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        <TotalRevenueColumnAmt>290723</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16610037</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>96706</TotalRevenueColumnAmt>
        <ExclusionAmt>96706</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26526959</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16610037</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>96706</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1623575</TotalAmt>
        <ProgramServicesAmt>279944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1232941</ManagementAndGeneralAmt>
        <FundraisingAmt>110690</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14873121</TotalAmt>
        <ProgramServicesAmt>14572159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260938</ManagementAndGeneralAmt>
        <FundraisingAmt>40024</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>429841</TotalAmt>
        <ProgramServicesAmt>334931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89826</ManagementAndGeneralAmt>
        <FundraisingAmt>5084</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2318203</TotalAmt>
        <ProgramServicesAmt>2056187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246406</ManagementAndGeneralAmt>
        <FundraisingAmt>15610</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1116880</TotalAmt>
        <ProgramServicesAmt>970992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134800</ManagementAndGeneralAmt>
        <FundraisingAmt>11088</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>25350</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25350</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>439757</TotalAmt>
        <ProgramServicesAmt>362459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77298</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>16252</TotalAmt>
        <ProgramServicesAmt>14974</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>1278</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>598963</TotalAmt>
        <ProgramServicesAmt>520200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76506</ManagementAndGeneralAmt>
        <FundraisingAmt>2257</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>87323</TotalAmt>
        <ProgramServicesAmt>46800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40523</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1112769</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1112769</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>31664</TotalAmt>
        <ProgramServicesAmt>27151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1762</ManagementAndGeneralAmt>
        <FundraisingAmt>2751</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>41007</TotalAmt>
        <ProgramServicesAmt>2603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28254</ManagementAndGeneralAmt>
        <FundraisingAmt>10150</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>820247</TotalAmt>
        <ProgramServicesAmt>428956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>391291</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>46477</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46477</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>2443379</TotalAmt>
        <ProgramServicesAmt>2259998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170546</ManagementAndGeneralAmt>
        <FundraisingAmt>12835</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment rental/maintenance</Desc>
        <TotalAmt>514013</TotalAmt>
        <ProgramServicesAmt>231241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282474</ManagementAndGeneralAmt>
        <FundraisingAmt>298</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other expenses</Desc>
        <TotalAmt>424818</TotalAmt>
        <ProgramServicesAmt>184650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>239468</ManagementAndGeneralAmt>
        <FundraisingAmt>700</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26963639</TotalAmt>
        <ProgramServicesAmt>22293245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4457629</ManagementAndGeneralAmt>
        <FundraisingAmt>212765</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1566454</BOYAmt>
        <EOYAmt>1255364</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8450083</BOYAmt>
        <EOYAmt>9077403</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>455068</BOYAmt>
        <EOYAmt>721836</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1602066</BOYAmt>
        <EOYAmt>1368523</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>188680</BOYAmt>
        <EOYAmt>160045</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <LandBldgEquipCostOrOtherBssAmt>17798426</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7185145</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>11275944</BOYAmt>
        <EOYAmt>10613281</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1911240</BOYAmt>
        <EOYAmt>1840714</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>12000</BOYAmt>
        <EOYAmt>12000</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>19098</BOYAmt>
        <EOYAmt>19098</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>25480633</BOYAmt>
        <EOYAmt>25068264</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1861575</BOYAmt>
        <EOYAmt>1628731</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>453903</BOYAmt>
        <EOYAmt>551316</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2315478</BOYAmt>
        <EOYAmt>2180047</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>23165155</BOYAmt>
        <EOYAmt>22888217</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23165155</BOYAmt>
        <EOYAmt>22888217</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25480633</BOYAmt>
        <EOYAmt>25068264</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-436680</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>159742</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="13000178">
      <HospitalInd>X</HospitalInd>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <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="00000004" softwareId="13000178">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>477312</OtherCostOrOtherBasisAmt>
        <BookValueAmt>477312</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>11454567</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3494486</DepreciationAmt>
        <BookValueAmt>7960081</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5561514</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3460956</DepreciationAmt>
        <BookValueAmt>2100558</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>305033</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>229703</DepreciationAmt>
        <BookValueAmt>75330</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>10613281</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>26686701</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>159742</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>159742</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26526959</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>26526959</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>26963639</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>26963639</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>26963639</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000005">
      <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>RODERICK MANIFOLD</PersonNm>
        <BaseCompensationFilingOrgAmt>257693</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>9156</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15181</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>290530</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDALL BASHORE</PersonNm>
        <BaseCompensationFilingOrgAmt>434595</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10185</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11793</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>466573</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES ALLBAUGH</PersonNm>
        <BaseCompensationFilingOrgAmt>230148</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16683</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>263131</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL CROWTHER</PersonNm>
        <BaseCompensationFilingOrgAmt>195349</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4125</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7649</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11793</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>218916</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN BLACKWELL</PersonNm>
        <BaseCompensationFilingOrgAmt>297234</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32825</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10185</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5121</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>345365</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARION HAHESY-CALHOUN</PersonNm>
        <BaseCompensationFilingOrgAmt>187741</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2482</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7410</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16683</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214316</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID M CAMPANELLI</PersonNm>
        <BaseCompensationFilingOrgAmt>203394</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2978</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8017</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15760</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230149</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN VILLANEUVA</PersonNm>
        <BaseCompensationFilingOrgAmt>192724</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2579</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7606</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6521</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209430</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000006" softwareId="13000178">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the form 990 is provided to Board members</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>for review and input prior to being filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Compliance is enforced at varying levels of disciplinary</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>actions for violations to be reported promptly to the</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director or to the President of the Board</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>if the Executive Director has violated the policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director is hired and evaluated annually</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>by the Board of Directors. All other employees are</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>hired by the Executive Director who determines their compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in fund balances includes unrealized gains</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>on investments in the current year of $159,742.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Unrealized gains and losses on investments are not</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>included in revenues for the 990 tax filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part II, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET OTHER RECEIVABLES INVENTORIES PREPAIDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part II, Line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS PAYABLE &amp; ACCRUED EXPENSES BONDS, MORTGAGES &amp; OTHER NOTES UNEARNED GRANT ACCRUED SALARIES AND EXPENSES OBLIGATION-CAPITAL LEASE SALARY ADVANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFF RECRUITMENT MARKETING DUES, FEES, &amp; SUBS TAXES AND LICENSES MEDICAL SUPPLIES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>