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        <OtherCompensationAmt>1574</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY DAVID YALE</PersonNm>
        <TitleTxt>INTERIM MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>109190</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELSEY WHITE</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
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        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126015</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN MURPHY</PersonNm>
        <TitleTxt>PSYCHIATRIC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET WATSON</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>APRIL REYES</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JS CONSTRUCTION COMPANY INC</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ATS BUILDING GROUP LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>38501</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT CONSTRUCTION SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3263685</GovernmentGrantsAmt>
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      <TotalContributionsAmt>3372855</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>47303</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8993288</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5573130</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>47303</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>244455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79469</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>11929</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>501538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141419</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>374782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171620</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>182684</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>66407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18326</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>20972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28812</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>145659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36415</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>29142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7286</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT 340B ADMIN &amp; DISPENSING FEES</Desc>
        <TotalAmt>212402</TotalAmt>
        <ProgramServicesAmt>212402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DRUGS &amp; MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>1815291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BILLING SERVICES</Desc>
        <TotalAmt>175226</TotalAmt>
        <ProgramServicesAmt>163413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11813</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>7214588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1777721</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>355513</EOYAmt>
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        <EOYAmt>128245</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>227980</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>571570</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>250231</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>9037</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2570992</EOYAmt>
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        <EOYAmt>974425</EOYAmt>
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        <EOYAmt>5087993</EOYAmt>
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        <EOYAmt>450230</EOYAmt>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1245462</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1695692</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3422218</BOYAmt>
        <EOYAmt>3368339</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>35625</BOYAmt>
        <EOYAmt>23962</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3457843</BOYAmt>
        <EOYAmt>3392301</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5117316</BOYAmt>
        <EOYAmt>5087993</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>979</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-54858</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-11663</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA-01" softwareId="23017509">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2563375</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3281021</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4326506</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3653706</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3372855</CurrentTaxYearAmt>
        <TotalAmt>17197463</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2563375</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3281021</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4326506</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3653706</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3372855</CurrentTaxYearAmt>
        <TotalAmt>17197463</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>17197463</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <TotalAmt>47303</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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      <TotalSupportAmt>17244766</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>20020079</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99730</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
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        <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>
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        <InvestmentCostOrOtherBasisAmt>2668113</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>449045</DepreciationAmt>
        <BookValueAmt>2219068</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>1078104</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>726180</DepreciationAmt>
        <BookValueAmt>351924</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2570992</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>SHORT-TERM INVESTMENTS</Desc>
        <BookValueAmt>261209</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>LONG-TERM INVESTMENTS</Desc>
        <BookValueAmt>713216</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>974425</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8993288</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>8993288</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>8993288</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8992309</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>8992309</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>8992309</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>ENGAGEMENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS FORM 990 IS REVIEWED BY THE CFO &amp; CEO OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONTIORS THIS POLICY THROUGH OBSERVATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>AND INQUIRY OF OFFICERS, DIRECTORS, AND EMPLOYEES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR TOP MANAGEMENT OFFICIALS, PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>AND SALARY INCREASES ARE BOARD APPROVED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 9 REPRESENTS THE CHANGE IN NET ASSETS WITH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>DONOR RESTRICTION FOR THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
