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            <ZIPCd>32901</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL DIRECTOR SERVICES</ServicesDesc>
        <CompensationAmt>263000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FLORIDA NEPHROLOGY PLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7350 FUTURES DR 1</AddressLine1Txt>
            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32819</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL DIRECTOR SERVICES</ServicesDesc>
        <CompensationAmt>205000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MILANIA'S MEDICAL PROPERTIES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>103 E FOURTH AVE</AddressLine1Txt>
            <CityNm>WINDERMERE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34786</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENTAL SERVICES</ServicesDesc>
        <CompensationAmt>196252</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IVT RIO PINAR PLAZA LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677813</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENTAL SERVICES</ServicesDesc>
        <CompensationAmt>188195</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRINITY QUORUM CENTER LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>135 W CENTRAL BLVD 90</AddressLine1Txt>
            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENTAL SERVICES</ServicesDesc>
        <CompensationAmt>110934</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1030</AllOtherContributionsAmt>
      <TotalContributionsAmt>1030</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>22261809</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22261809</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3914</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3914</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>22265723</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>592220</TotalRevenueColumnAmt>
        <ExclusionAmt>592220</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>3500</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3500</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3500</TotalRevenueColumnAmt>
        <ExclusionAmt>3500</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5629072</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>4737917</SecuritiesAmt>
        <OtherAmt>955</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>891155</SecuritiesAmt>
        <OtherAmt>-955</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>890200</TotalRevenueColumnAmt>
        <ExclusionAmt>890200</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23752673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22265723</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1485920</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>3405</TotalAmt>
        <ProgramServicesAmt>3405</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>250178</TotalAmt>
        <ManagementAndGeneralAmt>250178</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>8643541</TotalAmt>
        <ProgramServicesAmt>6738841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1904700</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>237705</TotalAmt>
        <ProgramServicesAmt>198303</ProgramServicesAmt>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1314673</TotalAmt>
        <ProgramServicesAmt>1151755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162918</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>635785</TotalAmt>
        <ProgramServicesAmt>509587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126198</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>23794</TotalAmt>
        <ManagementAndGeneralAmt>23794</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75513</TotalAmt>
        <ManagementAndGeneralAmt>75513</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>48627</TotalAmt>
        <ManagementAndGeneralAmt>48627</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1703093</TotalAmt>
        <ProgramServicesAmt>1491200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211893</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>49277</TotalAmt>
        <ManagementAndGeneralAmt>49277</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>137021</TotalAmt>
        <ProgramServicesAmt>54701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82320</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>155793</TotalAmt>
        <ManagementAndGeneralAmt>155793</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2157805</TotalAmt>
        <ProgramServicesAmt>2150782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7023</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>22754</TotalAmt>
        <ProgramServicesAmt>22754</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>154073</TotalAmt>
        <ProgramServicesAmt>8012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146061</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>149913</TotalAmt>
        <ProgramServicesAmt>141223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8690</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>923536</TotalAmt>
        <ProgramServicesAmt>864452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59084</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>149309</TotalAmt>
        <ProgramServicesAmt>129286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20023</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5629675</TotalAmt>
        <ProgramServicesAmt>5629675</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EQUIPMENT</Desc>
        <TotalAmt>133007</TotalAmt>
        <ProgramServicesAmt>133007</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <TotalAmt>66689</TotalAmt>
        <ProgramServicesAmt>66689</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>10715</TotalAmt>
        <ManagementAndGeneralAmt>10715</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>8801</TotalAmt>
        <ProgramServicesAmt>8567</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>22684682</TotalAmt>
        <ProgramServicesAmt>19302239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3382443</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>314497</EOYAmt>
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        <EOYAmt>1971913</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>541640</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>216925</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>6151874</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>17657044</EOYAmt>
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        <EOYAmt>2590671</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2125282</EOYAmt>
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        <EOYAmt>2088845</EOYAmt>
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        <EOYAmt>2503614</EOYAmt>
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        <EOYAmt>6717741</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>26120535</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>26120535</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>32838276</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1067991</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>692739</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>1315231</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES AND, THEREFORE, THESE FINANCIAL STATEMENTS CONTAIN NO PROVISION OR LIABILITY FOR INCOME TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADMINISTRATIVE GRANTS -3,405.</ExplanationTxt>
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        <DeferredCompensationFlngOrgAmt>4327</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>9696</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>264201</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KHRISTOFER AQUINO ARANA</PersonNm>
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        <DeferredCompensationFlngOrgAmt>3770</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>145172</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA TEW</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL EDUCATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>123252</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>5869</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9297</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>138418</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN VELEZ PEREZ</PersonNm>
        <TitleTxt>NURSE MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>115908</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>138196</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A REVIEW OF THE 990 IS CONDUCTED BY THE TREASURER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY DURING THE FINANCIAL STATEMENT AUDIT THE GOVERNING BODY IS ASKED ABOUT ANY CONFLICT OF INTERESTS THAT MAY EXIST. IF ANY EXIST, THEY ARE INVESTIGATED AND RESOLVED BY THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OFFICERS AND KEY EMPLOYEES, EXCLUSIVE OF THE CHIEF EXECUTIVE OFFICER, IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER. COMPENSATION OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER IS EVALUATED AND VOTED ON EACH YEAR BY THE COMPENSATION COMMITTEE. THE COMMITTE USES EXTERNAL FACTORS SUCH AS COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AS WELL AS, INTERNAL PERFORMANCE TO DETERMINE THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AGAINST TRENDS THEY HAVE EXPERIENCED AS LEADERS IN THEIR RESPECTIVE COMPANIES. THE COMPENSATION FOR OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER BY REVIEWING THE CURRENT RATES IN THE INDUSTRY ALONG WITH OTHER LOCAL SALARY GUIDES IN DETERMINING THE COMPENSATION AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE COMPILATION OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>