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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA JALENAK</PersonNm>
        <TitleTxt>DIRECTOR (THRU SEPTEMBER 2025)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA NEIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODI PALMER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE RAMIREZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAMI STONE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>855380</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>60954</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DOCUMENT PRODUCTS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2901 LAKEVIEW ROAD</AddressLine1Txt>
            <CityNm>LAWRENCE</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66044</ZIPCd>
          </USAddress>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>155992</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
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      <GovernmentGrantsAmt>260000</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1029989</AllOtherContributionsAmt>
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      <TotalContributionsAmt>1329740</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOME HEALTH AND HOSPIC</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4860771</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4860771</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4860771</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>318191</TotalRevenueColumnAmt>
        <ExclusionAmt>318191</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>700000</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>240803</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>459197</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>459197</TotalRevenueColumnAmt>
        <ExclusionAmt>459197</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>11402</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>39751</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>14518</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-3116</TotalRevenueColumnAmt>
        <ExclusionAmt>-3116</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>43750</TotalRevenueColumnAmt>
        <ExclusionAmt>43750</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>43750</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7008533</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4860771</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>818022</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>327738</TotalAmt>
        <ManagementAndGeneralAmt>327738</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4214840</TotalAmt>
        <ProgramServicesAmt>3108001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1106839</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>48637</TotalAmt>
        <ProgramServicesAmt>28281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20356</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>364973</TotalAmt>
        <ProgramServicesAmt>239369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125604</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>336461</TotalAmt>
        <ProgramServicesAmt>234729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101732</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>249</TotalAmt>
        <ManagementAndGeneralAmt>249</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21859</TotalAmt>
        <ManagementAndGeneralAmt>21859</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>60742</TotalAmt>
        <ManagementAndGeneralAmt>60742</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>37028</TotalAmt>
        <ProgramServicesAmt>1000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36028</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>67943</TotalAmt>
        <ManagementAndGeneralAmt>67943</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>267135</TotalAmt>
        <ProgramServicesAmt>7032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260103</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>299026</TotalAmt>
        <ManagementAndGeneralAmt>299026</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>12822</TotalAmt>
        <ProgramServicesAmt>990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11832</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>39154</TotalAmt>
        <ProgramServicesAmt>33352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5802</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>33039</TotalAmt>
        <ManagementAndGeneralAmt>33039</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3124</TotalAmt>
        <ManagementAndGeneralAmt>3124</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>200855</TotalAmt>
        <ProgramServicesAmt>118629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82226</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>321866</TotalAmt>
        <ProgramServicesAmt>321866</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOSPICE EXPENSES</Desc>
        <TotalAmt>214886</TotalAmt>
        <ProgramServicesAmt>214886</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>42281</TotalAmt>
        <ProgramServicesAmt>42281</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>11062</TotalAmt>
        <ManagementAndGeneralAmt>11062</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>10826</TotalAmt>
        <ProgramServicesAmt>221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10605</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>6936546</TotalAmt>
        <ProgramServicesAmt>4350637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2585909</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1127963</BOYAmt>
        <EOYAmt>866017</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>10951089</BOYAmt>
        <EOYAmt>26874</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1047860</BOYAmt>
        <EOYAmt>1257038</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>15076</BOYAmt>
        <EOYAmt>8334</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>70578</BOYAmt>
        <EOYAmt>100690</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>20373</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4201</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>481940</BOYAmt>
        <EOYAmt>16172</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>6096762</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>6068293</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13694506</BOYAmt>
        <EOYAmt>14440180</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>116587</BOYAmt>
        <EOYAmt>951564</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>218428</BOYAmt>
        <EOYAmt>243394</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1400253</BOYAmt>
        <EOYAmt>426686</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1735268</BOYAmt>
        <EOYAmt>1621644</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11959238</BOYAmt>
        <EOYAmt>7176929</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>5641607</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11959238</BOYAmt>
        <EOYAmt>12818536</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13694506</BOYAmt>
        <EOYAmt>14440180</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>71987</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>787311</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1063942</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>965662</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>964544</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>898508</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1329740</CurrentTaxYearAmt>
        <TotalAmt>5222396</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1063942</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>965662</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>964544</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>898508</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1329740</CurrentTaxYearAmt>
        <TotalAmt>5222396</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>443040</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4779356</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1121522</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1220452</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>855692</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>318191</CurrentTaxYearAmt>
        <TotalAmt>3515857</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>195043</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>238418</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>154349</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>86429</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>674239</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>9412492</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>28664261</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.50780</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.63610</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningYearBalanceAmt>4955861</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>685746</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5641607</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>0</BeginningYearBalanceAmt>
        <ContributionsAmt>5000000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-44139</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>4955861</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>20373</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4201</DepreciationAmt>
        <BookValueAmt>16172</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>16172</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS</Desc>
        <BookValueAmt>6096762</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>6096762</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>426686</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ENDOWMENT FUNDS</Desc>
        <BookValueAmt>5641607</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6068293</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>426686</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>426686</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8188223</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>787311</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>438603</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>14518</OtherRevenueAmt>
      <RevenueNotReportedAmt>1240432</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6947791</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>60742</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>60742</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7008533</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7328925</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>438603</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>14518</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>453121</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6875804</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>60742</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>60742</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6936546</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ENDOWMENTS CONSIST OF FUNDS THAT ARE INVESTED PRIMARILY IN FIXED-INCOME AND EQUITY-BASED SECURITIES. THE ENDOWMENT IS ESTABLISHED FOR ENTITY HARDSHIP AND INCLUDE FUNDS DESIGNED BY THE BOARD OF DIRECTORS TO FUNCTION AS AN ENDOWMENT. NET ASSETS ASSOCIATED WITH THE ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE BOARD OF DIRECTORS HAS SET ASIDE CERTAIN NET ASSETS WITHOUT DONOR RESTRICTIONS FOR ENDOWMENT PURPOSES. SINCE THESE AMOUNTS ARE NOT RESTRICTED BY THE DONOR, BUT ARE RESTRICTED ONLY BY BOARD POLICY, THE AMOUNTS HAVE BEEN CLASSIFIED AS NET ASSETS WITHOUT DONOR RESTRICTIONS. THE BOARD MAY DESIGNATE ADDITIONAL AMOUNTS FROM TIME TO TIME TO BE ADDED TO THE ENDOWMENT FUND. THE BOARD MAY APPROVE DISTRIBUTIONS OF INVESTMENT EARNINGS OR PREVIOUSLY BOARD-RESTRICTED ENDOWMENT FUNDS AS DEEMED APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 14,518.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 14,518.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>HEARTS AND HANDS DINNER</Event1Nm>
        <GrossReceiptsEvent1Amt>45751</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>39751</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>6000</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>14518</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>5402</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>5402</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>51153</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>39751</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>11402</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>14518</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>14518</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-3116</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUIRING EACH BOARD AND COMMITTEE MEMBER TO ACKNOWLEDGE RECEIPT AND ACCEPTANCE OF THE POLICY AT THE BEGINNING OF THEIR TERM. BOARD MEMBERS ARE EXPECTED TO AVOID ACTUAL, POTENTIAL, AND PERCEIVED CONFLICTS OF INTEREST. ANY BOARD MEMBER WITH A CONFLICT MUST DISCLOSE THE NATURE OF THE CONFLICT DURING AN OPEN BOARD MEETING BEFORE DISCUSSION OR VOTING OCCURS. THE INDIVIDUAL MAY PROVIDE FACTUAL INFORMATION REGARDING THE MATTER BUT MAY NOT ATTEMPT TO INFLUENCE THE DECISION AND IS PROHIBITED FROM VOTING ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NATIONAL HOME CARE SALARY &amp; BENEFITS STUDY IS REVIEWED AT LEAST EVERY OTHER YEAR TO DETERMINE IF THE CEO PAY SCALE IS WITHIN INDUSTRY STANDARDS. ADJUSTMENTS ARE TAKEN TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THIS IS ALL DISCUSSED IN AN EXECUTIVE SESSION. THE BOARD OF DIRECTORS DETERMINES THE PERCENTAGE RATE THAT THE CEO RECEIVES AND THIS IS CONFIRMED BY A VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>