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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      <InformationTechnologyGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>836239</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>7649533</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>4835022</EOYAmt>
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        <EOYAmt>12484555</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1303756</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="23017517" softwareVersionNum="2023v5.1">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="23017517" softwareVersionNum="2023v5.1">
      <BuildingsGrp>
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        <DepreciationAmt>3998447</DepreciationAmt>
        <BookValueAmt>3735521</BookValueAmt>
      </BuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3735521</TotalBookValueLandBuildingsAmt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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        <TitleTxt>CAO</TitleTxt>
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        <PersonNm>KNAYA TABORA</PersonNm>
        <TitleTxt>CNO/COO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>216271</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO reviews and approves Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>LEASED EQUIPMENT: Column (A) - Total = $37233; Column (B) - Program Services = $29786; Column (C) - Management &amp; General = $7447; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES: Column (A) - Total = $360406; Column (B) - Program Services = $288325; Column (C) - Management &amp; General = $72081; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER SUPPLIES: Column (A) - Total = $238831; Column (B) - Program Services = $191065; Column (C) - Management &amp; General = $47766; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACEUTICAL SUPPLIES: Column (A) - Total = $65342; Column (B) - Program Services = $52274; Column (C) - Management &amp; General = $13068; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>REPAIRS &amp; MAINTENANCE: Column (A) - Total = $329336; Column (B) - Program Services = $263469; Column (C) - Management &amp; General = $65867; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>SMALL EQUIPMENT : Column (A) - Total = $65434; Column (B) - Program Services = $52347; Column (C) - Management &amp; General = $13087; Column (D) - Fundraising = $0</ExplanationTxt>
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    <ReasonableCauseExplanation documentId="ReasonableCauseExplanation" softwareId="23017517" softwareVersionNum="2023v5.1">
      <ExplanationTxt>We respectfully request that any late filing penalty be waived due to reasonable cause. On 5/13/2024 I contracted Covid along with my business partner. I became seriously ill and was basically unconcious and in bed at the time I normally file the extension for this entity (initial due date was 5/15/2024). We are the only two licensed prepares in the Firm and there was no one else to file the extension for us. We tested negative and returned to work on 6/26/24 and immediatley prepared thus return, obtained efile signatures and filed this return. It was physically impossible to file the extension and we literally thought Covid was going to kill us. We have never been late with any nonprofit entity and we believe we were late due to reasonable cause - Covid was not reasonable with us. We ae responsible people and obtained all of the shots - it just hit us hard.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>
