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      <MethodOfAccountingOtherInd methodOfAccountingOtherDesc="Modified cash">X</MethodOfAccountingOtherInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus1YearAmt>475386</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportTotal170Amt>2777240</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus3YearsAmt>78</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7</CurrentTaxYearMinus1YearAmt>
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      <OtherSecuritiesGrp>
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        <Desc>Closely-held equity interests</Desc>
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        <Desc>Federal income taxes</Desc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Various programs addressing individual and community health issues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>CPA/Preparer reviews completed 990 with Executive Director. Executive Director reviews the 990 with the Board of Directors. 990 is filed upon approval by the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>COI policy is reviewed annually by Key Management and the Board of Directors. Any conflicts that are disclosed are reviewed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>The Executive Director is evaluated by the Board of Directors there is an agreement between the Board of Directors and the service management organization which uses a salary range that has been established at the senior program director level. Other key employees are subject to the same salary scale.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The organization maintains a file at their office that contains Form 1023, the most current Form 990, and the conflict of interest policy that can be viewed upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Other program fees for services contractual services with independent contractors both individuals and organizations.</ExplanationTxt>
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</Return>