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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>Branch Bank &amp; Trust</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>7.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board has contracted with PHI Management Services, LLC to provide executive level management and advisory services for the period May 1, 2016 to December 31, 2018. The Board signed an agreement to amend the original contract with PHI Management Services, LLC to extend the term of services from January 1, 2019 to December 31, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed and approved by the Executive Committee and provided to the full Board prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are asked annually to sign a conflict of interest statement and are asked to disclose any interests which may give rise to conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is regulated by the Insurance Commission and the financial statements are part of the Disclosure required by them.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Management fees: Program service expenses 621,426. Management and general expenses 621,426. Fundraising expenses 0. Total expenses 1,242,852. Office expenses: Program service expenses 924,780. Management and general expenses 0. Fundraising expenses 0. Total expenses 924,780. Contractual dietary: Program service expenses 844,369. Management and general expenses 0. Fundraising expenses 0. Total expenses 844,369. Miscellaneous: Program service expenses 598,998. Management and general expenses 185,222. Fundraising expenses 0. Total expenses 784,220. Prescription drugs, etc.: Program service expenses 528,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 528,653. Charitable care: Program service expenses 487,812. Management and general expenses 0. Fundraising expenses 0. Total expenses 487,812. Insurance: Program service expenses 270,737. Management and general expenses 121,136. Fundraising expenses 0. Total expenses 391,873. Supplies: Program service expenses 49,607. Management and general expenses 210,989. Fundraising expenses 0. Total expenses 260,596. Property Taxes: Program service expenses 62,810. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,810. Dues and Subscriptions: Program service expenses 4,688. Management and general expenses 34,843. Fundraising expenses 0. Total expenses 39,531. Amortization of bond issue costs: Program service expenses 20,545. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,545.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Unrealized loss on interest rate swap -417,283.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>