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        <EndYearBalanceAmt>262665</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
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        <BookValueAmt>599199</BookValueAmt>
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        <DepreciationAmt>148524</DepreciationAmt>
        <BookValueAmt>10683519</BookValueAmt>
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        <DepreciationAmt>559457</DepreciationAmt>
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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13322208</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>96348</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>96348</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15822130</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>84600</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>84600</RevenueNotReportedAmt>
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      <InvestmentExpensesNotIncldAmt>10364</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>10364</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15747894</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16553781</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16553781</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>10364</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>10364</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16564145</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOOD SAMARITAN HOSPICE ENDOWMENT FUND WAS ESTABLISHED IN 2001 AND IS MANAGED BY THE FOUNDATION FOR ROANOKE VALLEY, INC. THIS IS A QUASI-ENDOWMENT FUND ESTABLISHED FOR LONG TERM INVESTMENT OF GIFTS AND DONATIONS DESIGNATED AS SUCH. IT IS THE POLICY OF GOOD SAMARTIAN HOSPICE TO REINVEST RATHER THAN TAKE DISTRIBUTIONS AS EARNINGS ARE REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER EASTERDAY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>230767</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4117</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>234884</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AARON HOUSH EX OFFICIO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>202608</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7243</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209851</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DRAFT COPIES OF THE FORM 990 ARE SUBMITTED TO BOARD MEMBERS FOR COMMENT AND APPROVAL VIA MAIL OR E-MAIL PRIOR TO ACCEPTANCE OF THE COMPLETED FORM TO BE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS: EACH BOARD MEMBER WILL COMPLETE A CONFLICT OF INTEREST STATEMENT AT THE BEGINNING OF SERVICE ON THE BOARD OF DIRECTORS. THE CHAIRMAN OR THE CEO WILL REVIEW CONFLICT OF INTEREST ISSUES WITH THE BOARD AT ANY TIME ISSUES ARISE. EACH BOARD MEMBER HAS THE RESPONSIBILITY TO DECLARE A CONFLICT OF INTEREST AND REFRAIN FROM VOTING IF A CONFLICTING SITUATION ARISES. MATTERS OF CONFLICT OF INTEREST WILL BE ADDRESSED BY THE BOARD. EMPLOYEES: EACH COMPENSATED STAFF MEMBER WILL COMPLETE A CONFLICT OF INTEREST STATEMENT AT THE BEGINNING OF EMPLOYMENT. THE CHIEF OPERATIONS OFFICER OR THE CEO WILL REVIEW CONFLICT OF INTEREST ISSUES WITH THE AND HIS /HER SUPERVISOR AT ANY TIME CONFLICT OF INTEREST ISSURES ARISE. EACH EMPLOYEE HAS THE RESPONSIBILITY TO DECLARE A CONFLICT OF INTEREST AND REFRAIN FROM MAKING DECISIONS INVOLVING THE CONFLICT WHEN A CONFLICT ARISES. MATTERS OF CONFLICT OF INTEREST WILL BE ADDRESSED BY THE EMPLOYEE'S SUPERVISOR AND/OR THE CHIEF OPERATIONS OFFICER, CEO, OR BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPARISON OF SALARY RANGES IN COMPARABLE INDUSTRIES AT THE STATE AND NATIONAL LEVEL ARE MADE BY SENIOR MANAGEMENT STAFF FOR ALL EXEMPT AND NON-EXEMT EMPLOYEES TO ENSURE CONPENSATION IS IN LINE WITH MARKETPLACE STANDARDS. THIS PROCESS IS USED IN DETERMINING SALARY SCALES FOR ALL STAFF LEVELS, INCLUDING KEY EMPLOYEES AND THE CEO. IN ADDITION TO ADJUSTMENTS BASED ON MARKET CONDITIONS, SALARIES ARE ADJUSTED ANNUALLY BY COST OF LIVING PERCENTAGES APPROVED BY THE BOARD OF DIRECTORS. THIS PERCENTAGE IS GRANTED TO ALL EMPLOYEES ON THEIR ANNIVERSARY OF HIRE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>