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        <PersonNm>ALEC KING</PersonNm>
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        <PersonNm>VICTOR FIELDS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WARD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROGER E MEYER</PersonNm>
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        <PersonNm>STEPHEN F RILEY</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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          <BusinessName>
            <BusinessNameLine1Txt>GRANT THORNTON LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>33960 TREASURY CENTER</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60694</ZIPCd>
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        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLSCRIPTS MISYS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24630 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
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      <GovernmentGrantsAmt>444788</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9659488</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>9659488</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1164163</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>43636</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1120527</ExclusionAmt>
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        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>71</TotalRevenueColumnAmt>
        <ExclusionAmt>71</ExclusionAmt>
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      <OtherRevenueTotalAmt>71</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11268614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9659488</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>43636</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1120598</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>319987</ManagementAndGeneralAmt>
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        <TotalAmt>6519199</TotalAmt>
        <ProgramServicesAmt>5142436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1376763</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>147620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48707</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>394604</ProgramServicesAmt>
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        <ProgramServicesAmt>389254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128435</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>377940</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>28039</TotalAmt>
        <ProgramServicesAmt>2368</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25671</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>6628</TotalAmt>
        <ManagementAndGeneralAmt>6628</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>168858</TotalAmt>
        <ManagementAndGeneralAmt>168858</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>9895</TotalAmt>
        <ProgramServicesAmt>5000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4895</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>71048</TotalAmt>
        <ManagementAndGeneralAmt>71048</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>431699</TotalAmt>
        <ManagementAndGeneralAmt>431699</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>10062</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SHARED SERVICE ALLOC</Desc>
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        <ManagementAndGeneralAmt>2100000</ManagementAndGeneralAmt>
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        <Desc>MAINTENANCE</Desc>
        <TotalAmt>278105</TotalAmt>
        <ManagementAndGeneralAmt>278105</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
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        <ProgramServicesAmt>57703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24550</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBCRIPTIONS</Desc>
        <TotalAmt>9895</TotalAmt>
        <ProgramServicesAmt>201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9694</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9133</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6146640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5522375</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>10305251</EOYAmt>
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        <EOYAmt>1557711</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>395875</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1594554</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1213402</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>1442186</BOYAmt>
        <EOYAmt>381152</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>51372030</EOYAmt>
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        <BOYAmt>2970563</BOYAmt>
        <EOYAmt>3211118</EOYAmt>
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        <BOYAmt>553574</BOYAmt>
        <EOYAmt>40163311</EOYAmt>
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        <EOYAmt>107386448</EOYAmt>
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        <EOYAmt>491281</EOYAmt>
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        <EOYAmt>1875192</EOYAmt>
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        <EOYAmt>105511256</EOYAmt>
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        <BOYAmt>61180501</BOYAmt>
        <EOYAmt>107386448</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-400401</ReconcilationRevenueExpnssAmt>
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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
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          <BusinessNameLine1Txt>HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS INC</BusinessNameLine1Txt>
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      <SupportedOrgInformationGrp>
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          <BusinessNameLine1Txt>HOSPITAL FOR SICK CHILDREN DBA THE HSC PEDIATRIC CENTER</BusinessNameLine1Txt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORTED ORGANIZATIONS HAVE SIGNIFICANT VOICE IN INVESTMENT POLICIES THE FOUNDATION IS THE PARENT ENTITY OF ITS TWO SUPPORTED ORGANIZATIONS: THE HOSPITAL FOR SICK CHILDREN DBA HSC PEDIATRIC CENTER (HSCPC) AND HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS (HSCSN). THERE IS IMPORTANT OVERLAP AMONG DIRECTORS AND THE SENIOR LEADERSHIP OF THE FOUNDATION AND HSCPC AND HSCSN. AS A RESULT, HSCPC AND HSCSN HAVE A SIGNIFICANT VOICE IN THE FOUNDATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE FOUNDATION'S INCOME AND ASSETS. IN PARTICULAR, THE OVERLAPPING DIRECTORS AND SENIOR LEADERSHIP ENSURE THAT THE FOUNDATION DIRECTS ITS RESOURCES IN A MANNER THAT DIRECTLY SUPPORTS THE TAX-EXEMPT PURPOSES OF HSCPC AND HSCSN.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>POWER TO APPOINT/ELECT MAJORITY OF OFFICER/DIRECTOR/TRUSTEE THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL HAS THE RIGHT TO APPOINT THE FOUNDATION'S BOARD MEMBERS AND THOSE OF HSCSN AND HSCPC SUBJECT TO THE RECOMMENDATIONS AND APPROVAL OF THE FOUNDATION'S BOARD.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSTANTIAL DIRECTION OVER POLICIES/PROGRAMS/ACTIVITIES THE FOUNDATION IS THE PARENT ENTITY OF ITS TWO SUPPORTED ORGANIZATIONS: HSCPC AND HSCSN. THE FOUNDATION APPOINTS AND REMOVES THE BOARD MEMBERS OF HSCPC AND HSCSN. IN ADDITION, THERE IS IMPORTANT OVERLAP AMONG THE SENIOR LEADERSHIP OF THE ORGANIZATION AND HSCPC AND HSCSN. THE FOUNDATION, AS SOLE CORPORATE MEMBER OF HSCPC AND HSCSN, ALSO POSSESSES CERTAIN RESERVED POWERS OVER THOSE ENTITIES, INCLUDING THE POWER TO ESTABLISH THE POLICIES AND GOALS OF EACH ORGANIZATION AND APPROVE AMENDMENTS TO GOVERNING DOCUMENTS AND ORGANIZATIONAL BUDGETS. THUS, AS A TYPICAL PARENT ORGANIZATION IN AN INTEGRATED HEALTHCARE SYSTEM, THE ORGANIZATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF HSCPC AND HSCSN, AND HAS A DIRECT ROLE IN GUIDING THE FINANCIAL, OPERATIONAL, AND STRATEGIC DECISION-MAKING OF HSCPC AND HSCSN. CHILDREN'S NATIONAL IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION; THEREAFTER AND SIMILAR TO THE ROLE OF THE ORGANIZATION DESCRIBED ABOVE, CHILDREN'S NATIONAL, INCONJUNCTION WITH THE ORGANIZATION, NOW EXERCISES A SUBSTANTIAL DEGREEE OF DIRECTION OVER OF THE POLICIES, PROGRAMS AND ACTIVITIES OF THE FOUNDATION AND ITS SUBSIDIARIES AND HAS A ROLE IN GUIDING THE FINANCIAL, OPERATIONAL, AND STRATEGIC DECISION-MAKING OF THE ORGANIZATION AND ITS SUBSIDIARIES.</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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>23026</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22171</DepreciationAmt>
        <BookValueAmt>855</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1560103</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1188352</DepreciationAmt>
        <BookValueAmt>371751</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>11425</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2879</DepreciationAmt>
        <BookValueAmt>8546</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>381152</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>446502</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>24549874</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN SUBSIDIARIES</Desc>
        <BookValueAmt>15166935</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>40163311</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>460139</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SELF INSURANCE PROF LIABILITY</Desc>
        <Amt>22850</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>8292</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>491281</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), OF WHICH THE HSC FOUNDATION IS A SUBSIDIARY, IS AS FOLLOWS: CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2021 AND 2020 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY ANNE HILLIARD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>526285</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>207524</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>89071</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>91684</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>35308</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>949872</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>65414</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEC KING</PersonNm>
        <TitleTxt>EVP, CFO &amp; TREASURER TO 10/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>540791</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>-20853</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>182912</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>21672</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>738772</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>100312</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHANIEL BEERS</PersonNm>
        <TitleTxt>PRESIDENT OF HSC</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>454172</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>140198</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>19500</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>84000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>27377</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>725247</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICTOR FIELDS</PersonNm>
        <TitleTxt>FMR EVP MGD CARE TO 03/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>130295</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>62156</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>261321</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22208</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19355</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>495335</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALDWIN LINDSAY</PersonNm>
        <TitleTxt>TREASURER &amp; EVP/CFO FROM 12/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>323772</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>72276</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>44845</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>36741</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1778</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>479412</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>24355</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA ANTHONY</PersonNm>
        <TitleTxt>FMR EVP CLINICAL STRATEGY TO 06/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>190650</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>141819</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>173</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>279</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25997</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16006</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17404</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232826</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>159502</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPHINE BIAS ROBINSON</PersonNm>
        <TitleTxt>FMR EVP EXTERNAL AFFAIRS TO 12/2019</TitleTxt>
        <BaseCompensationFilingOrgAmt>8238</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>353218</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3344</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>364800</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBBIE HOLSON</PersonNm>
        <TitleTxt>COO, PEDIATRIC CENTER TO 06/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>134199</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>160166</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>300</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>744</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>298</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15881</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13551</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13015</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11981</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163839</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>186296</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA AUSTIN</PersonNm>
        <TitleTxt>COO HOME CARE TO 07/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>152500</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>148859</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25261</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9363</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335983</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GISELLE JONES</PersonNm>
        <TitleTxt>VP HR OPERATIONS TO 06/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>102462</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>141305</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>36889</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>330</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6320</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1163</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2774</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>146834</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>169409</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLY BROWN</PersonNm>
        <TitleTxt>VP &amp; CORPORATE CONTROLLER TO 12/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>254719</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>300</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2205</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12393</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19477</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>289094</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID BISHOP</PersonNm>
        <TitleTxt>VP IT TO 06/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>117386</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>94567</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23513</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>414</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6465</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4182</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>260</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2770</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>147624</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>101933</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YAIR INSPEKTOR</PersonNm>
        <TitleTxt>VP LEGAL TO 06/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>95606</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>91853</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>300</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18445</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>255</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5623</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2973</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>434</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>122647</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>97092</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA PILSKAYA DUNN</PersonNm>
        <TitleTxt>VICE CHAIR TO 07/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>143429</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>229</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>173676</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS CHAPMAN</PersonNm>
        <TitleTxt>FMR PRESIDENT &amp; CEO TO 04/2017</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>137427</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>137427</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION THE HSC FOUNDATION RELIES ON ITS SOLE MEMBER, CHILDREN'S NATIONAL MEDICAL CENTER (DBA CHILDREN'S NATIONAL), TO DETERMINE COMPENSATION FOR HSC FOUNDATION'S PRESIDENT. CHILDREN'S NATIONAL USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE THE FOLLOWING FORMER OFFICERS RECEIVED A SEVERANCE PAYMENT. THE SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF OTHER REPORTABLE COMPENSATION: VICTOR FIELDS $260,100 JOSEPHINE BIAS ROBINSON $305,998 PATRICIA AUSTIN $100,039 THOMAS CHAPMAN $137,429</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AS PART OF DEFERRED COMPENSATION: MARY ANNE HILLIARD $77,434 ALDWIN LINDSAY $22,491 NATHANIEL BEERS $69,750 DEBBIE HOLSON $16,183 VICTOR FIELDS $16,500 DONNA ANTHONY $16,500 JOSEPHINE BIAS ROBINSON $635 PATRICIA AUSTIN $15,866</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE AND COORDINATE INNOVATIVE, HIGH QUALITY, COMMUNITY-BASED CARE FOR INDIVIDUALS WITH COMPLEX NEEDS AND THEIR FAMILIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OR STOCKHOLDERS CHILDREN'S NATIONAL IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER'S POWER TO APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY EFFECTIVE SEPTEMBER 1, 2019 AND FOR A PERIOD OF FIVE YEARS THEREAFTER, THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY TOGETHER WITH THE BOARD OF CHILDREN'S NATIONAL APPOINT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL APPOINT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER'S AUTHORITY TO APPROVE CERTAIN GOVERNANCE DECISIONS. ON SEPTEMBER 1, 2019, AND BY MEANS OF AN AFFILIATION AGREEMENT, THE ORGANIZATION AFFILIATED WITH CHILDREN'S NATIONAL. EFFECTIVE AS OF THAT DATE, THE ORGANIZATION AMENDED AND RESTATED ITS BYLAWS TO COMPLY WITH CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE. UNDER CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE, CHILDREN'S NATIONAL RETAINS CERTAIN AUTHORITY OVER SUBSIDIARY ENTITIES. THE RETENTION OF AUTHORITY INCLUDES ITEMS SUCH AS: THE AUTHORITY TO AMEND A SUBSIDIARY'S GOVERNING DOCUMENTS, AUTHORIZATION OF THE SALE OF SUBSTANTIALLY ALL ASSETS, APPOINT/REMOVE OFFICERS AND DIRECTORS, APPROVE BUDGETS, SET SIGNATURE AUTHORITY, AND ADOPT AN ENTERPRISE-WIDE COMPLIANCE PLAN. THE AFFILIATION AGREEMENT AND THE ORGANIZATION'S AMENDED AND RESTATED BYLAWS ANTICIPATE A FIVE-YEAR INTEGRATION PERIOD, DURING SUCH PERIOD THE ORGANIZATION AND CHILDREN'S NATIONAL WILL SHARE RESPONSIBILITY FOR CERTAIN AUTHORITIES THAT ARE OTHERWISE SET UNDER THE SYSTEM OF GOVERNANCE. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL HAVE SOLE RESPONSIBILITY FOR AUTHORITY THAT IS RESERVED UNDER THE SYSTEM OF GOVERNANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 BY GOVERNING BODY THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT COMMITTEE OF CHILDREN'S NATIONAL PRIOR TO FILING WITH IRS. THE HSC FOUNDATION PROVIDES A COPY OF THE FORM 990 TO THE FULL HSC FOUNDATION BOARD PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY MONITORING &amp; ENFORCEMENT THE HSC FOUNDATION HAS FORMALLY ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT, CHILDREN'S NATIONAL. CHILDREN'S NATIONAL AND SUBSIDIARIES ASKS THAT EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS OF INTEREST ARE NOTED. THE CHILDREN'S NATIONAL BOARD MAKES A DETERMINATION, BASED ON THE RECOMMENDATION OF THE CHIEF LEGAL OFFICER AS TO WHICH PERSONS SHOULD BE CONSIDERED "INTERESTED PARTIES" BASED ON THE CRITERIA SET FORTH IN THE BOARD'S GOVERNANCE POLICY. FORM 990, PART VI, SECTION B, LINES 13 &amp; 14: GOVERNING POLICIES THE HSC FOUNDATION IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE HSC FOUNDATION RELIES ON ITS PARENT, CHILDREN'S NATIONAL, TO DETERMINE COMPENSATION FOR HSC FOUNDATION'S PRESIDENT, OTHER OFFICERS, AND KEY EMPLOYEES. CHILDREN'S NATIONAL USED AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS FORM 990 REQUIRES THAT PART VII AND SCHEDULE J PRESENT AN INDIVIDUAL'S WAGES FOR THE 2020 CALENDAR YEAR, NOT THE FISCAL YEAR. FOR THE PERIOD JANUARY THROUGH JUNE 2020, SOME INDIVIDUALS WERE EMPLOYEES OF HSC FOUNDATION, BUT STARTING JULY 2020, THOSE SAME INDIVIDUALS BECAME EMPLOYEES OF CHILDREN'S HOSPITAL. ACCORDINGLY, THE ANNUAL WAGES FOR THOSE INDIVIDUALS ARE PRESENTED BETWEEN TWO COLUMNS AND SHOULD BE CONSIDERED IN THE AGGREGATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET TRANSFER UPON DISSOLUTION OF 2013 HOLDINGS, INC. 21,009,281. INVESTMENT IN SUBSIDIARIES 15,166,935.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SAFE KIDS WORLDWIDE</BusinessNameLine1Txt>
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          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
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          <ZIPCd>20010</ZIPCd>
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          <CityNm>WASHINGTON</CityNm>
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          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833358685</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>54 HTC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833385522</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILDREN'S NATIONAL HEALTH NETWORK</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>521996521</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEARACUDA RE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 69 KY1-1102</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>REINSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PEDIATRIC HEALTH NETWORK INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833415276</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BUILDING 5253 MANAGING MEMBER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>832801690</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BUILDING 54 MANAGING MEMBER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833272918</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH SERVICES FOR CHILDRENS WITH SPECIAL NEEDS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>475554</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH SERVICES FOR CHILDRENS WITH SPECIAL NEEDS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>158153</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE HOSPITAL FOR SICK CHILDREN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>413462</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE HOSPITAL FOR SICK CHILDREN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>144006</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
