<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-05-06T16:06:11-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>410746749</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CLIFTONLARSONALLEN LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>901 NORTH GLEBE ROAD SUITE 200</AddressLine1Txt>
        <CityNm>ARLINGTON</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>22203</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>521214775</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COASTAL HOSPICE</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COAS</BusinessNameControlTxt>
      <PhoneNum>4107428732</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 1733</AddressLine1Txt>
        <CityNm>SALISBURY</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21802</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MONICA ESCALANTE</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>4107428732</PhoneNum>
      <SignatureDt>2024-05-03</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>MONICA</PersonFirstNm>
        <PersonLastNm>ESCALANTE</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ROBERT WILLIAMS</PreparerPersonNm>
      <PTIN>P01345960</PTIN>
      <PhoneNum>5712279500</PhoneNum>
      <PreparationDt>2024-05-01</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>MONICA ESCALANTE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 1733</AddressLine1Txt>
        <CityNm>SALISBURY</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21802</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>18392904</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.COASTALHOSPICE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1980</FormationYr>
      <LegalDomicileStateCd>MD</LegalDomicileStateCd>
      <ActivityOrMissionDesc>COASTAL HOSPICE PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES IN THE FOUR LOWER COUNTIES OF THE EASTERN SHORE OF MARYLAND TO INDIVIDUALS FACING LIFE-LIMITING CONDITIONS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>15</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>265</TotalEmployeeCnt>
      <TotalVolunteersCnt>107</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1737712</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1223311</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>13640646</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>16576090</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>68354</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>178818</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>2181</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-11447</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>15448893</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>17966772</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>35251</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>11693739</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>13826315</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>515122</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>4014875</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>4795625</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>15708614</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>18657191</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-259721</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-690419</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>15835809</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>18550718</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>3860120</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>7252884</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>11975689</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>11297834</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>COASTAL HOSPICE PROMOTES DIGNITY AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO FACE LIFE-LIMITING CONDITIONS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>9023707</ExpenseAmt>
      <GrantAmt>35251</GrantAmt>
      <RevenueAmt>13183501</RevenueAmt>
      <Desc>HOME HOSPICE CARE: COASTAL HOSPICE DELIVERS PATIENT-CENTERED HOSPICE CARE IN DORCHESTER, WICOMICO, SOMERSET, AND WORCESTER COUNTIES. THE HOSPICE TEAM INCLUDES (BUT IS NOT LIMITED TO) PRIMARY PHYSICIANS, REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. WE VISIT OUR PATIENTS WHERE THEY ARE MOST COMFORTABLE: IN PRIVATE HOMES, NURSING HOMES AND ASSISTED LIVING FACILITIES. WE BASE EACH PLAN OF CARE ON THE PATIENT'S GOALS AND WORK WITH THE PATIENT AND HIS OR HER LOVED ONES, ULTIMATELY TO ACHIEVE DEATH WITH DIGNITY.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>606414</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>348981</RevenueAmt>
        <Desc>PALLIATIVE CARE IS DELIVERED TO MANAGE THE PHYSIOLOGICAL, PRACTICAL AND EMOTIONAL NEEDS OF PATIENTS WHO ARE FACING SERIOUS ILLNESS. UNLIKE HOSPICE PATIENTS, PALLIATIVE CARE PATIENTS ARE RECEIVING MEDICAL CARE IN ACTIVE PURSUIT OF CURE OR REMISSION. THE PALLIATIVE CARE TEAM PROVIDES PATIENT CARE THAT WOULD OTHERWISE HAVE GONE BY THE WAYSIDE IN THE CURRENT HEALTH CARE LANDSCAPE. PHYSICIANS HAVE SO LITTLE TIME TO SPEND WITH EACH PATIENT THAT IT IS ESPECIALLY VALUABLE TO HAVE TO PALLIATIVE CARE TEAM ON HAND TO CATCH THOSE PATIENTS AND FAMILY MEMBERS REELING FROM THE NEWS OF A SERIOUS DIAGNOSIS. IN ADDITION TO PROVIDING SYMPTOM MANAGEMENT CARE, THE PHYSICIAN, NURSE PRACTITIONER, SOCIAL WORKER AND PASTORAL COUNSELOR HELP PATIENTS AND FAMILIES SORT THROUGH THE PRACTICAL ISSUES AND EMOTIONAL AND SPIRITUAL TURMOIL THAT FOLLOWS IN THE WAKE OF DIAGNOSIS. WE KNOW WELL THAT WE HAVE THE SKILLS AND KNOWLEDGE TO MEET THIS NEED IN OUR COMMUNITY. COASTAL HOSPICE &amp; PALLIATIVE CARE OPERATES IN PARTNERSHIP WITH TIDAL HEALTH IN THIS ENDEAVOR.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>4769248</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>3043608</RevenueAmt>
        <Desc>FOR PATIENTS WHOSE SYMPTOM MANAGEMENT NEEDS REQUIRE CLOSE ATTENTION, WE HAVE TWO INPATIENT CENTERS: COASTAL HOSPICE AT THE LAKE AND MACKY AND PAM STANSELL HOUSE. OUR WING OF DEER'S HEAD HOSPITAL CENTER, WHICH IS SURROUNDED BY THE PICTURESQUE JOHNSON'S POND IN SALISBURY, OFFERS PATIENT ROOMS THAT ACCOMODATE FAMILY MEMBERS OVERNIGHT. COASTAL HOSPICE AT THE LAKE IS STAFFED BY A TEAM OF REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. IN THIS PEACEFUL SETTING, PATIENTS ARE ATTENDED TO AROUND THE CLOCK, BUT IN A SETTING THAT IS MORE HOME-LIKE THAN CLINICAL. A FAMILY ROOM AND GARDEN ROOM, AS WELL AS A COUSELING OFFICE, PROVIDE FAMILY MEMBERS SPACE FOR THE SENSITIVE CONVERSATIONS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>78560</ExpenseAmt>
        <Desc>COMPASS IS A FREE, NON-MEDICAL PROGRAM FOR INDIVIDUALS AND FAMILIES COPING WITH A SERIOUS ILLNESS. COMPASS PROVIDES GUIDANCE AND RESOURCES TO HELP MAKE LIFE A LITTLE EASIER.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>78560</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>14477929</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>68</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>265</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>15</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>MONICA ESCALANTE</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>4107428732</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO BOX 1733</AddressLine1Txt>
          <CityNm>SALISBURY</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21802</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>GHULAM WARIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>241975</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3699</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MONICA ESCALANTE</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>186025</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31966</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACY COTTINGHAM</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>115766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10620</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE BELANGER</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>86853</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31667</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD M LAWS</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MORGAN FISHER</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN R FARROW</PersonNm>
        <TitleTxt>IMMED. PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MADALAINE L HOW</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIMONA C ENG</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALLY DOWLING</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID DYKES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROGER L HARRELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAKEISHA HARRIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT PURCELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TINA REID</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY SARBANES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON WASHINGTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET WHITTEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLLEEN CAM BUNTING</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>630619</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>77952</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>122990</FundraisingAmt>
      <AllOtherContributionsAmt>1100321</AllOtherContributionsAmt>
      <NoncashContributionsAmt>386329</NoncashContributionsAmt>
      <TotalContributionsAmt>1223311</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV.</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>16576090</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16576090</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16576090</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>31186</TotalRevenueColumnAmt>
        <ExclusionAmt>31186</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>148791</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>1159</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>148791</SecuritiesAmt>
        <OtherAmt>-1159</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>147632</TotalRevenueColumnAmt>
        <ExclusionAmt>147632</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>23991</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>122990</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>36812</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-12821</TotalRevenueColumnAmt>
        <ExclusionAmt>-12821</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>389535</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>388161</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1374</TotalRevenueColumnAmt>
        <ExclusionAmt>1374</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17966772</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16576090</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>167371</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>35251</TotalAmt>
        <ProgramServicesAmt>35251</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>730117</TotalAmt>
        <ProgramServicesAmt>569491</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146023</ManagementAndGeneralAmt>
        <FundraisingAmt>14603</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10804259</TotalAmt>
        <ProgramServicesAmt>8542937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1964249</ManagementAndGeneralAmt>
        <FundraisingAmt>297073</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>126974</TotalAmt>
        <ProgramServicesAmt>100517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22883</ManagementAndGeneralAmt>
        <FundraisingAmt>3574</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1366029</TotalAmt>
        <ProgramServicesAmt>1079482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249434</ManagementAndGeneralAmt>
        <FundraisingAmt>37113</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>798936</TotalAmt>
        <ProgramServicesAmt>631208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146118</ManagementAndGeneralAmt>
        <FundraisingAmt>21610</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1568</TotalAmt>
        <ManagementAndGeneralAmt>1568</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>63443</TotalAmt>
        <ManagementAndGeneralAmt>63443</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>219281</TotalAmt>
        <ProgramServicesAmt>2396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216885</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>125464</TotalAmt>
        <ProgramServicesAmt>756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124517</ManagementAndGeneralAmt>
        <FundraisingAmt>191</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>110566</TotalAmt>
        <ProgramServicesAmt>21110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79651</ManagementAndGeneralAmt>
        <FundraisingAmt>9805</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>191091</TotalAmt>
        <ProgramServicesAmt>19592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149401</ManagementAndGeneralAmt>
        <FundraisingAmt>22098</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>581110</TotalAmt>
        <ProgramServicesAmt>338431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152893</ManagementAndGeneralAmt>
        <FundraisingAmt>89786</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>418035</TotalAmt>
        <ProgramServicesAmt>404255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8860</ManagementAndGeneralAmt>
        <FundraisingAmt>4920</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>62325</TotalAmt>
        <ProgramServicesAmt>51459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10866</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>284430</TotalAmt>
        <ProgramServicesAmt>242144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42286</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>83511</TotalAmt>
        <ProgramServicesAmt>1518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81136</ManagementAndGeneralAmt>
        <FundraisingAmt>857</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY, MEDICAL EQUIP</Desc>
        <TotalAmt>2250390</TotalAmt>
        <ProgramServicesAmt>2250390</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNICATIONS</Desc>
        <TotalAmt>235709</TotalAmt>
        <ProgramServicesAmt>169963</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63423</ManagementAndGeneralAmt>
        <FundraisingAmt>2323</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND PUBLICATIONS</Desc>
        <TotalAmt>118084</TotalAmt>
        <ProgramServicesAmt>10652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106450</ManagementAndGeneralAmt>
        <FundraisingAmt>982</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>50618</TotalAmt>
        <ProgramServicesAmt>6377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34054</ManagementAndGeneralAmt>
        <FundraisingAmt>10187</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>18657191</TotalAmt>
        <ProgramServicesAmt>14477929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3664140</ManagementAndGeneralAmt>
        <FundraisingAmt>515122</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1854486</BOYAmt>
        <EOYAmt>8325</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2107219</BOYAmt>
        <EOYAmt>5705304</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>195598</BOYAmt>
        <EOYAmt>111457</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1660964</BOYAmt>
        <EOYAmt>1744903</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>34084</BOYAmt>
        <EOYAmt>32252</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>180285</BOYAmt>
        <EOYAmt>101104</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10560486</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2492534</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8375987</BOYAmt>
        <EOYAmt>8067952</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1407496</BOYAmt>
        <EOYAmt>2280629</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>19690</BOYAmt>
        <EOYAmt>498792</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15835809</BOYAmt>
        <EOYAmt>18550718</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1120497</BOYAmt>
        <EOYAmt>1177498</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>3087829</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2716685</BOYAmt>
        <EOYAmt>2475253</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>22938</BOYAmt>
        <EOYAmt>512304</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3860120</BOYAmt>
        <EOYAmt>7252884</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11853025</BOYAmt>
        <EOYAmt>11204533</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>122664</BOYAmt>
        <EOYAmt>93301</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11975689</BOYAmt>
        <EOYAmt>11297834</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15835809</BOYAmt>
        <EOYAmt>18550718</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-690419</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>12564</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1501840</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1126616</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3804176</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1737712</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1223311</CurrentTaxYearAmt>
        <TotalAmt>9393655</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12923338</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15202463</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14186695</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13640646</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16576090</CurrentTaxYearAmt>
        <TotalAmt>72529232</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>335295</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>401670</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>736965</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14760473</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16730749</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17990871</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15378358</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17799401</CurrentTaxYearAmt>
        <TotalAmt>82659852</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>82659852</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>68539</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>38984</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>39697</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39518</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>31186</CurrentTaxYearAmt>
        <TotalAmt>217924</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>68539</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>38984</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>39697</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39518</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>31186</CurrentTaxYearAmt>
        <TotalAmt>217924</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14829012</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16769733</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18030568</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15417876</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17830587</CurrentTaxYearAmt>
        <TotalAmt>82877776</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99740</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99740</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00260</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00260</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1400831</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1400831</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7488872</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1163684</DepreciationAmt>
        <BookValueAmt>6325188</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>680601</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>660126</DepreciationAmt>
        <BookValueAmt>20475</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>835553</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>591868</DepreciationAmt>
        <BookValueAmt>243685</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>154629</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>76856</DepreciationAmt>
        <BookValueAmt>77773</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8067952</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY - OPERATING</Desc>
        <Amt>475034</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY - FINANCING</Desc>
        <Amt>37270</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>512304</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18074269</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>12564</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>94933</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>107497</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17966772</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17966772</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18752124</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>94933</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>94933</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>18657191</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>18657191</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>TASTE OF FINER THINGS</Event1Nm>
        <GrossReceiptsEvent1Amt>83696</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>66222</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>17474</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>7609</OtherDirectExpensesEvent1Amt>
        <Event2Nm>BLUES ON THE BAY</Event2Nm>
        <GrossReceiptsEvent2Amt>61575</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>56768</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>4807</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>13827</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>1710</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>1710</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>15376</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>146981</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>122990</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>23991</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>36812</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>36812</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-12821</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>PARSONS FUND</GrantTypeTxt>
        <RecipientCnt>329</RecipientCnt>
        <CashGrantAmt>23273</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>BOARD DESIGNATED FUNDS</GrantTypeTxt>
        <RecipientCnt>264</RecipientCnt>
        <CashGrantAmt>11978</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GHULAM WARIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>241975</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3699</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>245674</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MONICA ESCALANTE</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>186025</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3002</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28964</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217991</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROVAL OF PRESIDENT'S SALARY AND INCREASES ARE BOARD APPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>386329</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <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 DRAFT COPY OF THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. THE ACCOUNTANT WILL MAKE ANY FINAL CHANGES AS NEEDED. AFTER CHANGES HAVE BEEN MADE THE FINAL COPY OF THE FORM, THE 990 IS PROVIDED BY THE ACCOUNTANT TO THE BOARD MEMBERS BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES ARE REVIEWED AND SIGNED ANNUALLY. A CONFLICT MAY EXIST WHERE AN INTERESTED PARTY OR A RELATIVE OR BUSINESS ASSOCIATE OF AN INTERESTED PARTY DIRECTLY OR INDIRECTLY BENEFITS OR PROFITS AS A RESULT OF A DECISION MADE OR TRANSACTION ENTERED INTO BY THE ORGANIZATION. AN INTERESTED PARTY IS UNDER A CONTINUING OBLIGATION TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS SOON AS IT IS KNOWN OR REASONABLY SHOULD BE KNOWN. A DISCLOSURE STATEMENT SHALL BE COMPLETED UPON HIS/HER ASSOCIATION WITH COASTAL HOSPICE, AND SHALL BE UPDATED ANNUALLY THEREAFTER. TO AVOID CONFLICTS OF INTEREST WE NEED TO MAINTAIN STATEMENTS AND POLICIES FOR MANAGING THEM AND EDUCATE THE BOARD ON IDENTIFYING POTENTIAL CONFLICTS. EACH MEMBER OF THE BOARD HAS A RESPONSIBILITY TO ADDRESS ANY POTENTIAL CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROVAL OF THE PRESIDENT'S SALARY AND INCREASES ARE BOARD APPROVED. AN ANNUAL EVALUATION IS COMPLETED BY IMMEDIATE SUPERVISOR AND A REVIEW OF WHETHER GOALS WERE MET OR NOT, AREAS OF EXCELLENCE AND AREAS NEEDING IMPROVEMENT IS CONDUCTED. SUPERVISOR DETERMINES BASED ON THE EVALUATION AND REVIEW, IF MERIT INCREASE IS DESERVED. THE PERCENTAGE INCREASE FOR THE YEAR IS SET WHEN THE BUDGET IS CREATED. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
