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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK PHILLIPS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE RICCIANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN ROWLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS P SULLIVAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID TERWILLIGER</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL GRADY</PersonNm>
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        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>186127</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34898</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SANDI CASSESE</PersonNm>
        <TitleTxt>VP &amp; COO</TitleTxt>
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        <ReportableCompFromOrgAmt>181084</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35844</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA HANSEN</PersonNm>
        <TitleTxt>DIRECTOR OF QUALITY OUTCO</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131613</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19672</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANNE MALTES</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>126248</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10553</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>625072</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>100967</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CASTLETON PHARMACY CORP DBA ENEXIA SPECI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>826 FOREST AVENUE</AddressLine1Txt>
            <CityNm>STATEN ISLAND</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10310</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICAL SERVICES</ServicesDesc>
        <CompensationAmt>560759</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GARNET HEALTH MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 CRYSTAL RUN RD STE G20</AddressLine1Txt>
            <CityNm>MIDDLETOWN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10941</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITAL SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIDINE CORPORATION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>A/R LOCKBOX PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303682289</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>271788</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FISCH INTERNET SOLUTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 678</AddressLine1Txt>
            <CityNm>WALDEN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12586</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>190842</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VALLEY VIEW NURSING CARE &amp; REHAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 GLENMERE COVE ROAD PO BOX 59</AddressLine1Txt>
            <CityNm>GOSHEN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10924</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>187158</FundraisingAmt>
      <GovernmentGrantsAmt>20026</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>785344</AllOtherContributionsAmt>
      <TotalContributionsAmt>992528</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>13848467</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>13848467</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>194086</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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        <OtherAmt>41763</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>431335</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>87541</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2149</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>51840</ProgramServicesAmt>
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        <FundraisingAmt>565</FundraisingAmt>
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        <FundraisingAmt>3807</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>183843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40574</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>377890</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9703</ManagementAndGeneralAmt>
        <FundraisingAmt>144</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>2140</ManagementAndGeneralAmt>
        <FundraisingAmt>119</FundraisingAmt>
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        <ProgramServicesAmt>3531</ProgramServicesAmt>
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        <ProgramServicesAmt>77161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17147</ManagementAndGeneralAmt>
        <FundraisingAmt>952</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>70631</ProgramServicesAmt>
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        <EOYAmt>350</EOYAmt>
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        <EOYAmt>582027</EOYAmt>
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        <EOYAmt>2369111</EOYAmt>
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        <EOYAmt>69115</EOYAmt>
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        <EOYAmt>343950</EOYAmt>
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        <EOYAmt>3381602</EOYAmt>
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      <FSAuditedBasisGrp>
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        <CurrentTaxYearMinus4YearsAmt>11210</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22375</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10175</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23275</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58798</CurrentTaxYearAmt>
        <TotalAmt>125833</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>11210</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22375</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10175</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23275</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58798</CurrentTaxYearAmt>
        <TotalAmt>125833</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>72778693</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>192680</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>182851</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>184384</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>191720</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>194086</CurrentTaxYearAmt>
        <TotalAmt>945721</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>192680</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>182851</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>184384</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>191720</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>194086</CurrentTaxYearAmt>
        <TotalAmt>945721</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus1YearAmt>36801</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59916</CurrentTaxYearAmt>
        <TotalAmt>96717</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2418</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4994</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2568</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>146</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>89690</CurrentTaxYearAmt>
        <TotalAmt>99816</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13786118</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12772489</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14990505</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17312981</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15184687</CurrentTaxYearAmt>
        <TotalAmt>74046780</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98290</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98510</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01280</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01290</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2018 AMOUNT: $ 2,418. 2019 AMOUNT: $ 4,994. 2020 AMOUNT: $ 2,568. 2021 AMOUNT: $ 146. 2022 AMOUNT: $ 2,149. NYS HEALTHCARE WORKERS BONUS REIMBURSEMENT - 2022 AMOUNT: $ 87,541.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>1178</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>181</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>1359</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>8313810</BeginningYearBalanceAmt>
        <ContributionsAmt>593805</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-2234568</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>149910</OtherExpendituresAmt>
        <EndYearBalanceAmt>6523137</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7682683</BeginningYearBalanceAmt>
        <ContributionsAmt>116044</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>710096</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>195013</OtherExpendituresAmt>
        <EndYearBalanceAmt>8313810</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>6673351</BeginningYearBalanceAmt>
        <ContributionsAmt>422120</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>619212</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>32000</OtherExpendituresAmt>
        <EndYearBalanceAmt>7682683</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5204285</BeginningYearBalanceAmt>
        <ContributionsAmt>72855</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1508211</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>112000</OtherExpendituresAmt>
        <EndYearBalanceAmt>6673351</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5911959</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-541674</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>166000</OtherExpendituresAmt>
        <EndYearBalanceAmt>5204285</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.30550</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.30450</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.39000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>388933</OtherCostOrOtherBasisAmt>
        <BookValueAmt>388933</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5420804</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2535112</DepreciationAmt>
        <BookValueAmt>2885692</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>846033</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>774306</DepreciationAmt>
        <BookValueAmt>71727</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3346352</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>338846</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MARGIN LOAN</Desc>
        <Amt>418883</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>757729</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14141093</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1488898</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>71362</OtherRevenueAmt>
      <RevenueNotReportedAmt>-1417536</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15558629</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>57393</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>57393</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15616022</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17363514</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>71362</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>71362</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>17292152</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>57393</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>57393</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17349545</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE MAINTAINS VARIOUS DONOR-RESTRICTED ENDOWMENT FUNDS AND BOARD DESIGNATED QUASI-ENDOWMENT FUNDS WHOSE PURPOSE IS TO PROVIDE LONG TERM SUPPORT FOR HOSPICE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE RECOGNIZES THE EFFECTS OF INCOME TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT HOSPICE HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. HOSPICE IS NO LONGER SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES INCLUDED ON PART VIII, LINES 8B &amp; 9B 71,362.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES INCLUDED ON PART VIII, LINES 8B &amp; 9B 71,362.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA 2022</Event1Nm>
        <GrossReceiptsEvent1Amt>109055</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>59250</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>49805</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>40144</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>7955</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2586</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF 2022</Event2Nm>
        <GrossReceiptsEvent2Amt>79050</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>36375</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>42675</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>20131</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>115</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>4</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>109999</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>91533</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>18466</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>2754</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>10542</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>1600</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>7171</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>298104</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>187158</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>110946</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>63029</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>10542</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>9555</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>9872</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>92998</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>17948</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>67200</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>25000</CashPrizesOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>232</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>1</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>0.75000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>67200</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>25000</CashPrizesTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>232</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>25232</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>41968</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>NY</StatesWhereGamingConductedCd>
      <LicensedInd>0</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>0</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <PersonsWithBooksName>
        <BusinessNameLine1Txt>MAGGIE SUTTER</BusinessNameLine1Txt>
      </PersonsWithBooksName>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>800 STONY BROOK COURT</AddressLine1Txt>
        <CityNm>NEWBURGH</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12550</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>JEANNE MALTES</GamingManagerPersonNm>
      <GamingManagerCompensationAmt>0</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>REVIEW GAMINING INFORMATION</GamingManagerServicesProvTxt>
      <GamingManagerIsDirectorOfcrInd>X</GamingManagerIsDirectorOfcrInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
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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>DANIEL GRADY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>186127</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9745</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25153</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221025</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDI CASSESE</PersonNm>
        <TitleTxt>VP &amp; COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181084</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26294</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216928</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA HANSEN</PersonNm>
        <TitleTxt>DIRECTOR OF QUALITY OUTCO</TitleTxt>
        <BaseCompensationFilingOrgAmt>131613</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1409</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18263</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151285</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE OF ORANGE AND SULLIVAN COUNTIES, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY THE OUTSIDE ACCOUNTANTS AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE VP OF FINANCE OF THE ORGANIZATION. ANY QUESTIONS OR CHANGES ARE PROVIDED TO THE OUTSIDE ACCOUNTANTS. A REVISED COPY OF THE FORM 990 IS THEN ELECTRONICALLY SENT TO THE TREASURER AND CHAIRMAN OF THE BOARD FOR REVIEW. AFTER THEIR REVIEW IS COMPLETE, A COPY IS PROVIDED ELECTRONICALLY OR BY MAIL TO THE BOARD MEMBERS, AND THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL HOSPICE PERSONNEL, AS WELL AS MEMBERS OF THE GOVERNING BODY. EACH MEMBER OF THE GOVERNING BODY IS REQUIRED TO SIGN AN ANNUAL DISCLOSURE STATEMENT WHICH STATES IF THEY BELIEVE THAT THEY HAVE AN ACTUAL OR POTENTIAL CONFLICT. IF A CONFLICT WERE TO ARISE DURING THE YEAR, THE STAFF MEMBER MUST MAKE THE PRESIDENT/CEO OF THE ORGANIZATION AWARE OF THE CONFLICT IN WRITING. THE PRESIDENT/CEO MAKES A DECISION ON HOW TO PROCEED WITH THE MATTER. IF A CONFLICT ARISES WITH A MEMBER OF THE GOVERNING BODY, HE/SHE IS OBLIGATED TO REPORT THE POTENTIAL CONFLICT TO THE GOVERNING BODY. THE GOVERNING BODY WILL RENDER A DECISION OF THAT MEMBER'S ELIGIBILITY TO BE PART OF THE VOTING, IF APPLICABLE. DISCLOSURES OF AN ACTUAL OR POTENTIAL CONFLICT AND THE GOVERNING BODY'S DECISION REGARDING VOTING WILL BE NOTED IN THE MINUTES OF THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR THE ORGANIZATION'S CEO IS APPROVED BY THE BOARD AFTER AN INTERNAL REVIEW IS COMPLETED. THE ORGANIZATION USES THE FOLLOWING ITEMS TO HELP AID IN DETERMINING THE APPROPRIATE COMPENSATION: FORM 990S OF OTHER ORGANIZATION THAT ARE SIMILAR IN SIZE AND OPERATIONS, AND A COMPENSATION SURVEY OR STUDY. AFTER THE BOARD REVIEWS THIS INFORMATION, AN APPROPRIATE SALARY IS DETERMINED BY THE BOARD FOR THAT POSITION AND APPROVED. THE BOARD'S APPROVAL IS DOCUMENTED IN THE MINUTES TO THE MEETING. THIS PROCESS WAS LAST UNDERTAKEN IN JULY 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
