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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANA GILWORTH</PersonNm>
        <TitleTxt>DIRECTOR - LEFT DECEMBER 2017</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEN RETTERATH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TONY SLONIM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABBY BADOLATO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN PACKHAM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAMAL JEMMOUA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL O'CARROLL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAN DAVIS</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>24684</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>305</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>392547</ManagementAndGeneralAmt>
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        <TotalAmt>3748180</TotalAmt>
        <ProgramServicesAmt>3290505</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>249946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55491</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>341877</TotalAmt>
        <ProgramServicesAmt>258031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83846</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>13880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17620</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>4238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2349</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>170632</TotalAmt>
        <ProgramServicesAmt>132240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38392</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>287485</TotalAmt>
        <ProgramServicesAmt>247743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39742</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>168485</TotalAmt>
        <ProgramServicesAmt>162341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6144</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>7498</TotalAmt>
        <ProgramServicesAmt>1277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6221</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>86935</TotalAmt>
        <ManagementAndGeneralAmt>86935</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>4512</TotalAmt>
        <ProgramServicesAmt>3677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>835</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT MEDICAL CARE</Desc>
        <TotalAmt>3909319</TotalAmt>
        <ProgramServicesAmt>3909319</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE AND INTERNET</Desc>
        <TotalAmt>84601</TotalAmt>
        <ProgramServicesAmt>71510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13091</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND LICENSES</Desc>
        <TotalAmt>63121</TotalAmt>
        <ProgramServicesAmt>52642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10479</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>INTEREST &amp; BANK CHARGES</Desc>
        <TotalAmt>35491</TotalAmt>
        <ProgramServicesAmt>27962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7529</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>22585</TotalAmt>
        <ProgramServicesAmt>9475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13110</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>9666792</TotalAmt>
        <ProgramServicesAmt>8434786</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1232006</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>383171</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>13402</BOYAmt>
        <EOYAmt>18019</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1347866</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>369</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>3631</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>63560</BOYAmt>
        <EOYAmt>62455</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>282810</BOYAmt>
        <EOYAmt>213993</EOYAmt>
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        <BOYAmt>5231</BOYAmt>
        <EOYAmt>6786</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2036290</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>524068</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>296882</EOYAmt>
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        <EOYAmt>15735</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>836685</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>1147802</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>17676</BOYAmt>
        <EOYAmt>51803</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1152335</BOYAmt>
        <EOYAmt>1199605</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2168230</BOYAmt>
        <EOYAmt>2036290</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>47270</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4992101</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6706896</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7433420</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7909655</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7375489</CurrentTaxYearAmt>
        <TotalAmt>34417561</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4992101</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6706896</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7433420</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7909655</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7375489</CurrentTaxYearAmt>
        <TotalAmt>34417561</TotalAmt>
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      <PublicSupportTotal170Amt>34417561</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>18146</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13159</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22289</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>48678</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48658</CurrentTaxYearAmt>
        <TotalAmt>150930</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>396775</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>379210</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2289915</CurrentTaxYearAmt>
        <TotalAmt>3640924</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>3640924</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99650</PublicSupportPY170Pct>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
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        <DepreciationAmt>19997</DepreciationAmt>
        <BookValueAmt>4999</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>9714062</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>9666792</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AHN IS ORGANIZED AS A NEVADA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VI) AND (VIII), AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION UNDER SECTIONS 509(A)(1) AND (3). AHN IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, AHN IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. AHN HAS DETERMINED THAT IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. AHN BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. AHN WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRI RICE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175257</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4691</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179948</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SHERRI RICE, CEO TREVOR RICE, COO - FAMILY RELATIONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND REVIEWED AT THE BOARD OF DIRECTORS' ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE APPROVAL PROCESS INCLUDES COMPARABLE DATA DETERMINED BY A STATEWIDE STUDY PUBLISHED AND COMPILED BY THE NEVADA NONPROFIT NEWS. THE ORGANIZATION PERFORMS A NONPROFIT COMPENSATION REVIEW EVERY TWO YEARS THAT IS A COMPARISION STUDY FOR CEOS AND TOP MANAGEMENT STAFF. ALL COMPENSATION PACKAGES FOR KEY MANAGEMENT ARE APPROVED FIRST BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THEN BY THE ENTIRE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS POLICIES AND FINANCIAL DATA AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>