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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <RelatedOrExemptFuncIncomeAmt>11009756</RelatedOrExemptFuncIncomeAmt>
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      <CompDisqualPersonsGrp>
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        <TotalAmt>256921</TotalAmt>
        <ProgramServicesAmt>222961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33960</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>144957</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>32748</TotalAmt>
        <ProgramServicesAmt>32748</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>5126</TotalAmt>
        <ProgramServicesAmt>815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4311</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>24020</TotalAmt>
        <ProgramServicesAmt>1355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22665</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>53751</TotalAmt>
        <ProgramServicesAmt>53751</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>4807807</TotalAmt>
        <ProgramServicesAmt>4807807</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NURSING SERVICES OTHER</Desc>
        <TotalAmt>485798</TotalAmt>
        <ProgramServicesAmt>485798</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DIETARY SERVICES OTHER</Desc>
        <TotalAmt>478720</TotalAmt>
        <ProgramServicesAmt>478720</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>276495</TotalAmt>
        <ProgramServicesAmt>276495</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>904060</TotalAmt>
        <ProgramServicesAmt>737062</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166998</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>11722096</TotalAmt>
        <ProgramServicesAmt>10787215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>934881</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>84312</BOYAmt>
        <EOYAmt>116085</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2532974</BOYAmt>
        <EOYAmt>921843</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1208282</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>49999</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>1142431</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>432016</BOYAmt>
        <EOYAmt>464687</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2605145</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>791290</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>6157331</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <OtherLiabilitiesGrp>
        <BOYAmt>777271</BOYAmt>
        <EOYAmt>791507</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2310492</BOYAmt>
        <EOYAmt>1782599</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4896148</BOYAmt>
        <EOYAmt>4374732</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4896148</BOYAmt>
        <EOYAmt>4374732</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7206640</BOYAmt>
        <EOYAmt>6157331</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-615915</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>94499</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>280548</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>953098</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>541863</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>96425</CurrentTaxYearAmt>
        <TotalAmt>1970882</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
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        <CurrentTaxYearMinus3YearsAmt>389584</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>406480</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>424943</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>424943</CurrentTaxYearAmt>
        <TotalAmt>1783671</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>670132</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1359578</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>966806</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>521368</CurrentTaxYearAmt>
        <TotalAmt>3754553</TotalAmt>
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      <PublicSupportTotal170Amt>3754553</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>156765</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>95776</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>162073</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>176343</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>119749</CurrentTaxYearAmt>
        <TotalAmt>710706</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>4465259</TotalSupportAmt>
      <PublicSupportCY170Pct>0.84080</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.81600</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>636493</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>546211</DepreciationAmt>
        <BookValueAmt>90282</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>856501</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>496659</DepreciationAmt>
        <BookValueAmt>359842</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>114124</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>99561</DepreciationAmt>
        <BookValueAmt>14563</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
        <Desc>PATIENT FUNDS</Desc>
        <BookValueAmt>155382</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET (BUILDING)</Desc>
        <BookValueAmt>654421</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ACCUMULATED AMORTIZATION - ROU</Desc>
        <BookValueAmt>-18513</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>791290</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT FUNDS HELD IN TRUST</Desc>
        <Amt>155382</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE (BUILDING)</Desc>
        <Amt>621754</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT LEASE LIABILITY</Desc>
        <Amt>14371</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>791507</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>10918574</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>94499</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>424943</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>519442</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10399132</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>707049</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>707049</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11106181</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12098655</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>424943</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>424943</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11673712</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>48384</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>48384</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>11722096</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUBSTANTIATED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED AS OF SEPTEMBER 30, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION PLAN UNRECOGNIZED NET ACTURIAL GAIN 707,049.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION EXPENSES 48,384.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LEWIS MILLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>96361</TransactionAmt>
        <TransactionDesc>SUPPLIES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateOtherGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>424943</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COMPARABLE RENTS</MethodOfDeterminingRevenuesTxt>
      </RealEstateOtherGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 WAS PRESENTED TO THE BOARD FOR REVIEW AND COMMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, THE ORGANIZATION HAS ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES ARE GOVERNED BY THE BOARD BASED ON CONSIDERATION OF COMPARABLE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>