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        <PersonNm>DONALD HILLMAN</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>167115</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18473</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE SMITH</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>140226</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15358</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1464090</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>178923</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MATT LISKE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DENNIS ACOUSTICAL</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3169 EMILS LANDING</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID MEANINGFUL USE</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVES</Desc>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8146</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8146</RelatedOrExemptFuncIncomeAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5598</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>-5598</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-5598</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-5598</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18561389</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13804381</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>580211</TotalAmt>
        <ProgramServicesAmt>259673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320538</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>7873811</TotalAmt>
        <ProgramServicesAmt>6199096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1674715</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1339167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>500410</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>592273</TotalAmt>
        <ProgramServicesAmt>448643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143630</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1011523</TotalAmt>
        <ProgramServicesAmt>739755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>271768</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>171114</TotalAmt>
        <ProgramServicesAmt>138379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32735</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>354716</TotalAmt>
        <ProgramServicesAmt>158993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195723</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>331083</TotalAmt>
        <ProgramServicesAmt>216500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114583</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>286617</TotalAmt>
        <ProgramServicesAmt>136662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149955</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>145927</TotalAmt>
        <ManagementAndGeneralAmt>145927</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>395468</TotalAmt>
        <ProgramServicesAmt>53054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342414</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>35966</TotalAmt>
        <ProgramServicesAmt>6666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29300</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>4272455</TotalAmt>
        <ProgramServicesAmt>4272455</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINT</Desc>
        <TotalAmt>196492</TotalAmt>
        <ProgramServicesAmt>187195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9297</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND LICENSES</Desc>
        <TotalAmt>127098</TotalAmt>
        <ProgramServicesAmt>37592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89506</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>48034</TotalAmt>
        <ProgramServicesAmt>8253</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39781</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>18262365</TotalAmt>
        <ProgramServicesAmt>14202083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4060282</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1624039</BOYAmt>
        <EOYAmt>1395919</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1477905</BOYAmt>
        <EOYAmt>1604968</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>336128</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>917288</BOYAmt>
        <EOYAmt>776607</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>148184</BOYAmt>
        <EOYAmt>143805</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>202819</BOYAmt>
        <EOYAmt>219795</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>10017248</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3157457</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5605690</BOYAmt>
        <EOYAmt>6859791</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>106646</BOYAmt>
        <EOYAmt>49424</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>10082571</BOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1050747</BOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2812432</BOYAmt>
        <EOYAmt>3881594</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3863179</BOYAmt>
        <EOYAmt>4868021</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>6219392</BOYAmt>
        <EOYAmt>6518416</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6219392</BOYAmt>
        <EOYAmt>6518416</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10082571</BOYAmt>
        <EOYAmt>11386437</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>299024</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
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        <OtherCostOrOtherBasisAmt>445021</OtherCostOrOtherBasisAmt>
        <BookValueAmt>445021</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7424825</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2217132</DepreciationAmt>
        <BookValueAmt>5207693</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>232617</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27330</DepreciationAmt>
        <BookValueAmt>205287</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1914785</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>912995</DepreciationAmt>
        <BookValueAmt>1001790</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6859791</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18663354</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>101965</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>101965</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18561389</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18561389</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18364330</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>101965</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>101965</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>18262365</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>18262365</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc4">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARION HAUTEA</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>259673</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15534</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17264</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>292471</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE STYMA</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>11929</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17187</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>237336</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEMELLEE JACALA-TADIAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>210500</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12630</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17237</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>240367</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARANA PERINOT</PersonNm>
        <TitleTxt>PHYSICAIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>198000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11880</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5568</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>215448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE MCEWEN</PersonNm>
        <TitleTxt>PHSICIAN ASSISTANT</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>10082</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16875</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>194995</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD HILLMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>167115</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5013</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13460</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>185588</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELAINE SMITH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>140226</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8414</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6944</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155584</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc5">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1402626</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE ALL VOLUNTEERS IN ADDITION TO COMMUNITY MEMBERS WHO DONATE TIME FOR VARIOUS CENTER ACTIVITIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDITOR REVIEWS RETURN WITH FINANCE COMMITTEE AND PRESENTS REVIEW TO ENTIRE BOARD PRIOR TO SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SUBMIT WRITTEN STATEMENTS TO EXECUTIVE TEAM FOR REVIEW ON ANY CONFLICT OF INTEREST ISSUES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION IS DETERMINED BY EXECUTIVE COMMITTEE BASED UPON COMPARABILITY DATA FOR SIMILIAR POSTION. ENTIRE BOARD MAKES FINAL APPROVAL OF WAGE DETERMINATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD APPROVES WAGES OF CEO AND KEY EMPLOYEES BASED UPON BOARD APPROVED WAGE SCALE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST, PREFERABLY IN WRITING. THE ORGANIZATION MAKES COPIES OF THE REQUESTED DOCUMENTS AND MAKES THEM AVAILABLE FOR PICK UP OR MAIL TO THE REQUESTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>