﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-14T11:32:45-06:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>161131146</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BONADIO &amp; CO LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>432 NORTH FRANKLIN STREET</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13204</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>222416679</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CAREFIRST NY INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>CARE</BusinessNameControlTxt>
      <PhoneNum>6079623100</PhoneNum>
      <USAddress>
        <AddressLine1Txt>3805 MEADS CREEK RD</AddressLine1Txt>
        <CityNm>PAINTED POST</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14870</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TALITHA SUTTON</PersonNm>
      <PersonTitleTxt>CHIEF EXECUTIVE OFFICER</PersonTitleTxt>
      <PhoneNum>6079623100</PhoneNum>
      <SignatureDt>2024-11-08</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>TYLER SASS</PreparerPersonNm>
      <PTIN>P01829225</PTIN>
      <PhoneNum>3154227109</PhoneNum>
      <PreparationDt>2024-11-08</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>TALITHA SUTTON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>3805 MEADS CREEK RD</AddressLine1Txt>
        <CityNm>PAINTED POST</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14870</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>9933557</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CAREFIRSTNY.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1986</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>AFFIRMING LIFE THROUGH EXTRAORDINARY, COMPASSIONATE SUPPORT AND CARE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>99</TotalEmployeeCnt>
      <TotalVolunteersCnt>53</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>543298</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>201886</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>5701168</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>6351959</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-17498</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>303107</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>369</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>15753</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>6227337</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>6872705</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>5627779</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>5342300</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>96434</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1882820</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1830932</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>7510599</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>7173232</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-1283262</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-300527</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>8878656</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>8799586</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>721424</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>722661</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>8157232</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>8076925</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>IT IS THE MISSION OF CAREFIRST NY, INC. TO AFFIRM LIFE THROUGH EXTRAORDINARY, COMPASSIONATE SUPPORT AND CARE TO PATIENTS AND FAMILIES IN CHEMUNG, STEUBEN AND SCHUYLER COUNTIES.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>5896134</ExpenseAmt>
      <RevenueAmt>6367712</RevenueAmt>
      <Desc>TO PROVIDE HOSPICE, PALLIATIVE CARE AND GRIEF SERVICES AS WELL AS EDUCATION CONCERNING ALL OF THESE THROUGHOUT CHEMUNG, SCHUYLER AND STEUBEN COUNTIES INCLUDING DIAGNOSTIC SPECIFIC PROGRAMS OF CARE WITHIN HOSPICE AND PALLIATIVE CARE, PERINATAL PALLIATIVE CARE AND PEDIATRIC HOSPICE AND PALLIATIVE CARE, AGE APPROPRIATE GRIEF SERVICES AND SUPPORT INCLUDING GOOD GRIEF CAMP FOR CHILDREN. ON ANY GIVEN DAY CAREFIRST HAS OVER 90 HOSPICE PATIENTS, OVER 50 PALLIATIVE CARE PATIENTS, AND CLOSE TO 156 GRIEF SERVICES CLIENTS RECEIVING CARING AND SUPPORT DIRECTED TO THEIR INDIVIDUAL NEEDS. DURING THE YEAR 675 PATIENTS WERE SERVED FOR A TOTAL OF 34,657 DAYS.</Desc>
      <TotalProgramServiceExpensesAmt>5896134</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>7</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>99</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>PHOEBE REYNOLDS</PersonNm>
        <PhoneNum>6079623100</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3805 MEADS CREEK RD</AddressLine1Txt>
          <CityNm>PAINTED POST</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14870</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL JAGIELSKI</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAM BLISS</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG CASPER</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM WIRTH</PersonNm>
        <TitleTxt>CHAIR EMERITUS</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH ROGERS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE MANZARI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXIS LAKE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RITA BISEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FELISSA KOERNIG</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEMARY ANTHONY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAIL SUTTON</PersonNm>
        <TitleTxt>CEO (STARTING 6-2023)</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>101310</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18639</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHOEBE REYNOLDS</PersonNm>
        <TitleTxt>CFO (STARTING 10-2023)</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>21968</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1683</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF YOCKAVITCH</PersonNm>
        <TitleTxt>CEO (THRU 6-2023)</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>68375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12562</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>191653</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>32884</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>7243</FundraisingAmt>
      <GovernmentGrantsAmt>3500</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>191143</AllOtherContributionsAmt>
      <TotalContributionsAmt>201886</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>5461825</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5461825</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>503000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>503000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>237840</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>237840</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC FEES</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>149294</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>149294</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>6351959</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>165885</TotalRevenueColumnAmt>
        <ExclusionAmt>165885</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3175778</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3038556</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>137222</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>137222</TotalRevenueColumnAmt>
        <ExclusionAmt>137222</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>22296</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>7243</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>22296</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15753</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15753</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>15753</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6872705</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6367712</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>303107</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>224537</TotalAmt>
        <ManagementAndGeneralAmt>224537</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4027533</TotalAmt>
        <ProgramServicesAmt>3562523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>439405</ManagementAndGeneralAmt>
        <FundraisingAmt>25605</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>127895</TotalAmt>
        <ProgramServicesAmt>117856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10039</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>662348</TotalAmt>
        <ProgramServicesAmt>607058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50495</ManagementAndGeneralAmt>
        <FundraisingAmt>4795</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>299987</TotalAmt>
        <ProgramServicesAmt>251261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46906</ManagementAndGeneralAmt>
        <FundraisingAmt>1820</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>4405</TotalAmt>
        <ManagementAndGeneralAmt>4405</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28025</TotalAmt>
        <ManagementAndGeneralAmt>28025</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>28528</TotalAmt>
        <ManagementAndGeneralAmt>28528</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8581</TotalAmt>
        <ManagementAndGeneralAmt>8581</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>112380</TotalAmt>
        <ProgramServicesAmt>69797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41565</ManagementAndGeneralAmt>
        <FundraisingAmt>1018</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>100842</TotalAmt>
        <ProgramServicesAmt>59133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32835</ManagementAndGeneralAmt>
        <FundraisingAmt>8874</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>315769</TotalAmt>
        <ProgramServicesAmt>309868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5901</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>70172</TotalAmt>
        <ProgramServicesAmt>22730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47442</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>110390</TotalAmt>
        <ProgramServicesAmt>58507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40844</ManagementAndGeneralAmt>
        <FundraisingAmt>11039</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>27691</TotalAmt>
        <ProgramServicesAmt>14676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10246</ManagementAndGeneralAmt>
        <FundraisingAmt>2769</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>437898</TotalAmt>
        <ProgramServicesAmt>236474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160910</ManagementAndGeneralAmt>
        <FundraisingAmt>40514</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NURSING HOME ROOM AND B</Desc>
        <TotalAmt>159826</TotalAmt>
        <ProgramServicesAmt>159826</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUG AND RELATED SUPPLI</Desc>
        <TotalAmt>159353</TotalAmt>
        <ProgramServicesAmt>159353</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT SUPPLIES</Desc>
        <TotalAmt>149573</TotalAmt>
        <ProgramServicesAmt>149573</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>117499</TotalAmt>
        <ProgramServicesAmt>117499</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7173232</TotalAmt>
        <ProgramServicesAmt>5896134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1180664</ManagementAndGeneralAmt>
        <FundraisingAmt>96434</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>441857</BOYAmt>
        <EOYAmt>508824</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>17273</BOYAmt>
        <EOYAmt>117316</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>461740</BOYAmt>
        <EOYAmt>524667</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>102670</BOYAmt>
        <EOYAmt>93982</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2751892</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>875280</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1975362</BOYAmt>
        <EOYAmt>1876612</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5879754</BOYAmt>
        <EOYAmt>5678185</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>8878656</BOYAmt>
        <EOYAmt>8799586</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>694960</BOYAmt>
        <EOYAmt>696197</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>26464</BOYAmt>
        <EOYAmt>26464</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>721424</BOYAmt>
        <EOYAmt>722661</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7994784</BOYAmt>
        <EOYAmt>7941054</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>162448</BOYAmt>
        <EOYAmt>135871</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8157232</BOYAmt>
        <EOYAmt>8076925</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8878656</BOYAmt>
        <EOYAmt>8799586</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-300527</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>220220</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>466986</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>764762</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1441131</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>543298</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>201886</CurrentTaxYearAmt>
        <TotalAmt>3418063</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>5686765</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6047462</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5971140</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5701168</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6351959</CurrentTaxYearAmt>
        <TotalAmt>29758494</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6153751</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6812224</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7412271</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6244466</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6553845</CurrentTaxYearAmt>
        <TotalAmt>33176557</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>33176557</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>133379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>155737</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>129128</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>131885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>165885</CurrentTaxYearAmt>
        <TotalAmt>716014</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>133379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>155737</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>129128</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>131885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>165885</CurrentTaxYearAmt>
        <TotalAmt>716014</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>6287130</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6967961</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7541399</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6376351</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6719730</CurrentTaxYearAmt>
        <TotalAmt>33892571</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97890</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97480</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02110</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02050</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>20900</OtherCostOrOtherBasisAmt>
        <BookValueAmt>20900</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2337236</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>533363</DepreciationAmt>
        <BookValueAmt>1803873</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>393756</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>341917</DepreciationAmt>
        <BookValueAmt>51839</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1876612</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY LIABILITY</Desc>
        <Amt>26464</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>26464</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>7086693</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>220220</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>22296</OtherRevenueAmt>
      <RevenueNotReportedAmt>242516</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6844177</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>28528</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>28528</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6872705</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7167000</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>22296</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>22296</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7144704</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>28528</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>28528</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7173232</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 22,296.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 22,296.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>PETAL PUSHERS</Event1Nm>
        <GrossReceiptsEvent1Amt>29539</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>7243</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>22296</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>22296</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>29539</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>7243</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>22296</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>22296</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>22296</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>0</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE TREASURER AND IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, OR AT ANY POINT WHEN THERE IS A NEW BOARD MEMBER. MANAGEMENT REVIEWS WITH BOARDS MEMBER(S) THE CONFLICT OF INTEREST POLICY AND REQUIRES SIGN OFF OF ANY NEW OR EXISTING CONFLICTS. THE MEMBER IS ALSO MADE AWARE THAT SHOULD ANY CONFLICTS ARISE DURING THE COURSE OF THE YEAR THEY ARE EXPECTED TO PROMPTLY DISCLOSE THE CONFLICT TO MANAGEMENT AND THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL MEMBERS OF THE MANAGEMENT TEAM (DEFINED AS KEY EMPLOYEES), THE CEO HANDLES THEIR EVALUATIONS AND THEN RECOMMENDS TO THE BOARD THE APPROPRIATE RAISES WHICH ARE THEN APPROVED AS PART OF THE BUDGETING PROCESS. ANNUALLY THE REVIEW OF THE CEO IS PERFORMED BY THE EXECUTIVE COMMITTEE ANNUALLY AND THEIR DECISIONS REGARDING PAY RAISES AND OTHER COMPENSATION RELATED ITEMS AND ANY DISCLOSURES IS DOCUMENTS IN THEIR EXECUTIVE COMMITTEE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST AT THEIR ADMINISTRATIVE OFFICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAS BEEN NO CHANGE TO THE OVERSIGHT PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>