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      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>204898</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>6988</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>96498</FundraisingAmt>
      <GovernmentGrantsAmt>86537</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>445481</AllOtherContributionsAmt>
      <NoncashContributionsAmt>37052</NoncashContributionsAmt>
      <TotalContributionsAmt>628516</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenu</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4008600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4008600</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4008600</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>11987</TotalRevenueColumnAmt>
        <ExclusionAmt>11987</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>6464</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-6464</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-6464</TotalRevenueColumnAmt>
        <ExclusionAmt>-6464</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>8760</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>96498</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>24723</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-15963</TotalRevenueColumnAmt>
        <ExclusionAmt>-15963</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>23169</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23169</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>23169</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4649845</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4031769</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-10440</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>211886</TotalAmt>
        <ManagementAndGeneralAmt>211886</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2693964</TotalAmt>
        <ProgramServicesAmt>2430055</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128210</ManagementAndGeneralAmt>
        <FundraisingAmt>135699</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>9815</TotalAmt>
        <ProgramServicesAmt>9175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>488</ManagementAndGeneralAmt>
        <FundraisingAmt>152</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>162309</TotalAmt>
        <ProgramServicesAmt>129616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19217</ManagementAndGeneralAmt>
        <FundraisingAmt>13476</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>213466</TotalAmt>
        <ProgramServicesAmt>178874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24587</ManagementAndGeneralAmt>
        <FundraisingAmt>10005</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>20060</TotalAmt>
        <ManagementAndGeneralAmt>20060</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>67092</TotalAmt>
        <ProgramServicesAmt>16574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49950</ManagementAndGeneralAmt>
        <FundraisingAmt>568</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>87352</TotalAmt>
        <ProgramServicesAmt>69398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2760</ManagementAndGeneralAmt>
        <FundraisingAmt>15194</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>27619</TotalAmt>
        <ProgramServicesAmt>12409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6592</ManagementAndGeneralAmt>
        <FundraisingAmt>8618</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>59386</TotalAmt>
        <ProgramServicesAmt>36649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16404</ManagementAndGeneralAmt>
        <FundraisingAmt>6333</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>341564</TotalAmt>
        <ProgramServicesAmt>236870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103399</ManagementAndGeneralAmt>
        <FundraisingAmt>1295</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>36830</TotalAmt>
        <ProgramServicesAmt>31483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4820</ManagementAndGeneralAmt>
        <FundraisingAmt>527</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>26864</TotalAmt>
        <ManagementAndGeneralAmt>26864</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>54813</TotalAmt>
        <ProgramServicesAmt>48856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4800</ManagementAndGeneralAmt>
        <FundraisingAmt>1157</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>38275</TotalAmt>
        <ProgramServicesAmt>28941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2599</ManagementAndGeneralAmt>
        <FundraisingAmt>6735</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Dispensing Equipment</Desc>
        <TotalAmt>594456</TotalAmt>
        <ProgramServicesAmt>594456</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>104986</TotalAmt>
        <ProgramServicesAmt>58186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44735</ManagementAndGeneralAmt>
        <FundraisingAmt>2065</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Credit Card and Bank Fe</Desc>
        <TotalAmt>55751</TotalAmt>
        <ProgramServicesAmt>50497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3227</ManagementAndGeneralAmt>
        <FundraisingAmt>2027</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Clinical Supplies</Desc>
        <TotalAmt>23361</TotalAmt>
        <ProgramServicesAmt>23195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162</ManagementAndGeneralAmt>
        <FundraisingAmt>4</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>17671</TotalAmt>
        <ProgramServicesAmt>2265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11486</ManagementAndGeneralAmt>
        <FundraisingAmt>3920</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4847520</TotalAmt>
        <ProgramServicesAmt>3957499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>682246</ManagementAndGeneralAmt>
        <FundraisingAmt>207775</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>56504</BOYAmt>
        <EOYAmt>126752</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>91811</BOYAmt>
        <EOYAmt>72555</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1451</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>354490</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>23513</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>11579</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>330062</BOYAmt>
        <EOYAmt>268784</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>148719</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>447360</EOYAmt>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>384833</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>470872</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1317353</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>-93436</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>335804</BOYAmt>
        <EOYAmt>257200</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>355139</BOYAmt>
        <EOYAmt>163764</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1746125</BOYAmt>
        <EOYAmt>1481117</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-197675</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6300</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1852238</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>452758</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>565778</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>628516</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>452758</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>565778</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>628516</CurrentTaxYearAmt>
        <TotalAmt>4596009</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>13370</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10088</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11987</CurrentTaxYearAmt>
        <TotalAmt>59216</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>8</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>12335</CurrentTaxYearMinus1YearAmt>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <EndYearBalanceAmt>45329</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>1647</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>115761</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>112373</BeginningYearBalanceAmt>
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        <EndYearBalanceAmt>112664</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>10471</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>112373</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <EndYearBalanceAmt>98622</EndYearBalanceAmt>
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      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
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      <LeaseholdImprovementsGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Earnings on the endowment is for operating needs and employee quality achievement awards.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Special Event Direct Expenses</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Special Event Direct Expenses</ExplanationTxt>
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        <Event2Nm>5k</Event2Nm>
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        <FoodAndBeverageEvent2Amt>1020</FoodAndBeverageEvent2Amt>
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        <GrossReceiptsTotalAmt>105258</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>96498</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>8760</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>4454</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4306</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>15963</OthDirectExpnssTotalEventsAmt>
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        <NetIncomeSummaryAmt>-15963</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="RetDoc1042900001">
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        <Desc>Computers</Desc>
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        <NoncashContributionsRptF990Amt>37052</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>Number of items contributed</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed and approved by the finance committee of the board of directors, at the same time the Form 990 is available to all board members for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest statements are completed by all board members and key employees on an annual basis. Any identified conflicts are made known to all board members. Board members with conflicts involving voting matters refrain from voting on those matters.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>A committee of the board of directors determined and approved the President's compensation based on comparable not-for-profit organizations in the Rochester, NY area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All policies, financial statements and governing documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>