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        <Desc>Private Patient</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>375511</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>375511</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Contractual Adjustment</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>273517</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>273517</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Personal Support</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>132085</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>132085</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Miscellaneous Income</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>29580</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29580</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4284473</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>336196</TotalRevenueColumnAmt>
        <ExclusionAmt>336196</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4873062</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5155537</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-282475</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-282475</TotalRevenueColumnAmt>
        <ExclusionAmt>-282475</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>306699</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>194312</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>112387</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>112387</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4627566</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4396860</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>53721</ExclusionAmt>
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        <ManagementAndGeneralAmt>130204</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>2476843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143966</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>43191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2051</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>354176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150880</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>191132</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20209</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>48499</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>57363</TotalAmt>
        <ManagementAndGeneralAmt>57363</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>44104</TotalAmt>
        <ProgramServicesAmt>44104</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>7623</TotalAmt>
        <ManagementAndGeneralAmt>7623</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>112258</TotalAmt>
        <ProgramServicesAmt>44191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68067</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>94062</TotalAmt>
        <ManagementAndGeneralAmt>94062</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>142106</TotalAmt>
        <ProgramServicesAmt>142106</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>52763</TotalAmt>
        <ProgramServicesAmt>49787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2976</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>41121</TotalAmt>
        <ProgramServicesAmt>41121</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>242305</TotalAmt>
        <ProgramServicesAmt>242305</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>64745</TotalAmt>
        <ManagementAndGeneralAmt>64745</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Service Provider Tax</Desc>
        <TotalAmt>242594</TotalAmt>
        <ProgramServicesAmt>242594</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food Expense</Desc>
        <TotalAmt>69695</TotalAmt>
        <ProgramServicesAmt>69695</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
        <TotalAmt>63088</TotalAmt>
        <ProgramServicesAmt>43908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19180</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>19100</TotalAmt>
        <ProgramServicesAmt>19100</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4814078</TotalAmt>
        <ProgramServicesAmt>4004253</ProgramServicesAmt>
        <ManagementAndGeneralAmt>809825</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>47403</BOYAmt>
        <EOYAmt>41909</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1585813</BOYAmt>
        <EOYAmt>1181955</EOYAmt>
      </SavingsAndTempCashInvstGrp>
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        <EOYAmt>361867</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>780</BOYAmt>
        <EOYAmt>11662</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>6954789</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3631327</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3546536</BOYAmt>
        <EOYAmt>3323462</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7433198</BOYAmt>
        <EOYAmt>9301143</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <BOYAmt>1751222</BOYAmt>
        <EOYAmt>1916193</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>16138191</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>324880</BOYAmt>
        <EOYAmt>360391</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>821163</BOYAmt>
        <EOYAmt>798931</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>1159322</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>13979816</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>999053</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>14978869</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>16138191</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-186512</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1177702</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>63620</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
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        <CurrentTaxYearMinus4YearsAmt>109231</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>108268</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>190967</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>738545</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>176985</CurrentTaxYearAmt>
        <TotalAmt>1323996</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>4471212</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4542228</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4161400</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4213555</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4396860</CurrentTaxYearAmt>
        <TotalAmt>21785255</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4580443</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4650496</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4352367</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4952100</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4573845</CurrentTaxYearAmt>
        <TotalAmt>23109251</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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        <CurrentTaxYearMinus2YearsAmt>2232695</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2078746</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>2232695</CurrentTaxYearMinus2YearsAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>136485</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>131477</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>51894</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>336196</CurrentTaxYearAmt>
        <TotalAmt>773329</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>4786981</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4483844</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5003994</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4910041</CurrentTaxYearAmt>
        <TotalAmt>23882580</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.53660</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.52010</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03240</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02330</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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>426937</OtherCostOrOtherBasisAmt>
        <BookValueAmt>426937</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5315942</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2634005</DepreciationAmt>
        <BookValueAmt>2681937</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <BookValueAmt>148324</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>683551</DepreciationAmt>
        <BookValueAmt>66264</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3323462</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Beneficial Interest in Perpetual Trust</Desc>
        <BookValueAmt>990140</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Estimated Third-Party Payor Settlements</Desc>
        <BookValueAmt>926053</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1916193</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6005837</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1177702</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>257932</OtherRevenueAmt>
      <RevenueNotReportedAmt>1435634</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4570203</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>57363</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>57363</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4627566</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4951027</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>194312</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>194312</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4756715</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>57363</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>57363</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4814078</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>COGS - Redemption Costs 194,312. Change in Value of Perpetual Trust 63,620.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>COGS - Redemption Costs 194,312.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed by the Executive Director. A copy of the 990 was provided to each member of the Board of Directors prior to filing. The 990 was provided to members by mail or in person.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members sign an annual conflict of interest statement. If a conflict occurs then the board member is asked not to vote on that particular issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and conflict of interest policy are available upon request. Financial statements are available through the newsletter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Coastal Opportunities PO Box 637, 35 Limerock Street Camden, ME 04843-0637 EIN: 01-0315931 Coastal Opportunities is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Value of Perpetual Trust 63,620.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
