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        <ManagementAndGeneralAmt>7525</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2169</ManagementAndGeneralAmt>
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        <CurrentTaxYearMinus3YearsAmt>3007721</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3335681</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2103249</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>3335681</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2103249</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2524939</CurrentTaxYearAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>6087</CurrentTaxYearMinus2YearsAmt>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3047303</RevenueSubtotalAmt>
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      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <DonatedServicesUseFcltsAmt>0</DonatedServicesUseFcltsAmt>
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    <IRS990ScheduleO documentId="R000004" softwareId="24021167" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INDEPENDENT CPA FIRM PREPARE THE FORM 990. THE FORM WILL BE GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW, THE TREASURER WILL BE RESPONSIBLE FOR REVIEW THE FORM AND BRING TO THE ATTENTION OF THE BOARD OR EXECUTIVE DIRECTORS ANY CHANGES OR RECOMMENDATIONS DEEMS APPROPRIATE BEFORE ITS IS RATIFYING AND APPROVAL IN THE MEETING OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTORS NOTIFIES THE BOARD OF DIRECTORS ABOUT ANY CHANGES THAT COULD CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ANNUALLY APPROVES THE PROPOSAL SUBMITTED TO HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) WHICH INCLUDES THE ANNUAL SALARY OF THE EXECUTIVE DIRECTOR AND STAFF OF THE ASPPR. iT ALSO DISCUSSED IN ORDINARY MEETING OF THE BOARD OF DIRECTORS. SALARY IS DOCUMENTED IN A PERSONEL ACTION FORMAT. THE SALARY OF THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD THROUGH AN EVALUATION PROCESS, WHICH IS DOCUMENTED IN A PERSONAL ACTION FORMAT. MOST OF THE MEMBERS OF HTE BOARD ARE ALSO EXECUTIVE DIRECTORS OF THE COMMUNIY HEALTH CENTERS, MEMER OF THE ASSPR, WHICH DISCUSS AND ANALYZE THE BUDGET AND SALARY BASED ON THEIR EXPERIENCE OF THE PR EMPLOYMENT MARKET.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GENERAL PUBLIC HAS THE RIGHT TO INSPECT THE APPLICATION FROM FOR TAX EXEPTION, ANNUAL INFORMATION RETURN, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AT THE ORGANIZATION'S PRINCIPAL OFFICES DURING REGULAR BUSINESS HOURS. EACH INFORMATION RETURNS ARE AVAILABLE FOR A PERIOD OF THREE YEARS BEGINNING OF THE DATE THE RETURN IS REQUIRED TO BE FILLED. THE GENERAL PUBLIC HAS THE RIGHT TO INSPECT AND REQUEST COPY WITH A REASONABLE AND ACTUAL POSTAL COST, IF APPLY. ALSO, THIS INFORMATION WILL BE AVAILABLE IN THE PUBLIC WEB SITE THAT MIGHT BE NOTIFY TO PUBLIC WHEN THEY REQUEST THE INFORMATION. ANY CHANGE IN OUR GOVERNING DOCUMENTS, BY LAWS AND AMENDMENTS CONFLICT OF INTEREST POLICY AND OUR UNAUDITED FINANCIAL STATEMENTS ARE DISCLOSED IN OUR QUARTERLY AND ANNUAL MEETINGS. OUR MEMBERS AND GENERAL PUBLIC MAY PARTICIPATE AND GET KNOWLEDGE ABOUT ANY CHANGES, IF APPLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>