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        <Desc>DURING THE FISCAL YEAR, THE DENTAL CLINIC SERVED 3,959 PATIENTS. DENTAL SERVICES INCLUDE: COMPREHENSIVE DENTAL EXAMS AND TREATMENT, EMERGENCY DENTAL EXAMS AND TREATMENT, PERIODONTAL CARE, AND OVERALL DENTAL MAINTENANCE.</Desc>
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        <Desc>DURING THE FISCAL YEAR, MENTAL HEALTH AND OTHER ENABLING SERVICES WERE PROVIDED TO 519 PATIENTS. SERVICES INCLUDE: PSYCHIATRY, CASE MANAGEMENT, PATIENT AND COMMUNITY EDUCATION, OUTREACH, INTERPRETATION, AND ELIGIBILITY ASSISTANCE.</Desc>
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        <Desc>ENVIRONMENTAL HEALTH:ENVIRONMENTAL HEALTH IS ANOTHER BRANCH OF PUBLIC HEALTH THAT CONCERNS ALL ASPECTS OF THE NATURAL AND BUILT ENVIRONMENT THAT CAN AFFECT HUMAN HEALTH. THE GOAL OF OUR ENVIRONMENTAL HEALTH DEPARTMENT IS TO EDUCATE RESIDENTS ABOUT THE LYON COUNTY SANITATION CODE AND IMPLEMENT IT AS NEEDED. ENVIRONMENTAL HEALTH HANDLES:- EVALUATION AND PERMITTING OF PRIVATE SEWAGE TREATMENT SYSTEMS, SEPTAGE HAULERS AND DOMESTIC WATER SUPPLIES- WATER SCREENING AND PLUGGING ABANDONED WATER WELLS- SCHOOL INSPECTION- INVESTIGATION OF ENVIRONMENTAL HEALTH HAZARDS- EDUCATION SESSIONS FOR PRIVATE WASTE WATER SYSTEM CONTRACTORS- PUBLIC EDUCATION ON ISSUES RELATED TO ENVIRONMENTAL HEALTH- EMERGENCY PREPAREDNESS THROUGH PLANNING AND RESPONSECHILD CARE LICENSING:THE GOAL OF OUR LICENSING PROGRAM IS TO REDUCE THE RISK OF PREDICTABLE HARM TO CHILDREN WHILE THEY ARE NOT IN THEIR HOME ENVIRONMENT. WITH FEW EXCEPTIONS, ANYONE WHO PROVIDES CARE FOR CHILDREN (OTHER THAN THOSE RELATED BY BLOOD, MARRIAGE OR ADOPTION) MUST BE LICENSED WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT, REGARDLESS OF WHY THEY PROVIDE THECARE OR IF THERE IS ADVERTISEMENT OF OR PAYMENT FOR SERVICES, ACCORDING TO KANSAS LAW. WE ARE HERE TO HELP WITH THAT PROCESS IN CHASE, COFFEY, LYON, MORRIS AND WABAUNSEE COUNTIES.- INFORMATION: WE OFFER RESOURCES FOR THOSE INTERESTED IN BECOMING A LICENSED CHILD CARE PROVIDER.- CONSULTATIONS: WHEN A CURRENT OR POTENTIAL CHILD CARE PROVIDER HAS QUESTIONS, WE CAN OFFER CONSULTATIONS (UPON REQUEST) TO HELP GET THEM THE RIGHT INFORMATION AND RESOURCES TO PROVIDE GREAT CARE FOR CHILDREN.- ORIENTATION: ORIENTATION IS REQUIRED FOR EACH PROSPECTIVE PROVIDER. CONTACT THE CHILD CARE LICENSING SPECIALIST FOR A ONE-ON-ONE APPOINTMENT.- INSPECTIONS: WE CONDUCT INITIAL INSPECTIONS OF DAY CARE HOMES AND CENTERS TO VERIFY COMPLIANCE WITH STATE REGULATIONS.- VISITS: ANNUAL EVALUATION VISITS ARE CONDUCTED FOR EACH LICENSED FACILITY.- COMPLAINTS/INVESTIGATIONS: WHEN THERE ARE COMPLAINTS INVOLVING ILLEGAL CARE OR NON-COMPLIANCE WITH REGULATIONS, WE CONDUCT INVESTIGATIONS.WOMEN, INFANTS AND CHILDREN (WIC):WIC SERVES PREGNANT, BREASTFEEDING AND POSTPARTUM WOMEN; INFANTS; AND CHILDREN (UP TO AGE 5); WHO MEET INCOME GUIDELINES AND MEDICAL OR NUTRITIONAL RISK. THE DEPARTMENT PROVIDES SUPPLEMENTAL FUNDS FOR NUTRITIOUS FOOD, AS WELL AS NUTRITION COUNSELING. WIC ALSO PROVIDES BREASTFEEDING EDUCATION AND ASSISTANCE. LACTATION CONSULTANTS ARE AVAILABLE WITH A BREASTFEEDING PEER COUNSELOR OR AN INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANT. A BREASTFEEDING SUPPORT GROUP AND PRENATAL BREASTFEEDING AND COOKING CLASSES ARE ALSO AVAILABLE.</Desc>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RON HANSON</PersonNm>
        <TitleTxt>BOARD TREASURER/SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.80</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA BRIGGS</PersonNm>
        <TitleTxt>OUTGOING BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VANDA STEPHENS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE HIVELY</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>42.68</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160931</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39644</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SERESA HOWE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.20</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>107042</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29901</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REGAN ORR</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>41.60</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>180654</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUZ HORTON</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.42</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>164263</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42774</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCCLINTICK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>41.60</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>240671</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45355</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA BLACK</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>39.80</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>122074</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35898</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>975635</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>233968</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5918583</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>311948</AllOtherContributionsAmt>
      <NoncashContributionsAmt>103351</NoncashContributionsAmt>
      <TotalContributionsAmt>6230531</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>2326028</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2326028</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD-PARTY PAYORS AND OTHER</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>919476</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>919476</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>740280</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>740280</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICES FEES AND CONTRACT INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>731698</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>731698</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>708799</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>708799</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>323688</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>323688</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>5749969</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>73453</TotalRevenueColumnAmt>
        <ExclusionAmt>73453</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>6677</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-6677</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-6677</TotalRevenueColumnAmt>
        <ExclusionAmt>-6677</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>18999</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18999</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>18999</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12066275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5768968</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>66776</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>334919</TotalAmt>
        <ProgramServicesAmt>269145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65774</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4826939</TotalAmt>
        <ProgramServicesAmt>3889870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>937069</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>394044</TotalAmt>
        <ProgramServicesAmt>313109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80935</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>974113</TotalAmt>
        <ProgramServicesAmt>774034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200079</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>374015</TotalAmt>
        <ProgramServicesAmt>297194</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76821</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3892</TotalAmt>
        <ProgramServicesAmt>125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3767</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>85557</TotalAmt>
        <ManagementAndGeneralAmt>85557</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>629460</TotalAmt>
        <ProgramServicesAmt>576385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53075</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>148617</TotalAmt>
        <ProgramServicesAmt>53440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95177</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>236497</TotalAmt>
        <ProgramServicesAmt>150142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86355</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>122707</TotalAmt>
        <ProgramServicesAmt>13249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109458</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>156077</TotalAmt>
        <ManagementAndGeneralAmt>156077</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>29646</TotalAmt>
        <ProgramServicesAmt>17499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12147</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>21704</TotalAmt>
        <ProgramServicesAmt>17623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4081</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>22905</TotalAmt>
        <ProgramServicesAmt>1840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21065</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>394968</TotalAmt>
        <ProgramServicesAmt>183816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211152</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>62463</TotalAmt>
        <ProgramServicesAmt>13539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48924</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPLIES &amp; DRUGS</Desc>
        <TotalAmt>1034179</TotalAmt>
        <ProgramServicesAmt>1034179</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>184983</TotalAmt>
        <ProgramServicesAmt>59140</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125843</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND PERMITS</Desc>
        <TotalAmt>26022</TotalAmt>
        <ProgramServicesAmt>18686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7336</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>24689</TotalAmt>
        <ProgramServicesAmt>570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24119</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>31413</TotalAmt>
        <ProgramServicesAmt>30618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>795</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>10119809</TotalAmt>
        <ProgramServicesAmt>7714203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2405606</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>410378</BOYAmt>
        <EOYAmt>193139</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4259910</BOYAmt>
        <EOYAmt>4718313</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>340938</BOYAmt>
        <EOYAmt>91405</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>366383</BOYAmt>
        <EOYAmt>513544</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>196032</BOYAmt>
        <EOYAmt>147004</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>383981</BOYAmt>
        <EOYAmt>114962</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7099545</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3290633</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2287780</BOYAmt>
        <EOYAmt>3808912</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>87018</BOYAmt>
        <EOYAmt>63505</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>39903</BOYAmt>
        <EOYAmt>10995</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>8372323</BOYAmt>
        <EOYAmt>9661779</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>715737</BOYAmt>
        <EOYAmt>653940</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>79140</BOYAmt>
        <EOYAmt>47563</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>540123</BOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>87571</BOYAmt>
        <EOYAmt>64058</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1422571</BOYAmt>
        <EOYAmt>765561</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6240211</BOYAmt>
        <EOYAmt>8800041</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>709541</BOYAmt>
        <EOYAmt>96177</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6949752</BOYAmt>
        <EOYAmt>8896218</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8372323</BOYAmt>
        <EOYAmt>9661779</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1946466</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4111914</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6255944</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5149475</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5836586</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6230531</CurrentTaxYearAmt>
        <TotalAmt>27584450</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4111914</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6255944</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5149475</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5836586</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6230531</CurrentTaxYearAmt>
        <TotalAmt>27584450</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>27584450</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>7721</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6456</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7576</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10264</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>73453</CurrentTaxYearAmt>
        <TotalAmt>105470</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearAmt>18999</CurrentTaxYearAmt>
        <TotalAmt>18999</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>27708919</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>25353490</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99550</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99860</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - 2023 AMOUNT: $ 18,999.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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>144169</OtherCostOrOtherBasisAmt>
        <BookValueAmt>144169</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1301075</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>714778</DepreciationAmt>
        <BookValueAmt>586297</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3929872</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1670154</DepreciationAmt>
        <BookValueAmt>2259718</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1720064</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>905701</DepreciationAmt>
        <BookValueAmt>814363</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4365</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4365</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3808912</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>64058</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>64058</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>12066275</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12066275</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12066275</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10119809</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10119809</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10119809</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MCCLINTICK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239648</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23980</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21375</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286026</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGAN ORR</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>178232</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1422</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221050</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUZ HORTON</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>36</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16268</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26506</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207037</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RENEE HIVELY</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>159027</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1654</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18141</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA BLACK</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>122038</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>36</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12056</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23842</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157972</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>103351</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>- INNOVATION: WE INFUSE AND ENERGIZE THE ORGANIZATION THROUGH THE CREATIVE IDEAS AND UNIQUE TALENTS OF EACH EMPLOYEE. - STEWARDSHIP: WE SUSTAIN AND REINVEST IN OUR MISSION AND EXTENDED COMMUNITIES BY WISELY MANAGING OUR MATERIAL AND HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GABRIELLE WITHINGTON AND RICK TORRES SHARE THE FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO WILL REVIEW THE 990 IN DETAIL AND THE FORM 990 WILL BE SENT VIA EMAIL TO ALL BOARD MEMBERS BEFORE THE FORM IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS ADOPTED A POLICY WITH RESPECT TO CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST INVOLVING PERSONS WHO ARE NOMINATED TO OR HAVE BEEN ELECTED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE POLICY SHALL BE REVIEWED PERIODICALLY BY THE BOARD OF DIRECTORS AND MAY BE MODIFIED FROM TIME TO TIME. THE POLICY SHALL ALSO INCLUDE REQUIREMENTS WITH RESPECT TO EMPLOYEES AND CONSULTANTS OF THIS CORPORATION TO THE EXTENT DEEMED APPROPRIATE BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. THE BOARD USES A NACHC SALARY SURVEY AND KAMU SALARY SURVEY WHEN REVIEWING THE CEO'S COMPENSATION. THIS EVALUATION USUALLY INCLUDES DETERMINATION OF A SALARY ADJUSTMENT OF A CERTAIN PERCENTAGE. THIS PROCESS IS NOT DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS WILL BE DISTRIBUTED UPON REQUEST TO ANY MEMBER OF THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>