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      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>OTHER INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>104836</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>104836</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
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        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2552</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2552</RelatedOrExemptFunctionIncome>
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      <TotalRevenue>
        <TotalRevenueColumn>8939777</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6128375</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>18849</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>159584</Total>
        <ManagementAndGeneral>159584</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>3105208</Total>
        <ProgramServices>2576465</ProgramServices>
        <ManagementAndGeneral>528743</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>120507</Total>
        <ProgramServices>107477</ProgramServices>
        <ManagementAndGeneral>13030</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>606094</Total>
        <ProgramServices>510708</ProgramServices>
        <ManagementAndGeneral>95386</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>264049</Total>
        <ProgramServices>207547</ProgramServices>
        <ManagementAndGeneral>56502</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>137863</Total>
        <ProgramServices>5000</ProgramServices>
        <ManagementAndGeneral>132863</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>49904</Total>
        <ManagementAndGeneral>49904</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1464690</Total>
        <ProgramServices>777435</ProgramServices>
        <ManagementAndGeneral>687255</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>655888</Total>
        <ProgramServices>589980</ProgramServices>
        <ManagementAndGeneral>65908</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>121338</Total>
        <ProgramServices>76443</ProgramServices>
        <ManagementAndGeneral>44895</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>578775</Total>
        <ProgramServices>463020</ProgramServices>
        <ManagementAndGeneral>115755</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>19668</ProgramServices>
        <ManagementAndGeneral>12520</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>4474</Total>
        <ProgramServices>1983</ProgramServices>
        <ManagementAndGeneral>2491</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>45593</Total>
        <ProgramServices>36474</ProgramServices>
        <ManagementAndGeneral>9119</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>516506</Total>
        <ProgramServices>413205</ProgramServices>
        <ManagementAndGeneral>103301</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>43556</Total>
        <ProgramServices>26819</ProgramServices>
        <ManagementAndGeneral>16737</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Provision for doubtful account</Description>
        <Total>142391</Total>
        <ProgramServices>142391</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Personnel Recruitment</Description>
        <Total>65590</Total>
        <ProgramServices>41322</ProgramServices>
        <ManagementAndGeneral>24268</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Laboratory</Description>
        <Total>104245</Total>
        <ProgramServices>104245</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment rental &amp; Maintenance</Description>
        <Total>105033</Total>
        <ProgramServices>84026</ProgramServices>
        <ManagementAndGeneral>21007</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bond fees</Description>
        <Total>46252</Total>
        <ProgramServices>37002</ProgramServices>
        <ManagementAndGeneral>9250</ManagementAndGeneral>
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        <ManagementAndGeneral>43494</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>2192012</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>20479</EOY>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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        <EOY>18460</EOY>
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        <EOY>1462361</EOY>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>74031</BOY>
        <EOY>158100</EOY>
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      <LandBuildingsEquipmentBasis>13781343</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4355005</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>9841596</BOY>
        <EOY>9426338</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>1707432</BOY>
        <EOY>1660816</EOY>
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      <TotalAssets>
        <BOY>14066270</BOY>
        <EOY>13189203</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1472358</BOY>
        <EOY>1095323</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>7325613</BOY>
        <EOY>6693323</EOY>
      </TaxExemptBondLiabilities>
      <UnsecuredNotesLoansPayable>
        <BOY>1090224</BOY>
        <EOY>1051848</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>8779169</BOY>
        <EOY>8423248</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>18667364</BOY>
        <EOY>17263742</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-4601094</BOY>
        <EOY>-4074539</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-4601094</BOY>
        <EOY>-4074539</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14066270</BOY>
        <EOY>13189203</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>526555</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.2">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1578628</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2427106</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1468784</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1836656</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2792553</CurrentTaxYear>
        <Total>10103727</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>7826686</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7032564</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6751160</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6020987</CurrentTaxYear>
        <Total>33337263</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>7284494</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10253792</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8501348</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8587816</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8813540</CurrentTaxYear>
        <Total>43440990</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <PublicSupportTotal509>43440990</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>43770</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>102193</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>60114</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>61553</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18849</CurrentTaxYear>
        <Total>286479</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>43770</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>102193</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>60114</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>61553</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18849</CurrentTaxYear>
        <Total>286479</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>110753</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>76708</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>58863</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>74272</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>107388</CurrentTaxYear>
        <Total>427984</Total>
      </OtherIncome509>
      <TotalSupportTotal>
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        <CurrentTaxYearMinus3Years>10432693</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8620325</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8723641</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8939777</CurrentTaxYear>
        <Total>44155453</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98380</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98260</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00650</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00880</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.2">
      <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>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.2">
      <Land>
        <OtherCostOrOtherBasis>1964266</OtherCostOrOtherBasis>
        <BookValue>1964266</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>9325141</OtherCostOrOtherBasis>
        <Depreciation>2449027</Depreciation>
        <BookValue>6876114</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>2491936</OtherCostOrOtherBasis>
        <Depreciation>1905978</Depreciation>
        <BookValue>585958</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>9426338</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>RESTRICTED CASH</Description>
        <BookValue>215195</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED BOND FEES</Description>
        <BookValue>169656</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT SERVICE RESERVE FUND</Description>
        <BookValue>569294</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>debt service fund</Description>
        <BookValue>563186</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CONSTRUCTION FUND</Description>
        <BookValue>143485</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1660816</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>SUBVENTION CERTIFICATE PAYABLE</Description>
        <Amount>1600000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to William F. Ryan CHC</Description>
        <Amount>6823248</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>8423248</TotalOfAmounts>
      <TotalRevenue>8939777</TotalRevenue>
      <TotalExpenses>8413222</TotalExpenses>
      <ExcessOrDeficitForYear>526555</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>526555</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>8939777</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>8939777</RevenueSubtotal>
      <TotalRevenuePerForm990>8939777</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>8413222</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>8413222</ExpensesSubtotal>
      <TotalExpensesPerForm990>8413222</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="11000144" softwareVersion="2011v1.2">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>YASMIN HASSAN</NamePerson>
        <BaseCompensationFilingOrg>177671</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3553</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>23328</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>204552</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ERIC WAHL</NamePerson>
        <BaseCompensationFilingOrg>162780</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>23284</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>186064</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ARNEL TIRADO</NamePerson>
        <BaseCompensationFilingOrg>148346</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>2967</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8271</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>159584</TotalCompensationFilingOrg>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="11000144" softwareVersion="2011v1.2">
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>157348</NoncashContribsRptdF990>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>THE CENTER PROVIDES COPIES ON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>When determining compensation for the Organization's Executive Director, other top management officials and key employees, the Human resources Department contacts the HR Department of other community health centers and healthcare institutions for the comparison of salary, including benefits; and visits relevant internet websites.The Center also participates in the National Association of Community Health Centers (NACHC) Annual Health Center Salary and Benefit Survey.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The Chair of the Board of Directors ensures that all board members and the Executive director submit attestations on an annual basis. Key employees submit their attestations to the executive director. Any cases of potential conflicts of interest are dealt with appropriately, as per policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Executive Director, Chief Financial Officer and Controller review the Form 990 before it is presented and reviewed by the Finance Committee of the Board of Directors. The Chair of Finance Committee then presents the Form 990 for full board review at the Board of Directors meeting, before it is filed with the IRS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>