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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES AND COMMMERCIAL INSU</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1163363</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1163363</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>395309</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>395309</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL ASSISTANCE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>12578</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12578</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8843476</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>212263</TotalRevenueColumnAmt>
        <ExclusionAmt>212263</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4199274</SecuritiesAmt>
        <OtherAmt>12425</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>4149699</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>49575</SecuritiesAmt>
        <OtherAmt>12425</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>62000</TotalRevenueColumnAmt>
        <ExclusionAmt>62000</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>12102</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12102</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>12102</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11460035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8855578</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>274263</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>31398</TotalAmt>
        <ProgramServicesAmt>31398</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>396941</TotalAmt>
        <ProgramServicesAmt>339177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57764</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6041998</TotalAmt>
        <ProgramServicesAmt>5154782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>887216</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>640688</TotalAmt>
        <ProgramServicesAmt>568930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71758</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>547625</TotalAmt>
        <ProgramServicesAmt>468093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79532</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>15000</TotalAmt>
        <ManagementAndGeneralAmt>15000</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>39000</TotalAmt>
        <ManagementAndGeneralAmt>39000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1720249</TotalAmt>
        <ProgramServicesAmt>1663179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57070</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>55363</TotalAmt>
        <ProgramServicesAmt>51604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3759</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>356079</TotalAmt>
        <ProgramServicesAmt>315819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40260</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>34177</TotalAmt>
        <ProgramServicesAmt>34177</ProgramServicesAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>49079</TotalAmt>
        <ProgramServicesAmt>41589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7490</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>258267</TotalAmt>
        <ProgramServicesAmt>242294</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15973</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASES - COUNTY FUND</Desc>
        <TotalAmt>235314</TotalAmt>
        <ProgramServicesAmt>235314</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UNCOLLECTIBLE SERVICES</Desc>
        <TotalAmt>99500</TotalAmt>
        <ProgramServicesAmt>99500</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>64460</TotalAmt>
        <ProgramServicesAmt>57282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7178</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>56901</TotalAmt>
        <ProgramServicesAmt>52712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4189</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>81295</TotalAmt>
        <ProgramServicesAmt>40236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41059</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>10723334</TotalAmt>
        <ProgramServicesAmt>9396086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1327248</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>10723228</BOYAmt>
        <EOYAmt>3252509</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1146140</BOYAmt>
        <EOYAmt>11361524</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1547609</BOYAmt>
        <EOYAmt>1806809</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>39121</BOYAmt>
        <EOYAmt>86606</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3181282</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2560605</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>666756</BOYAmt>
        <EOYAmt>620677</EOYAmt>
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        <BOYAmt>3150389</BOYAmt>
        <EOYAmt>1192673</EOYAmt>
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        <BOYAmt>17273243</BOYAmt>
        <EOYAmt>18320798</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>759181</BOYAmt>
        <EOYAmt>779142</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>597872</BOYAmt>
        <EOYAmt>892935</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1357053</BOYAmt>
        <EOYAmt>1672077</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>15916190</BOYAmt>
        <EOYAmt>16648721</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>15916190</BOYAmt>
        <EOYAmt>16648721</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>17273243</BOYAmt>
        <EOYAmt>18320798</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>736701</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6797</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>-10967</InvestmentExpenseAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2132724</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1934176</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3612114</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2545506</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2330194</CurrentTaxYearAmt>
        <TotalAmt>12554714</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2132724</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1934176</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3612114</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2545506</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2330194</CurrentTaxYearAmt>
        <TotalAmt>12554714</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>12554714</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>48417</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>42294</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33957</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>135315</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>212263</CurrentTaxYearAmt>
        <TotalAmt>472246</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>26197</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13929</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33819</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12102</CurrentTaxYearAmt>
        <TotalAmt>113139</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>13140099</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>51777925</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95550</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>121671</OtherCostOrOtherBasisAmt>
        <BookValueAmt>121671</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2229349</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1737854</DepreciationAmt>
        <BookValueAmt>491495</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>519226</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>511715</DepreciationAmt>
        <BookValueAmt>7511</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>311036</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>311036</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>620677</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS - SHORT TERM BOND</Desc>
        <BookValueAmt>1192673</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1192673</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>11455865</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6797</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>6797</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11449068</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>10967</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>10967</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11460035</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10723334</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10723334</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10723334</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CASH EXPENDITURES FOR ITEMS AND SERVICES PROVIDED TO CONSUMERS</GrantTypeTxt>
        <RecipientCnt>522</RecipientCnt>
        <CashGrantAmt>31398</CashGrantAmt>
        <ValuationMethodUsedDesc>ACTUAL COST</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, SCHEDULE I - PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ASSISTANCE TO DOMESTIC INDIVIDUALS ARE MONITORED AS FOLLOWS: 1) THE DESIGNATED GENERAL LEDGER ACCOUNT IS USED TO RECORD AND MONITOR EXPENDITURES. 2) ALL EXPENDITURES REQUIRE THE REVIEW AND APPROVAL OF A SUPERVISOR. 3) DETERMINATION OF EXPENDITURES IS BASED UPON EACH CONSUMER'S TREATMENT AND RECOVERY PLAN TO ENSURE EACH PERSON IS MAKING PROGRESS AND IMPROVING OR MAINTAINING BETTER MENTAL HEALTH. 4) RECORDS OF EXPENDITURES ARE MAINTAINED IN THE PROGRAM DEPARTMENT AND THE ACCOUNTING DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>JANICE A LYBRAND MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>172252</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172252</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALARIE O'CONNOR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>168071</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168071</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND A DRAFT COPY IS REVIEWED BY EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICIES ARE INCLUDED IN THE BOARD OF DIRECTORS BY-LAWS AND IN THE AGENCY EMPLOYEE MANUAL. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO SIGN A DOCUMENT ACKNOWLEDGING THEIR UNDERSTANDING AND COMPLIANCE WITH THE POLICY. UPON HIRING, EMPLOYEES ARE REQUIRED TO SIGN A DOCUMENT ACKNOWLEDGING RECEIPT AND UNDERSTANDING OF THE EMPLOYEE MANUAL. A COMPLIANCE OFFICER IS DESIGNATED WITH THE RESPONSIBILITY OF RECEIVING AND INVESTIGATING ALL REPORTED CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN REQUIRED, THE BOARD OF DIRECTORS RESEARCHES, VETS, AND APPROVES THE HIRING AND COMPENSATION OF THE AGENCY CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO APPROPRIATE ENTITIES/PEOPLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,700. PAYROLL PROCESSING AND OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,370. SUBCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,663,179. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,663,179.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>