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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <EventsInformation>
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        <PurposeOfGrant>Hospice</PurposeOfGrant>
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        <PurposeOfGrant>Hospital replacement</PurposeOfGrant>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>No documents available to the public</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The completed Form 990 is shared with officers and members of the board by electronic communication for their review prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>See Part VI, Line 7a explanation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
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