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      <Form990PartVIISectionAGrp>
        <PersonNm>MS KAREN KARLE</PersonNm>
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          <USAddress>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL STAFFING NETWORK</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>DALLAS</CityNm>
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        <ManagementAndGeneralAmt>89</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>665</ManagementAndGeneralAmt>
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        <EOYAmt>32000</EOYAmt>
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      <PublicSupportCY509Pct>0.97740</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97860</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02190</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02040</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>
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        <BeginningYearBalanceAmt>13439586</BeginningYearBalanceAmt>
        <ContributionsAmt>35141</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-1998994</InvestmentEarningsOrLossesAmt>
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        <AdministrativeExpensesAmt>53135</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11401214</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>11629473</BeginningYearBalanceAmt>
        <ContributionsAmt>45610</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2578627</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>763879</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>50245</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>13439586</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>11015271</BeginningYearBalanceAmt>
        <ContributionsAmt>47708</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>851470</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>240000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>44976</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11629473</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
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        <BeginningYearBalanceAmt>10572757</BeginningYearBalanceAmt>
        <ContributionsAmt>10042</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>689218</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>208917</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>47829</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11015271</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9695472</BeginningYearBalanceAmt>
        <ContributionsAmt>68138</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>924949</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>48321</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>67480</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>10572757</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1747281</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1747281</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>28994071</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11691350</DepreciationAmt>
        <BookValueAmt>17302721</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9394914</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7866702</DepreciationAmt>
        <BookValueAmt>1528212</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>503853</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>420850</DepreciationAmt>
        <BookValueAmt>83003</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>20661217</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16578605</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1911056</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-1911056</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18489661</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>53621</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-3589</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>50032</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18539693</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17090719</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3589</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3589</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>17087130</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>53621</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>53621</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17140751</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSES -3,589.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSES 3,589.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUND IS MANAGED BY THE BOARD OF DIRECTORS TO ADDRESS THE ONGOING CASH FLOW NEEDS OF THE CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FundraisingEventInformationGrp>
        <Event1Nm>FALL FLING</Event1Nm>
        <GrossReceiptsEvent1Amt>15587</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>10384</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>5203</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3589</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>15587</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>10384</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>5203</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3589</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>3589</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>1614</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MS GALE MAGYAR</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>209285</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6049</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6362</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221696</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MS SANDRA RAMDHANIE</PersonNm>
        <TitleTxt>CNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>155697</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4663</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6362</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166722</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EVALUATES THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE AND COMPENSATION ANNUALLY. THE COMPENSATION IS ALSO INDEPENDENTLY EVALUATED EVERY THREE TO FIVE YEARS BY A CONSULTANT. THE CONSULTANT PROVIDES UPDATED MARKET BASED SALARY DATA FOR THE CEO, LEVERAGING NATIONAL, REGIONAL AND INDUSTRY CRITERIA FROM MULTIPLE SOURCES, UTILIZING NON-PROFIT AND FOR-PROFIT DATA. MARKET DATA IS COMPARED TO THE CEO POSITION AND SALARY TO ENSURE THE SALARY IS IN LINE WITH IRS REGULATIONS. COMPENSATION AND BENEFITS BEST PRACTICES WITHIN THE INDUSTRY ARE INCLUDED.</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ERIE COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232302072</BondIssuerEIN>
        <BondIssuedDt>2022-04-26</BondIssuedDt>
        <IssuePriceAmt>9960000</IssuePriceAmt>
        <PurposeDesc>REFINANCE 2015 TAX-EXEMPT REVENUE NOTE</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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        <RetiredAmt>80000</RetiredAmt>
        <TotalProceedsAmt>9960000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>9960000</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND APPROVES FOR FILING. THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS THAT THE FORM 990 HAS BEEN FILED. THE FORM 990 IS ACCESSIBLE TO ANY BOARD MEMBER FOR REVIEW FOR INFORMATION PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER, DEPARTMENT DIRECTOR AND MEMBER OF THE PURCHASING STAFF IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM UPON ELECTION OR HIRE AND ANNUALLY THEREAFTER, AS LONG AS THEY ARE ON THE BOARD OR EMPLOYED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EVALUATES THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE AND COMPENSATION ANNUALLY. IN ADDITION, THE COMPENSATION IS INDEPENDENTLY EVALUATED EVERY 3-5 YEARS. THE CHIEF EXECUTIVE OFFICER AND ADMINISTRATOR PERFORM ANNUAL EVALUATIONS OF DEPARTMENT DIRECTORS. THE BOARD OF DIRECTORS IS APPROVING THE ANNUAL BUDGET OF THE ORGANIZATION, AND THEREFORE INDIRECTLY APPROVES THE WAGE INCREASE TO OTHER EMPLOYEES AT AN ORGANIZATIONAL-WIDE LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC FOR VIEWING AT THE CENTER UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANT: PROGRAM SERVICE EXPENSES 28,739. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,739. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 76,235. MANAGEMENT AND GENERAL EXPENSES 7,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,151. PAYROLL SERVICES FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,485. CONTRACTED THERAPISTS: PROGRAM SERVICE EXPENSES 633,257. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 633,257. LAB FEES/XRAY FEES: PROGRAM SERVICE EXPENSES 26,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,311. CONTRACTED NURSES: PROGRAM SERVICE EXPENSES 1,156,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,156,324. CONTRACTED BEAUTICIAN: PROGRAM SERVICE EXPENSES 25,314. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,314. SECURITY: PROGRAM SERVICE EXPENSES 76,051. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,051.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
