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        <ManagementAndGeneralAmt>180533</ManagementAndGeneralAmt>
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        <TotalAmt>219210</TotalAmt>
        <ManagementAndGeneralAmt>219210</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>279992</TotalAmt>
        <ProgramServicesAmt>77591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202401</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>0</TotalAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
        <TotalAmt>111965</TotalAmt>
        <ManagementAndGeneralAmt>111965</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>240342</ManagementAndGeneralAmt>
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        <TotalAmt>51635</TotalAmt>
        <ManagementAndGeneralAmt>51635</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT CARE EXPENSES</Desc>
        <TotalAmt>2053139</TotalAmt>
        <ProgramServicesAmt>2053139</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>VEHICLE EXPENSES</Desc>
        <TotalAmt>567848</TotalAmt>
        <ProgramServicesAmt>492183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75665</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>187739</TotalAmt>
        <ProgramServicesAmt>79955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107784</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT CONSULTANTS</Desc>
        <TotalAmt>140047</TotalAmt>
        <ProgramServicesAmt>140047</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>268419</TotalAmt>
        <ProgramServicesAmt>55349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213070</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>14665926</TotalAmt>
        <ProgramServicesAmt>9637540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5028386</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <ReconcilationRevenueExpnssAmt>378768</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>127499</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <CurrentTaxYearMinus2YearsAmt>260411</CurrentTaxYearMinus2YearsAmt>
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        <TotalAmt>1177703</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
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      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>117841</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>106065</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>260411</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>285388</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>407998</CurrentTaxYearAmt>
        <TotalAmt>1177703</TotalAmt>
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      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>1177703</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>19816</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18826</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11758</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23444</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>77000</CurrentTaxYearAmt>
        <TotalAmt>150844</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
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      <OtherIncome170Grp>
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      <TotalSupportAmt>1328547</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>66300241</GrossReceiptsRltdActivitiesAmt>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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        <BookValueAmt>1452970</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>601780</DepreciationAmt>
        <BookValueAmt>4713142</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>59156</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21644</DepreciationAmt>
        <BookValueAmt>37512</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>411436</DepreciationAmt>
        <BookValueAmt>374338</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>155029</DepreciationAmt>
        <BookValueAmt>119383</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>6697345</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>Deferred Comp 457 Plan</Desc>
        <BookValueAmt>749390</BookValueAmt>
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        <Desc>Deposits</Desc>
        <BookValueAmt>77554</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>EMPLOYEE ADVANCES</Desc>
        <BookValueAmt>475</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1081619</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EXPENSES</Desc>
        <Amt>46000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL</Desc>
        <Amt>639495</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNEARNED REVENUE</Desc>
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      <TotalRevEtcAuditedFinclStmtAmt>15172193</TotalRevEtcAuditedFinclStmtAmt>
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      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
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          <City>San Fran</City>
          <State>CA</State>
          <ZIPCode>94104</ZIPCode>
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      <FundraiserActivityInfoGrp>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
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      <TotalGrossReceiptsAmt>478990</TotalGrossReceiptsAmt>
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      <LicensedStatesCd>CA</LicensedStatesCd>
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        <EntertainmentEvent1Amt>146000</EntertainmentEvent1Amt>
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        <NameOfEvent2Amt>LUAL</NameOfEvent2Amt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TitleTxt>Exec. Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEILA FRYER</PersonNm>
        <TitleTxt>DIR PATIENT CARE</TitleTxt>
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            <BusinessNameLine1>HOFFMANN HOMECARE</BusinessNameLine1>
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        <RelationshipDescriptionTxt>Owner/Officer</RelationshipDescriptionTxt>
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        <TransactionDesc>PURCHASE MEDI SUPPLIES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>HOFFMANN HOMECARE IS OWNED BY THOMAS HOFFMANN, AN OFFICER OF THE ORGANIZATION. THE ORGANIZATION PURCHASES MEDICAL SUPPLIES FROM HOFFMANN HOMECARE.</ExplanationTxt>
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        <ExplanationTxt>BETH HOFFMANN (DIRECTOR AND OFFICER) AND THOMAS HOFFMANN (OFFICER) ARE SPOUSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Controller and the Administrator of the Organization review the Form 990 prior to filing. Questions are directed to the preparing CPA firm or the CPA on the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Compliance with the Conflict of Interest policy is monitored at the quarterly board meetings. Identified conflicts of interest are reviewed by the Board, and a written plan of action is developed to address the potential conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board discusses and approves the compensation of the Executive Director and President without the individuals present. The Board utilizes comprehensive industry statistics to determine the salary amounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The President and Executive Director determine 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, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>