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        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>856237</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>350262</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>505975</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>505975</TotalRevenueColumn>
        <ExclusionAmount>505975</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
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      </GrossAmountSalesAssets>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>720116</TotalRevenueColumn>
        <ExclusionAmount>720116</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>58060</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>327540</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>211662</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-153602</TotalRevenueColumn>
        <ExclusionAmount>-153602</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>INCOME FROM PARTNERSHIPS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-21229</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>-21229</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <TotalOtherRevenue>-21229</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>9799732</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>-21229</UnrelatedBusinessRevenue>
        <ExclusionAmount>1389961</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>6892434</Total>
        <ProgramServices>6892434</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>353463</Total>
        <ManagementAndGeneral>353463</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>463726</Total>
        <ManagementAndGeneral>366343</ManagementAndGeneral>
        <Fundraising>97383</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>156719</Total>
        <ManagementAndGeneral>123808</ManagementAndGeneral>
        <Fundraising>32911</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>100</Total>
        <ManagementAndGeneral>100</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>88767</Total>
        <ManagementAndGeneral>88767</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ProgramServices>48000</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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        <Fundraising>38697</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>64392</Total>
        <ManagementAndGeneral>64392</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>1791</Total>
        <Fundraising>1791</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>13381</Total>
        <ManagementAndGeneral>13381</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>276</Total>
        <Fundraising>276</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>12637</Total>
        <ManagementAndGeneral>11094</ManagementAndGeneral>
        <Fundraising>1543</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>0</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Bank Fees</Description>
        <Total>14629</Total>
        <ManagementAndGeneral>14629</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues &amp; Subscriptions</Description>
        <Total>1397</Total>
        <Fundraising>1397</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Volunteer Appreciation</Description>
        <Total>1066</Total>
        <ManagementAndGeneral>75</ManagementAndGeneral>
        <Fundraising>991</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Direct Fund Expense</Description>
        <Total>198521</Total>
        <ProgramServices>198521</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>288002</Total>
        <ManagementAndGeneral>263306</ManagementAndGeneral>
        <Fundraising>24696</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>8637998</Total>
        <ProgramServices>7138955</ProgramServices>
        <ManagementAndGeneral>1299358</ManagementAndGeneral>
        <Fundraising>199685</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>233424</BOY>
        <EOY>204510</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1546076</BOY>
        <EOY>4646652</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>4235486</BOY>
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      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>772734</BOY>
        <EOY>0</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
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        <EOY>0</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>58203</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>47650</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2414851</BOY>
        <EOY>10553</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>8737167</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>890347</BOY>
        <EOY>612851</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>19200661</BOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>1428311</BOY>
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      <GrantsPayable>
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        <EOY>200000</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
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      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
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      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
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      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
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      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
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        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>584692</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2829103</BOY>
        <EOY>1902105</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2832045</BOY>
        <EOY>-164798</EOY>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
        <BOY>16371558</BOY>
        <EOY>17217280</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>19200661</BOY>
        <EOY>19119385</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1161734</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>-337241</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>21229</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3Years>3821715</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3408103</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6926322</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8431000</CurrentTaxYear>
        <Total>27327205</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
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      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
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        <CurrentTaxYearMinus3Years>3821715</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3408103</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6926322</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8431000</CurrentTaxYear>
        <Total>27327205</Total>
      </Total170>
      <AmountsSubstContributorsTotal>9712265</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>17614940</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus3Years>1278240</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1347118</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1262875</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1173709</CurrentTaxYear>
        <Total>6595048</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3708</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>3708</Total>
      </NetUBI>
      <OtherIncome170>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </OtherIncome170>
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      <GrossReceiptsFromAdmissionsEtc>287682</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.51922</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.39616</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying>
        <FilingOrganizationsTotals>48000</FilingOrganizationsTotals>
      </TotalDirectLobbying>
      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>48000</FilingOrganizationsTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>8589998</FilingOrganizationsTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>8637998</FilingOrganizationsTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
        <FilingOrganizationsTotals>581900</FilingOrganizationsTotals>
      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>145475</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>781250</CurrentYearMinus3>
        <CurrentYearMinus2>406167</CurrentYearMinus2>
        <CurrentYearMinus1>467536</CurrentYearMinus1>
        <CurrentYear>581900</CurrentYear>
        <Total>2236853</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>3355280</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
        <CurrentYearMinus3>49067</CurrentYearMinus3>
        <CurrentYearMinus2>47451</CurrentYearMinus2>
        <CurrentYearMinus1>49154</CurrentYearMinus1>
        <CurrentYear>48000</CurrentYear>
        <Total>193672</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>195313</CurrentYearMinus3>
        <CurrentYearMinus2>101542</CurrentYearMinus2>
        <CurrentYearMinus1>116884</CurrentYearMinus1>
        <CurrentYear>145475</CurrentYear>
        <Total>559214</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>838821</GrassrootsCeilingAmount>
      <GrassrootsLobbyingExpenditures>
        <CurrentYearMinus3>0</CurrentYearMinus3>
        <CurrentYearMinus2>0</CurrentYearMinus2>
        <CurrentYearMinus1>0</CurrentYearMinus1>
        <CurrentYear>0</CurrentYear>
        <Total>0</Total>
      </GrassrootsLobbyingExpenditures>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts>
        <RevenuesIncluded>72851</RevenuesIncluded>
        <AssetsInPartX>612851</AssetsInPartX>
      </ArtPublicExhibitionAmts>
      <HeldWorksOfArtAmts />
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <CurrentYear>
        <BeginningOfYearBalance>3077353</BeginningOfYearBalance>
        <Contributions>200</Contributions>
        <InvestmentEarningsOrLosses>189940</InvestmentEarningsOrLosses>
        <OtherExpenditures>93656</OtherExpenditures>
        <EndOfYearBalance>3173837</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2981134</BeginningOfYearBalance>
        <Contributions>125200</Contributions>
        <InvestmentEarningsOrLosses>70859</InvestmentEarningsOrLosses>
        <OtherExpenditures>99840</OtherExpenditures>
        <EndOfYearBalance>3077353</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>2781031</BeginningOfYearBalance>
        <Contributions>5200</Contributions>
        <InvestmentEarningsOrLosses>291700</InvestmentEarningsOrLosses>
        <OtherExpenditures>96797</OtherExpenditures>
        <EndOfYearBalance>2981134</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>2747603</BeginningOfYearBalance>
        <Contributions>1100</Contributions>
        <InvestmentEarningsOrLosses>140396</InvestmentEarningsOrLosses>
        <OtherExpenditures>108068</OtherExpenditures>
        <EndOfYearBalance>2781031</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>3179234</BeginningOfYearBalance>
        <Contributions>250</Contributions>
        <InvestmentEarningsOrLosses>-340581</InvestmentEarningsOrLosses>
        <OtherExpenditures>91300</OtherExpenditures>
        <EndOfYearBalance>2747603</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land />
      <Buildings />
      <LeaseholdImprovements />
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>58203</OtherCostOrOtherBasis>
        <Depreciation>47650</Depreciation>
        <BookValue>10553</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>10553</TotalOfBookValueLandBuildings>
      <TotRevenueEtcAuditedFinclStmt>10045644</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-337241</NetUnrealizedGainsInvestments>
      <OtherRevenues>561924</OtherRevenues>
      <RevenueNotRptdF990>224683</RevenueNotRptdF990>
      <RevenueSubtotal>9820961</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-21229</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-21229</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>9799732</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>9199922</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>561924</OtherExpensesIncluded>
      <ExpensesNotRptdF990>561924</ExpensesNotRptdF990>
      <ExpensesSubtotal>8637998</ExpensesSubtotal>
      <TotalExpensesPerForm990>8637998</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>ART COLLECTION</Identifier>
        <ReturnReference>SCHEDULE D, PART III, LINE 4</ReturnReference>
        <Explanation>CERTAIN WORKS OF ART ARE EXHIBITED THROUGHOUT THE HOSPITAL FOR GUESTS AND PATIENTS TO VIEW.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>THE FOUNDATION'S ENDOWMENT CONSISTS OF SIX INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THESE INTENTIONS INCLUDE: SUPPORTING INFECTIOUS DISEASE EDUCATION AT TMC, INC. SUPPORTING THE WOMEN'S HEALTH DEPARTMENT AT TMC, INC. SUPPORTING THE TRAUMA DEPARTMENT AT TMC, INC. PROVIDING PROGRAM SUPPORT TO BEHAVIORAL HEALTH AT TMC, INC. SUPPORTING THE UNRESTRICTED NEEDS OF TMC, INC. SUPPORTING ALZHEIMER UNIT AT TMC, INC. THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT. UNDER THE FOUNDATION'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRESERVE AND PROTECT ASSETS BY EARNING A TOTAL RETURN FOR EACH ENDOWMENT APPROPRIATE TO EACH FUND'S TIME HORIZON, LIQUIDITY NEEDS AND RISK TOLERANCE. THE FOUNDATION HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR THE LESSER OF 5% OF ITS ENDOWMENT FUND'S FAIR VALUE OR THE FUND'S NET INCOME THROUGH THE YEAR END PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>OTHER - REVENUE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES $350,262 SPECIAL EVENT EXPENSES 211,662 ======== TOTAL $561,924</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>OTHER - REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 4B</ReturnReference>
        <Explanation>LOSSES FROM PARTNERSHIPS ($21,229)</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>OTHER - EXPENSE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES $350,262 SPECIAL EVENT EXPENSES 211,662 ======== TOTAL $561,924</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitations>X</MailSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>ENCORE GRANT SERVICES INC</NameOfIndividual>
        <AddressUS>
          <AddressLine1>2801 SW 10TH STREET</AddressLine1>
          <City>LEES SUMMIT</City>
          <State>MO</State>
          <ZIPCode>64081</ZIPCode>
        </AddressUS>
        <Activity>GRANT WRITING</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>6870</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>GRANTELLIGENCE LLC MS CYNTHIA A R</NameOfIndividual>
        <AddressUS>
          <AddressLine1>7307 ROSEWOOD DRIVE</AddressLine1>
          <City>PRAIRIE VILLAGE</City>
          <State>KS</State>
          <ZIPCode>66208</ZIPCode>
        </AddressUS>
        <Activity>GRANT WRITING</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>18777</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>PS SMART MARKETING FUNDRAISING P</NameOfIndividual>
        <AddressUS>
          <AddressLine1>521 NW 64TH STREET</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>13050</ZIPCode>
        </AddressUS>
        <Activity>GRANT WRITING</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>13050</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <TotalRetainedByContractors>38697</TotalRetainedByContractors>
      <AllStates>All States</AllStates>
      <EventsInformation>
        <NameOfEvent1>FFAC</NameOfEvent1>
        <GrossReceiptsEvent1>192000</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>160150</CharitableContributionsEvent1>
        <GrossRevenueEvent1>31850</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>9325</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>16758</FoodAndBeverageEvent1>
        <EntertainmentEvent1>25000</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>128970</OtherDirectExpensesEvent1>
        <NameOfEvent2>BRISTOL</NameOfEvent2>
        <GrossReceiptsEvent2>147100</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>132670</CharitableContributionsEvent2>
        <GrossRevenueEvent2>14430</GrossRevenueEvent2>
        <FoodAndBeverageEvent2>5889</FoodAndBeverageEvent2>
        <EntertainmentEvent2>360</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>7478</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>1</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>46500</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>34720</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>11780</GrossRevenueOtherEvents>
        <RentFacilityCostsOtherEvents>8730</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>1340</FoodAndBeverageOtherEvents>
        <OtherDirectExpensesOtherEvents>7812</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>385600</GrossReceiptsTotal>
        <CharitableContributionsTotal>327540</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>58060</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>18055</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>23987</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>25360</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>144260</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>211662</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-153602</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>TRUMAN MEDICAL CENTER INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2301 HOLMES STREET</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64108</ZIPCode>
        </AddressUS>
        <EINOfRecipient>440661018</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>6446066</AmountOfCashGrant>
        <PurposeOfGrant>EQUIPMENT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S.</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>GRANTS ARE REIMBURSED AFTER EXPENDITURES ARE MADE. SUPPORTING DOCUMENTATION FOR ALL GRANT EXPENDITURES ARE CAREFULLY REVIEWED FOR COMPLIANCE TO THE GRANT GUIDELINES.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES DAWSON</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <BaseCompensationFilingOrg>176396</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>58799</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>66667</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>22222</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15702</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>5234</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3424</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1141</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>262189</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>87396</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION FROM A RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII; SCHEDULE J, PART I, LINE 3 AND PART II</ReturnReference>
        <Explanation>THE COMPENSATION BEING REPORTED FOR JAMES DAWSON, BY A RELATED ORGANIZATION, IS FROM TRUMAN MEDICAL CENTER, INC. TRUMAN MEDICAL CENTER, INC. USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS TO ESTABLISH AND APPROVE THE COMPENSATION AND BENEFITS FOR THE FOUNDATION'S EXECUTIVE DIRECTOR. TRUMAN MEDICAL CENTER, INC. UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN CONTRACT, FORM 990 OF COMPARABLE ORGANIZATIONS AND COMPENSATION SURVEYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR TRUMAN MEDICAL CENTER, INC. AND ITS AFFILIATES' OFFICERS AND DIRECTORS. THE TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION REIMBURSES TRUMAN MEDICAL CENTER, INC. FOR 75% OF THE COMPENSATION PAID TO JAMES DAWSON.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B &amp; PART II</ReturnReference>
        <Explanation>JAMES DAWSON, EXECUTIVE DIRECTOR OF THE FOUNDATION, PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OFFERED BY TRUMAN MEDICAL CENTER, INC., A RELATED ORGANIZATION. 2012 PAYMENT JAMES DAWSON $ 86,086</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION REPORTED IN PRIOR YEAR FORM 990</Identifier>
        <ReturnReference>SCHEDULE J, PART II, COLUMN F</ReturnReference>
        <Explanation>COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. SCHEDULE J, PART II, COLUMN F REPRESENTS AMOUNTS THAT HAVE BEEN PREVIOUSLY REPORTED IN PRIOR YEARS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>72851</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>MKT VALUE APPRAISAL</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <NumberOf8283Received>2</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>NUMBER OF CONTRIBUTIONS</Identifier>
        <ReturnReference>SCHEDULE M, PART I, COLUMN B</ReturnReference>
        <Explanation>THE INFORMATION PRESENTED IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN PROVIDED TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS OR CONCERNS THE BOARD MAY HAVE ARE ADDRESSED AND ANY CONCERNS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS AND OFFICERS COMPLETE AND SIGN AN ANNUAL DISCLOSURE DOCUMENT. EACH MEMBER AND OFFICER IS REQUIRED TO IMMEDIATELY DISCLOSE ANY ACTUAL OR PERCEIVED CONFLICTS OF INTEREST AND MUST ENSURE THEY HAVE NO DISCUSSION OR INVOLVEMENT IN THESE MATTERS. WHEN VOTING ON A MATTER WHERE AN ACTUAL OR PERCEIVED CONFLICT EXISTS, THE CONFLICTED PARTY MUST ABSTAIN FROM VOTING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE COMPENSATION OF THE FOUNDATIONS'S EXECUTIVE DIRECTOR IS DETERMINED BY TRUMAN MEDICAL CENTER, INC., A RELATED ORGANIZATION. TRUMAN MEDICAL CENTER, INC. CONDUCTED A COMPENSATION DATA STUDY THAT INCLUDED REVIEWS OF COMPENSATION FOR SIMILAR ORGANIZATIONS WITHIN THE LOCAL AREA OF SIMILAR SIZE AND REVENUES. THE BOARD OF DIRECTORS FOR TRUMAN MEDICAL CENTER, INC. TOOK THE INFORMATION THAT WAS GATHERED AND USED IT TO DETERMINE AND REVIEW THE COMPENSATION OF THE FOUNDATIONS'S EXECUTIVE DIRECTOR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF CHANGE IN NET ASSETS</Identifier>
        <ReturnReference>FROM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>LOSSES FROM PARTNERSHIPS $21,229</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRUMAN MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2301 HOLMES STREET</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64108</ZIPCode>
        </AddressUS>
        <EIN>440661018</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>