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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3511</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT BIGGS</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>153126</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8212</OtherCompensationAmt>
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      <TotalOtherCompensationAmt>32700</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>36</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <PersonNm>OHIO SHARED INFORMATION SYSTEMS</PersonNm>
        </ContractorName>
        <ContractorAddress />
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD LLP</PersonNm>
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        <ContractorAddress />
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>7301188</TotalContributionsAmt>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>14114165</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>13804562</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>225250</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>208629</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>43582</ExclusionAmt>
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        <ExclusionAmt>198061</ExclusionAmt>
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        <ExclusionAmt>-2658613</ExclusionAmt>
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        <ExclusionAmt>-8732261</ExclusionAmt>
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        <ProgramServicesAmt>35404</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6210</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1549708</ProgramServicesAmt>
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        <ProgramServicesAmt>620347</ProgramServicesAmt>
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        <Desc>INVESTMENT IN CHCCF-HHC DEVLPM</Desc>
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        <ExplanationTxt>UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (343,278) BAD DEBT EXPENSE 369,741 NET ASSETS RELEASED FROM RESTRICTION 23,792 HHC, LLC REVENUE ----------- $ 50,255</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 406,918 TEMPORARILY RESTRICTED CONTRIBUTIONS</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 120,140 HHC, LLC &amp; HOLYOKE DEVELOPMENT EXPENSES</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: $ 343,278 BAD DEBT EXPENSE</ExplanationTxt>
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    <IRS990ScheduleI documentId="IRS990ScheduleI">
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          <AddressLine1Txt>1145 MAIN ST STE 301</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
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        <PurposeOfGrantTxt>OUTPATIENT SERVICES</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>BAYSTATE HEALTH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>759 CHESTNUT ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <RecipientEIN>042105941</RecipientEIN>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: HOLYOKE HEALTH CENTER, INC MONITORS THE GRANT EXPENDITURES BY REQUIRING THE SUBRECIPIENT OF ANY GRANT TO PROVIDE A BUDGET OF ITS EXPENDITURES AND TO SUBSTANTIATE ANY DEVIATION FROM ITS BUDGET. IN ADDITION, AT THE END OF ITS FISCAL YEAR, THE SUBRECIPIENT MUST PROVIDE ITS AUDITED FINANCIAL STATEMENTS TO HOLYOKE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT PROGRAM SERVICES: On December 29, 2014, the Organization acquired the remaining 99.9% of membership interest of Holyoke HC, LLC (LLC) an entity that was organized in 2005 to acquire, rehabilitate, lease and sell real property for the purpose of commercial rental of interconnected mixed-use space offering primarily outpatient health care containing approximately 108,300 gross square feet and 85,000 net rentable square feet of space in the City of Holyoke, Massachusetts. The acquisition was accomplished by MHIC assigning its entire 99.99% interest in LLC to the Health Center, and no consideration was or will be transferred for the acquisition.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACEUTICAL SERVICES: THE ON-SITE, STATE OF THE ART, COMMUNITY PHARMACY, FILLS APPROXIMATELY 4,000 PRESCRIPTIONS PER WEEK, IS OWNED AND OPERATED BY HOLYOKE HEALTH CENTER AND IS AN INTEGRAL PART OF ALL SERVICES OFFERED IN THE HOLYOKE HEALTH CENTER MEDICAL HOME. BOTH CLINICAL AND DISPENSING PHARMACY STAFF ARE ACTIVE IN HEALTH CENTER COMMITTEES THAT WORK TO CONTINUOUSLY IMPROVE HOLYOKE HEALTH CENTER'S QUALITY, PATIENT CENTERED PROGRAMMING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES: TO FURTHER ITS MISSION TO IMPROVE THE HEALTH OF ITS PATIENTS, HOLYOKE HEALTH CENTER OFFERS THE FOLLOWING OUTREACH AND NUTRITIONAL PROGRAMS: - FARM WORKERS' PROGRAM THE FARM WORKER'S PROGRAM IS A PROGRAM THAT PAYS FOR SOME PRIMARY HEALTH CARE SERVICES TO QUALIFIED MIGRANT AND SEASONAL FARM WORKERS AND THEIR DEPENDENTS. HOLYOKE HEALTH IS ONE OF THE PARTICIPATING COMMUNITY HEALTH CENTERS THAT PROVIDE PRIMARY CARE AND OUTREACH AND EDUCATION TO SEASONAL FARM WORKERS IN THE CONNECTICUT RIVER VALLEY. ITS PROGRAM FOCUSES ON FARM WORKERS IN HAMPSHIRE AND HAMPDEN COUNTIES. - FRUIT AND VEGETABLE PRESCRIPTION PROGRAM HOLYOKE HEALTH IS ONE OF A HANDFUL OF ORGANIZATIONS ACROSS THE COUNTRY THAT HAS BEEN AWARDED FUNDING TO PROVIDE THE FRUIT AND VEGETABLE PRESCRIPTION PROGRAM. THIS PROGRAM IS DEDICATED TO INCREASING A FAMILY MEMBER'S DIET BY ONE FRUIT AND ONE VEGETABLE EACH DAY. EACH YEAR HOLYOKE HEALTH ENROLLS THIRTY FAMILIES TO PARTICIPATE IN THIS PROGRAM AND THE PARTICIPATING PEDIATRICIAN GIVES A WRITTEN PRESCRIPTION FOR FRUITS AND VEGETABLES THAT WILL SUPPLY THE FAMILY FOR ONE MONTH THE FAMILY THEN REDEEMS THE PRESCRIPTION AT THE LOCAL FARMER'S MARKET AND THE FAMILY RECEIVES TOKENS FOR LOCALLY GROWN FRESH FRUITS AND VEGETABLES. THE PROGRAM LASTS THROUGHOUT THE MARKET SEASON ($28 WORTH OF PRODUCE EACH WEEK FOR A FAMILY OF FOUR). - HIV SUPPORT SERVICES AND CASE MANAGEMENT HOLYOKE HEALTH CENTER HAS A COMPREHENSIVE PROGRAM TO SUPPORT PATIENTS LIVING WITH HIV, INCLUDING PRIMARY MEDICAL CARE, INFECTIOUS DISEASE SPECIALISTS WITH EXPERIENCE IN HIV, AND CASE MANAGEMENT SUPPORT TO MEET THE NON-MEDICAL NEEDS OF ITS PATIENTS. THE PHARMACY PROVIDES CONSULTATION WITH A PHARMACIST EXPERIENCED IN HIV MEDICATIONS AND ASSISTANCE WITH ENROLLING IN THE HIV DRUG ASSISTANCE PROGRAM. ALSO AVAILABLE FOR PATIENTS WITH HIV ARE NUTRITION AND EYE CARE SERVICES. - LA LINDA MANITA LA LINDA MANITA OFFERS FREE GROUPS THAT PROVIDE PEER SUPPORT, BRINGS TOGETHER PARENTS, AND EDUCATES ABOUT CHILD DEVELOPMENT, PARENTING SKILLS, AND RESOURCES. THESE GROUPS ARE CONDUCTED IN ENGLISH AND SPANISH AND ARE SCHEDULED FOR AFTERNOON AND EARLY EVENING TIMES TO INCREASE ACCESS. LA LINDA MANITA'S GOAL IS TO PROVIDE CRUCIAL PARENTING INFORMATION AND TO REDUCE THE LEARNING DELAYS &amp; BEHAVIORAL/DEVELOPMENTAL DISORDERS IN YOUNG CHILDREN THAT CAN OCCUR FREQUENTLY IN OUR COMMUNITY. THIS PROGRAM IS MEETING AN OVERALL NEED FOR SUPPORT AND EDUCATION FOR FAMILIES WITH YOUNG CHILDREN AND IS DOING SO AS A PART OF A CITY-WIDE EFFORT TO IMPROVE SCHOOL READINESS AS WELL AS PREVENTING LEARNING AND BEHAVIORAL ISSUES IN YOUNG CHILDREN. - LET'S MOVE HOLYOKE 5-2-1-0 THE LET'S MOVE HOLYOKE 5-2-1-0 IS COLLABORATIVE INITIATIVE THAT FOCUSES ON THE PROMOTION OF HEALTHY LIVING BY INTEGRATING THE 5-2-1-0 MESSAGE INTO THE COMMUNITY BY USING THE HEALTHY LIVING PLAN FOR CHILDREN AND FAMILY MEMBERS, AS A WAY TO SET GOALS FOR LIFESTYLE CHANGES. - 5 OR MORE FRUITS AND VEGETABLES EACH DAY - 2 HOURS OR LESS OF SCREEN TIME (TV, PHONE, COMPUTER) EACH DAY - 1 HOUR OF PHYSICAL ACTIVITY EACH DAY - 0 SUGAR SWEETENED DRINKS - PEER HEALTH ADVISORY BOARD THE PEER HEALTH ADVISORY BOARD IS A CO-ED PEER LEADERSHIP GROUP FOR 13-20 YEAR OLDS. THE GOAL OF THE BOARD IS TO CULTIVATE PEER LEADERS WHO ARE TRAINED IN EVIDENCE BASED CURRICULUM TO PREPARE THEM TO FOCUS ON COMMUNITY PROJECTS THAT BRING AWARENESS TO VIOLENCE PREVENTION PROGRAMS, DRUGS AND ALCOHOL PREVENTION, AND PREGNANCY PREVENTION. THE TEENS ATTEND AN INITIAL 8 SESSIONS OF CURRICULUM THAT FOCUS ON HIV/AIDS AND SEXUALLY TRANSMITTED INFECTION PREVENTION. THE FIRST SET OF TRAININGS HELP TO PREPARE THE TEENS TO BECOME MEMBERS OF THE ADVISORY BOARD. AFTER BECOMING MEMBERS, THE TEENS CONTINUE A RIGOROUS SCHEDULE OF TRAINING SESSIONS. THESE SESSIONS NOT ONLY TEACH THE TEENS ABOUT PREGNANCY AND INFECTION PREVENTION, BUT THEY EQUIP THEM WITH THE SKILLS TO COMMUNICATE WITHOUT VIOLENCE AND TO BECOME EDUCATIONAL PEER LEADERS IN THE COMMUNITY. - WOMEN'S HEALTH PROGRAM HOLYOKE HEALTH HAS A WOMEN'S HEALTH PROGRAM THAT FOCUSES ON CERVICAL CANCER AND BREAST CANCER SCREENING, DIAGNOSTICS, AND CASE MANAGEMENT. THE ORGANIZATION HAS ESTABLISHED A TEAM OF PROVIDERS, NURSE CASE MANAGERS, AND MEDICAL ASSISTANTS WHO USE THE LATEST TECHNOLOGY TO TRACK THE PATIENTS TO MAKE SURE THAT THEY HAVE GOTTEN A PAP TEST OR SCREENING MAMMOGRAM. THE STAFF COMMUNICATES ALL RESULTS AND SCHEDULED APPOINTMENTS WITH THE PATIENTS' PRIMARY CARE PROVIDER AND WILL WORK CLOSELY WITH ANY PATIENTS WHO RECEIVE ABNORMAL CERVICAL OR BREAST SCREENING RESULTS. THE CASE MANAGER AND MEDICAL ASSISTANT WORK DIRECTLY WITH THE PATIENTS TO SCHEDULE ANY FOLLOW UP APPOINTMENTS, SECURE PAYMENT FOR THE PROCEDURES, AND PROVIDE SUPPORTIVE REFERRALS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BUSINESS RELATIONSHIPS: JAY BREINES, MICHAEL GERMANI AND BENJAMIN CARTAGENA ALL HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS DIRECTED THE CFO TO PRESENT THE 990 FILING (IN DRAFT FORM) TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW. ONCE THE REVIEW HAS BEEN COMPLETED, THE COMMITTEE RECOMMENDS TO THE BOARD OF DIRECTORS THAT THE 990 FILING BE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE HOLYOKE HEALTH CENTER INC. REQUIRES NEW EMPLOYEES AND NEWLY APPOINTED MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW AND SIGN THE HOLYOKE HEALTH CENTER INC. CONFLICT OF INTEREST POLICY. THEREAFTER, THE POLICY IS REVIEWED AND SIGNED ANNUALLY BY THE EMPLOYEES AND APPOINTED MEMBERS OF THE BOARD OF DIRECTORS. THE ORGANIZATION'S LEADERS AND BOARD OF DIRECTOR WILL REVIEW ANY RELATIONSHIPS CAREFULLY TO ENSURE THE HEALTH CENTERS' MISSION AND COMMUNITY SERVED IS NOT HARMED BY ANY CONTRACTUAL RELATIONSHIP. DISCIPLINARY ACTIONS CAN RESULT FOR THOSE FAILING TO COMPLY TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF CEO COMPENSATION: THE BOARD OF DIRECTORS ESTABLISHED A SPECIAL COMPENSATION COMMITTEE COMPOSED OF THREE BOARD OF DIRECTOR MEMBERS TO CONDUCT A REVIEW OF THE COMPENSATION PACKAGE FOR THE CEO. DURING THE REVIEW, THIS COMMITTEE CONTACTED THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS FOR COMPENSATION INFORMATION REGARDING COMPARABLE POSITIONS AND COMPARABLE RESPONSIBILITIES. BASED UPON THAT REVIEW, THE COMMITTEE MADE ITS RECOMMENDATION TO THE BOARD OF DIRECTORS, WHICH WAS ACCEPTED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE HOLYOKE HEALTH CENTER INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND ANNUAL INFORMATION RETURNS (FORM 990 SERIES) ARE AVAILABLE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT THE CENTER'S ADMINISTRATIVE OFFICES AT 230 MAPLE STREET, HOLYOKE, MA 01040-6260.</ExplanationTxt>
      </SupplementalInformationDetail>
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        </RelatedOrganizationName>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>