﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-11-03T15:02:36-08:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>953109182</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BROWN ARMSTRONG ACCOUNTANCY CORP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>4200 TRUXTUN AVE STE 300</AddressLine1Txt>
        <CityNm>BAKERSFIELD</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93309</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>770386207</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Hoffmann Hospice of The Valley</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HOFF</BusinessNameControlTxt>
      <PhoneNum>6614101010</PhoneNum>
      <USAddress>
        <AddressLine1Txt>4325 Buena Vista Road</AddressLine1Txt>
        <CityNm>Bakersfield</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93311</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>BETH HOFFMANN</PersonNm>
      <PersonTitleTxt>Secretary</PersonTitleTxt>
      <SignatureDt>2025-11-03</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>Charlie McCarthy</PreparerPersonNm>
      <PTIN>P01644131</PTIN>
      <PhoneNum>6613244971</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <PrincipalOfficerNm>JIM WREN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>4325 Buena Vista Road</AddressLine1Txt>
        <CityNm>Bakersfield</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93311</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>26489138</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>hoffmannhospice.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1995</FormationYr>
      <LegalDomicileStateCd>CA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE ORGANIZATION PROVIDES SPIRITUAL, PHYSICAL, AND EMOTIONAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>6</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>5</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>222</TotalEmployeeCnt>
      <TotalVolunteersCnt>85</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>418303</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>400050</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>22842634</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>24930297</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>492978</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>717646</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-186607</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-5920</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>23567308</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>26042073</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>98032</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>145600</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>13663719</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>14961754</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6835037</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6835423</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>20596788</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>21942777</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2970520</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>4099296</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>25935342</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>30469640</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>4686609</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>3789689</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>21248733</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>26679951</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>THE ORGANIZATION PROVIDES SPIRITUAL, PHYSICAL, AND EMOTIONAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>14791989</ExpenseAmt>
      <RevenueAmt>24930297</RevenueAmt>
      <Desc>THE ORGANIZATION PROVIDED HOSPICE CARE TO THOUSANDS OF PATIENTS IN 2024, MANY OF WHOM COULD NOT OTHERWISE AFFORD SUCH SERVICES.</Desc>
      <TotalProgramServiceExpensesAmt>14791989</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRSScheduleD">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="IRS990ScheduleG">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="IRS990ScheduleG">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="IRS990ScheduleR">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>40</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>222</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <Form8282FiledCnt>0</Form8282FiledCnt>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>6</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>5</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>false</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Jon Gusman</PersonNm>
        <PhoneNum>6614101010</PhoneNum>
        <USAddress>
          <AddressLine1Txt>4401 Buena Vista Road</AddressLine1Txt>
          <CityNm>Bakersfield</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93311</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH HOFFMANN</PersonNm>
        <TitleTxt>Secretary/Treas</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>245100</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32748</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ross Hoffmann</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>224722</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28521</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Darci Nieto</PersonNm>
        <TitleTxt>Director of Operations</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>206303</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25544</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Dobson</PersonNm>
        <TitleTxt>Patient Care Coord</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>178388</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17638</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kaur Sukhjinder</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>164273</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14866</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cynthia Holzworth</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>155128</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16955</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Ignacio</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>161945</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8051</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy Boone</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>131999</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21319</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GROVER WALDON</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM WREN</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARLENE MOHLKE</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONY HOGG</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN MCNABB</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1467858</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>165642</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Aguilars Janitorial Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3009 Bershire Road</AddressLine1Txt>
            <CityNm>Bakersfield</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93313</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Cleaning Services</ServicesDesc>
        <CompensationAmt>130063</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Grapevine MSP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 81054</AddressLine1Txt>
            <CityNm>Bakersfield</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93380</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Service Provider</ServicesDesc>
        <CompensationAmt>149562</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>218841</FundraisingAmt>
      <AllOtherContributionsAmt>181209</AllOtherContributionsAmt>
      <TotalContributionsAmt>400050</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENT</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>23844849</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23844849</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1085448</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1085448</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24930297</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>734587</TotalRevenueColumnAmt>
        <ExclusionAmt>734587</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>14447</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>31388</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-16941</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-16941</TotalRevenueColumnAmt>
        <ExclusionAmt>-16941</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>392531</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>218841</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>415677</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-23146</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>17226</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17226</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>17226</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26042073</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24947523</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>717646</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>145600</TotalAmt>
        <ProgramServicesAmt>145600</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>762938</TotalAmt>
        <ProgramServicesAmt>485090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>277848</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12099637</TotalAmt>
        <ProgramServicesAmt>10068552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2031085</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>116499</TotalAmt>
        <ProgramServicesAmt>96113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20386</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1035415</TotalAmt>
        <ManagementAndGeneralAmt>1035415</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>947265</TotalAmt>
        <ProgramServicesAmt>762935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184330</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>174196</TotalAmt>
        <ManagementAndGeneralAmt>174196</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52922</TotalAmt>
        <ManagementAndGeneralAmt>52922</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>21892</TotalAmt>
        <ManagementAndGeneralAmt>21892</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>532672</TotalAmt>
        <ProgramServicesAmt>443696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88976</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>315139</TotalAmt>
        <ManagementAndGeneralAmt>315139</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>252671</TotalAmt>
        <ProgramServicesAmt>76296</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176375</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>423852</TotalAmt>
        <ManagementAndGeneralAmt>423852</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1504244</TotalAmt>
        <ProgramServicesAmt>365674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1138570</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>404052</TotalAmt>
        <ProgramServicesAmt>277820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126232</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>415166</TotalAmt>
        <ProgramServicesAmt>34952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>380214</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATIONS</Desc>
        <TotalAmt>1521548</TotalAmt>
        <ProgramServicesAmt>1521548</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AUTO AND TRANSPORTATION</Desc>
        <TotalAmt>552852</TotalAmt>
        <ProgramServicesAmt>549996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2856</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>375680</TotalAmt>
        <ProgramServicesAmt>375680</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>309223</TotalAmt>
        <ProgramServicesAmt>99444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209779</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>-20686</TotalAmt>
        <ProgramServicesAmt>-511407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>490721</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21942777</TotalAmt>
        <ProgramServicesAmt>14791989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7150788</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5278450</BOYAmt>
        <EOYAmt>6027500</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>13484346</BOYAmt>
        <EOYAmt>17984991</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3153065</BOYAmt>
        <EOYAmt>3010807</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>244963</BOYAmt>
        <EOYAmt>214727</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2646411</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2208263</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>567673</BOYAmt>
        <EOYAmt>438148</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>2395218</BOYAmt>
        <EOYAmt>1956178</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>811627</BOYAmt>
        <EOYAmt>837289</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>25935342</BOYAmt>
        <EOYAmt>30469640</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1972219</BOYAmt>
        <EOYAmt>1926928</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2714390</BOYAmt>
        <EOYAmt>1862761</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4686609</BOYAmt>
        <EOYAmt>3789689</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>21248733</BOYAmt>
        <EOYAmt>26679951</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>21248733</BOYAmt>
        <EOYAmt>26679951</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25935342</BOYAmt>
        <EOYAmt>30469640</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4099296</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1331922</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="24020490" softwareVersionNum="2024v5.2">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1320643</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2050089</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>440401</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>418303</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>400050</CurrentTaxYearAmt>
        <TotalAmt>4629486</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>19945302</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19622488</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22145394</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22842634</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24930297</CurrentTaxYearAmt>
        <TotalAmt>109486115</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>21265945</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21672577</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22585795</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23260937</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25330347</CurrentTaxYearAmt>
        <TotalAmt>114115601</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearAmt>5000</CurrentTaxYearAmt>
        <TotalAmt>5000</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearAmt>5000</CurrentTaxYearAmt>
        <TotalAmt>5000</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>114110601</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>14711</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19197</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>50555</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>417189</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>734587</CurrentTaxYearAmt>
        <TotalAmt>1236239</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>14711</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19197</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>50555</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>417189</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>734587</CurrentTaxYearAmt>
        <TotalAmt>1236239</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>212309</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>349733</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>256805</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>291885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>409757</CurrentTaxYearAmt>
        <TotalAmt>1520489</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>21492965</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22041507</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22893155</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23970011</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26474691</CurrentTaxYearAmt>
        <TotalAmt>116872329</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97640</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98250</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01060</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00470</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="24020490" softwareVersionNum="2024v5.2">
      <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="IRS990ScheduleD" softwareId="24020490" softwareVersionNum="2024v5.2">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>164080</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>129431</DepreciationAmt>
        <BookValueAmt>34649</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1029752</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>932138</DepreciationAmt>
        <BookValueAmt>97614</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1452579</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1146694</DepreciationAmt>
        <BookValueAmt>305885</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>438148</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Benfit Plan Payable</Desc>
        <Amt>134036</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liability</Desc>
        <Amt>1656494</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>National Government Services</Desc>
        <Amt>72231</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1862761</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>27767780</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1331922</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>415677</OtherRevenueAmt>
      <RevenueNotReportedAmt>1747599</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26020181</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>21892</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>21892</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>26042073</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22336562</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>415677</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>415677</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21920885</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>21892</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>21892</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21942777</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code and is exempt from federal and state income tax.fasb interpretation no. 48 requires management to evaluate the uncertainty of tax positions taken and the likelihood that those positions would be upheld upon examination. although management believes it does not maintain any uncertain tax positions, tax returns remain subject to examination by the internal revenue service for fiscal years ending on or after december 31, 2021, and by the california franchise tax board for fiscal years ending on or after december 31, 2020.it is the policy of the organization to consistently classify interest and penalties associated with income tax expense seperately from the provision for income taxes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising grouped differently $415677</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising grouped differently $415677</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="24020490" softwareVersionNum="2024v5.2">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>false</AgrmtProfFundraisingActyInd>
      <FundraisingEventInformationGrp>
        <Event1Nm>VOICES OF INSPIRATION</Event1Nm>
        <GrossReceiptsEvent1Amt>381721</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>138341</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>243380</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>3210</CashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>72422</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>40949</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>107000</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>116257</OtherDirectExpensesEvent1Amt>
        <Event2Nm>PICKLEBALL</Event2Nm>
        <GrossReceiptsEvent2Amt>57517</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>10000</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>47517</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>17976</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>4</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>167429</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>70000</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>97429</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>3581</RentFcltyCostsOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>43653</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>606667</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>218341</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>388326</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>3210</CashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>76003</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>40949</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>107000</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>177886</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>405048</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-16722</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="24020490" softwareVersionNum="2024v5.2">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HOSPICE CARE SERVICES</GrantTypeTxt>
        <RecipientCnt>12</RecipientCnt>
        <NonCashAssistanceAmt>145600</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST OF SERVICES</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>HOSPICE CARE SERVICES</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS ASSISTANCE PROVIDED THROUGH ITS FINANCIAL ASSISTANCE POLICY. PATIENTS WHO ARE DENIED COVERAGE BY MEDICAL AND MEDICARE AND DO NOT HAVE PRIVATE INSURANCE MAY APPLY FOR ASSISTANCE. PATIENTS QUALIFY BASED ON VERIFIED DISPOSAL HOUSEHOLD INCOME. PATIENTS REQUESTING ASSISTANCE HAVE TO FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THE ORGANIZATION REVIEWS THE APPLICATION AND DETERMINES THE AMOUNT OF ASSISTANCE IT WILL PROVIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="24020490" softwareVersionNum="2024v5.2">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETH HOFFMANN</PersonNm>
        <TitleTxt>Secretary/Treas</TitleTxt>
        <BaseCompensationFilingOrgAmt>245100</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10499</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22249</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>277848</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cynthia Holzworth</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>155128</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7106</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9849</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172083</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Darci Nieto</PersonNm>
        <TitleTxt>Director of Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>206303</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9847</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15697</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>231847</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Ignacio</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>161945</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8051</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>169996</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kaur Sukhjinder</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>164273</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8217</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6649</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179139</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Laura Dobson</PersonNm>
        <TitleTxt>Patient Care Coord</TitleTxt>
        <BaseCompensationFilingOrgAmt>178388</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8119</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9519</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196026</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ross Hoffmann</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
        <BaseCompensationFilingOrgAmt>224722</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10253</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18268</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>253243</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy Boone</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>131999</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7216</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14103</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153318</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONTROLLER AND THE CHAIRMAN OF THE BOARD OF THE ORGANIZATION REVIEW THE FORM 990PRIOR TO FILING. QUESTIONS ARE DIRECTED TO THE PREPARING CPA FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AT THE QUARTERLY BOARDMEETINGS. IDENTIFIED CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD, AND A WRITTENPLAN OF ACTION IS DEVELOPED TO ADDRESS THE POTENTIAL CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD DISCUSSES AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR WITHOUT THE INDIVIDUAL PRESENT. THE BOARD UTILIZES COMPREHENSIVE INDUSTRY STATISTICS TO DETERMINE THE SALARY AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR DETERMINES THE SALARIES AND MAXIMUM PERCENTAGES FOR PAY INCREASES FOR KEY EMPLOYEES AND OTHER OFFICERS. INDUSTRY STATISTICS ARE REVIEWED PERIODICALLY TO DETERMINE COMPARABLE SALARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="24020490" softwareVersionNum="2024v5.2">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOFFMANN HOSPICE HOME FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4401 Buena Vista Road</AddressLine1Txt>
          <CityNm>BAKERSFIELD</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93311</ZIPCd>
        </USAddress>
        <EIN>473409600</EIN>
        <PrimaryActivitiesTxt>OPERATE A CONVALESCENT HOSPICE HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A TYPE I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOFFMANN HOSPICE HOME FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>4535585</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Loan Balance</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>