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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>14750</Total>
        <ProgramServices>7375</ProgramServices>
        <ManagementAndGeneral>7375</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>25200</Total>
        <ProgramServices>17850</ProgramServices>
        <ManagementAndGeneral>7350</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1199830</Total>
        <ProgramServices>1158736</ProgramServices>
        <ManagementAndGeneral>41094</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>11400</Total>
        <ProgramServices>3762</ProgramServices>
        <ManagementAndGeneral>7638</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>90240</Total>
        <ProgramServices>72571</ProgramServices>
        <ManagementAndGeneral>17669</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>67064</Total>
        <ProgramServices>53028</ProgramServices>
        <ManagementAndGeneral>14036</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Royalties>
      <Occupancy>
        <Total>389198</Total>
        <ProgramServices>350434</ProgramServices>
        <ManagementAndGeneral>38764</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Travel>
        <Total>150367</Total>
        <ProgramServices>123587</ProgramServices>
        <ManagementAndGeneral>26780</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Interest>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PaymentsToAffiliates>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <DepreciationDepletion>
        <Total>111789</Total>
        <ProgramServices>104411</ProgramServices>
        <ManagementAndGeneral>7378</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Insurance>
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        <ProgramServices>98773</ProgramServices>
        <ManagementAndGeneral>4363</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Vehicle Expense &amp; Equipment Rental</Description>
        <Total>165284</Total>
        <ProgramServices>152111</ProgramServices>
        <ManagementAndGeneral>13173</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Client Needs</Description>
        <Total>722576</Total>
        <ProgramServices>722576</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Pharmaceuticals</Description>
        <Total>903241</Total>
        <ProgramServices>903241</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Utilities</Description>
        <Total>427544</Total>
        <ProgramServices>391844</ProgramServices>
        <ManagementAndGeneral>35700</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <AllOtherExpenses>
        <Total>251128</Total>
        <ProgramServices>210244</ProgramServices>
        <ManagementAndGeneral>40884</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>14574228</Total>
        <ProgramServices>12991657</ProgramServices>
        <ManagementAndGeneral>1582571</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>0</EOY>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>All agency documents and policies are available to the public upon request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P09_S00_L24a</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24a - 24e</ReturnReference>
        <Explanation>Other Expenses $</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000008" softwareId="11000129" softwareVersion="v1.00">
      <Explanation>Return was orginially filed on paper, and is now filing electronically per IRS instructions.</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>