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        <RelatedOrExemptFuncIncomeAmt>718298</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>24797</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>15794</RelatedOrExemptFuncIncomeAmt>
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    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="23017517" softwareVersionNum="2023v5.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LOUIS THARP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EXEC DIRECTOR</RelationshipDescriptionTxt>
        <TransactionDesc>RENTAL LEASE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE L, PART V - ADDITIONAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: ONLINE AND COMMUNITY EVENTS DESIGNED TO IMPROVE ACCESS TO CARE AND HELP PATIENTS IMPROVE THEIR QUALITY OF LIFE THROUGH BETTER PATIENT/PHYSICIAN RELATIONSHIP ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>LOUIS THARP SPOUSEJAMES BUMGARDNER SPOUSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>RETURN IS REVIEWED BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UNRESTRICTED NET ASSETS ADJUSTMENT = $524039</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6 - TOTAL NUMBER OF VOLUNTEERS</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS INCLUDED UNPAID INTERNS AND COMMUNITY EDUCATION ADVISORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B - ORGANIZATIONS PROCESS TO REVIEW FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>RETURN IS REVIEWED BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS -DISCLOSURE INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN UNFUNDED PENSION LIABILITY $ 359,494BOOK TO TAX DEPRECIATION $ 0</ExplanationTxt>
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</Return>