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        <ExclusionAmt>7009</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>15400</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>15400</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>15400</TotalRevenueColumnAmt>
        <ExclusionAmt>15400</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CREDIT CARD REWARDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2521</TotalRevenueColumnAmt>
        <ExclusionAmt>2521</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1343</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>24930</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>13293</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>540846</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>47804</ProgramServicesAmt>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>230630</TotalAmt>
        <ProgramServicesAmt>184969</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>222704</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>778</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>67722</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>2853</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>67611</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>27373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8790</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>359775</TotalAmt>
        <ProgramServicesAmt>346935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12840</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>533322</TotalAmt>
        <ProgramServicesAmt>462059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71263</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>142903</TotalAmt>
        <ProgramServicesAmt>113687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29216</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>48479</TotalAmt>
        <ProgramServicesAmt>46283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2196</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>58569</TotalAmt>
        <ProgramServicesAmt>49217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9352</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>70243</TotalAmt>
        <ProgramServicesAmt>17919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52324</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MATERIALS AND SUPPLIES</Desc>
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        <ProgramServicesAmt>385102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14293</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>114434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25276</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPORTIVE SERVICES</Desc>
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        <ProgramServicesAmt>106630</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>TRAINING AND RECRUITING</Desc>
        <TotalAmt>43251</TotalAmt>
        <ProgramServicesAmt>28146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15105</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>67075</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>12151583</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>411763</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1134206</ReconcilationRevenueExpnssAmt>
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      <PriorPeriodAdjustmentsAmt>213899</PriorPeriodAdjustmentsAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>0</FederalGrantAuditPerformedInd>
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      <GiftsGrantsContrisRcvd509Grp>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>6513630</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8133611</CurrentTaxYearMinus1YearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus1YearAmt>8198019</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8433914</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>34298214</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>5438</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>457</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>7009</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearAmt>3864</CurrentTaxYearAmt>
        <TotalAmt>66175</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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      <InvestmentIncomePYPct>0.00050</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <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">
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        <BookValueAmt>670165</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>689351</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>304931</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>2463199</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2463199</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AHCCCS</Desc>
        <Amt>664804</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>2463199</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3128003</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
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        <CashGrantAmt>13293</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLICATIONS FOR EDUCATION OR EMERGENCY ASSISTANCE ARE SUBMITTED AND REVIEWED BY A COMMITTEE FOR ELIGIBILITY,COMPLIANCE, AND FUNDING PER WRITTEN PROCEDURES AND FUNDING AGENCY REQUIREMENT GUIDELINES.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LLOYD HERSHEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR/PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267759</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2246</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163880</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE OF THE LISTED EXPENSES ARE ALLOWED FOR REIMBURSEMENT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE SEPARATE COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CFO REVIEW THE FORM 990 IN CONJUNCTION WITH THE AUDITED FINANCIAL STATEMENTS BEFORE SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT ADDRESSES THE CONSIDERATION OF POTENTIAL CONFLICTS OF INTEREST BY THE BOARD OF DIRECTORS, LEADERSHIP MEMBERS, AND KEY EMPLOYEES. PER THE POLICY, BOARD AND LEADERSHIP MEMBERS MUST MAKE DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST AND MUST ABSTAIN FROM VOTING ON ANY ACTION IN WHICH THEY MAY HAVE AN INTEREST. ON AN ANNUAL BASIS, ALL BOARD AND LEADERSHIP MEMBERS ARE REQUIRED TO SIGN OFF ON AN ANNUAL CONFLICT OF INTEREST FORM, EITHER STATING ANY KNOWN CONFLICTS, OR STATING THAT THERE ARE NONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES, AS NEEDED, DETERMINES REASONABLE AND APPROPRIATE SALARIES FOR KEY EMPLOYEES OF THE ORGANIZATION VIA A SALARY MARKET ANALYSIS. THE ORGANIZATION HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI- PRIOR PERIOD ADJUSTMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIOR PERIOD ADJUSTMENT ACCOUNTS FOR ADJUSTMENTS RECORDED DURING THE AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023. THE 2023 FORM 990 WAS PREPARED PRIOR TO THE COMPLETION OF THE 2023 AUDIT. THE PRIOR PERIOD ADJUSTMENT IS MADE UP OF CORRECTIONS RELATING TO: CORRECTION OF VARIOUS EXPENSES IN THE AMOUNT OF APPROXIMATELY $181,400, CORRECTION OF THE HEALTH RECEIVABLE BALANCE IN THE AMOUNT OF APPROXIMATELY $18,500; CORRECTIONS OF THE GAINS ON INVESTMENTS, GAINS ON DISPOSALS, AND DONATIONS INCOME IN THE AMOUNT OF APPROXIMATELY $14,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII- LINES 2 AND 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS IN THE PROCESS OF HAVING AN AUDIT PERFORMED FOR THE YEAR ENDED 12/31/24 AT THE TIME THIS FORM 990 WAS FILED. HOWEVER, THE AUDIT WAS NOT YET COMPLETED AT THAT TIME. THE AUDIT ALSO INCLUDES A SINGLE AUDIT IN ACCORDANCE WITH THE UNIFORM GUIDANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>