104072</OtherExpendituresAmt>
        <EndYearBalanceAmt>2225551</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2225551</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>310136</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>310136</OtherExpendituresAmt>
        <EndYearBalanceAmt>2225551</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.67000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.33000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1017695</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1017695</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5032525</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1653255</DepreciationAmt>
        <BookValueAmt>3379270</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>271444</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>93275</DepreciationAmt>
        <BookValueAmt>178169</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1008132</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>895710</DepreciationAmt>
        <BookValueAmt>112422</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>4687556</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>299432</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>299432</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>15001447</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>603149</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>15000</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-38494</OtherRevenueAmt>
      <RevenueNotReportedAmt>579655</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14421792</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>29706</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>1102811</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1132517</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15554309</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14794197</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>15000</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>-38494</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-23494</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14817691</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>29706</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>1102811</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1132517</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15950208</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES -38,494.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAID ROOM AND BOARD 1,102,811.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES -38,494.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAID ROOM AND BOARD 1,102,811.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S POLICY IS TO DISTRIBUTE ALL OR A PORTION OF THE ANNUAL NET INVESTMENT EARNINGS TO SUPPORT THE ORGANIZATION'S PROGRAMS WHILE MAINTAINING THE FAIR VALUE OF THE ORIGINAL ENDOWMENT GIFTS. DONOR RESTRICTED ENDOWMENT FUNDS ARE NOT AVAILABLE FOR GENERAL EXPENDITURES.</ExplanationTxt>
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        <Event1Nm>NIGHTS EVENT</Event1Nm>
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        <CharitableContriEvent1Amt>60405</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>15050</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>1670</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>7050</NonCashPrizesEvent1Amt>
        <FoodAndBeverageEvent1Amt>15372</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1700</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6015</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>75455</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>60405</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>15050</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>1670</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>7050</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>15372</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1700</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6015</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>31807</DirectExpenseSummaryEventsAmt>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EMERGENCY FINANCIAL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>31</RecipientCnt>
        <CashGrantAmt>20880</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HOUSING SERVICES</GrantTypeTxt>
        <RecipientCnt>24</RecipientCnt>
        <CashGrantAmt>51647</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICAL TRANSPORTATION ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>90</RecipientCnt>
        <CashGrantAmt>32299</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HEALTH INSURANCE PROGRAM</GrantTypeTxt>
        <RecipientCnt>37</RecipientCnt>
        <CashGrantAmt>24356</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEAL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>113</RecipientCnt>
        <CashGrantAmt>94160</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART III:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OF THE RECORDS TO ESTABLISH ELIGIBILITY FOR THE GRANT OR ASSISTANCE ARE MAINTAINED IN THE CLIENT'S CASE MANAGEMENT CHART. CHART AUDITS ARE PERFORMED TO ENSURE THAT CLIENTS WHO ARE RECEIVING ASSISTANCE ARE ELIGIBLE TO RECEIVE ASSISTANCE. ALSO TWO OF THE GOVERNMENT AGENCIES THAT GIVE THE ORGANIZATION MONEY TO EXPEND FOR THE BENEFIT OF ITS CLIENTS MONITOR THE ORGANIZATION'S CHARTS AND PAPERWORK FOR COMPLIANCE WITH THE GRANT REQUIREMENTS. THE CASE MANAGER REQUESTING THE ASSISTANCE FILLS OUT A REQUEST FOR THE ASSISTANCE INDICATING WHY/HOW THE CLIENT MEETS ELIGIBILITY. THE SUPERVISOR APPROVES THE ASSISTANCE FOR PAYMENT AND THEN THE ACCOUNTING DEPARTMENT PROCESSES THE CHECK AND MONITORS THE OVERALL USAGE OF THE GRANT.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAELA VANDERSEE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>228711</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21523</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14830</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>45682</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>310746</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRACY RUCKER</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>181351</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATIE UNLAND</PersonNm>
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        <BonusFilingOrganizationAmount>9445</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8163</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30627</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180501</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC WEHR</PersonNm>
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        <BaseCompensationFilingOrgAmt>111003</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6993</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36648</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>161345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DEB CARD</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DR JOHN ZEHR</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>150996</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>55570</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>AUCTION ITEMS</Desc>
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        <NoncashContributionsRptF990Amt>35543</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>OTHER</Desc>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>7330</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTORS IS BASED ON THE NUMBER OF ITEMS CONTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCE OFFICER REVIEW THE FORM 990. ONCE THEY HAVE REVIEWED THE RETURN, IT IS HANDED OUT TO THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MONTHLY BOARD MEETING AGENDA INCLUDES AN AGENDA ITEM THAT REQUIRES BOARD MEMBERS TO REVIEW THE APPROVED AGENDA AND DECLARE ANY CONFLICTS OF INTEREST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE DETERMINES AND APPROVES THE CHIEF EXECUTIVE OFFICER'S WAGES BASED ON AN ANNUAL REVIEW, REVIEW OF FORM 990 COMPENSATION OF SIMILAR POSITIONS AND INFORMATION OBTAINED FROM INDEPENDENT SALARY SURVEYS. THE CHIEF FINANCE OFFICER'S AND MEDICAL DIRECTOR'S WAGES ARE DETERMINED BASED ON A REVIEW OF FORM 990 COMPENSATION OF SIMILAR POSITONS, INFORMATION OBTAINED FROM INDEPENDENT SALARY SURVEYS AND THE COLA ADJUSTMENT. THE CHIEF EXECUTIVE OFFICER AND CHIEF PEOPLE OFFICER DETERMINE THE CHIEF FINANCE OFFICER'S AND MEDICAL DIRECTOR'S WAGES BASED ON THIS INFORMATION. BOARD APPROVES ALL WAGES THROUGH THE BUDGET PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRTTTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>