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        <ProgramServices>307</ProgramServices>
        <ManagementAndGeneral>25</ManagementAndGeneral>
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        <ProgramServices>108561</ProgramServices>
        <ManagementAndGeneral>155864</ManagementAndGeneral>
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        <ProgramServices>1990879</ProgramServices>
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        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
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      <OtherExpenses>
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        <ProgramServices>286615</ProgramServices>
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      <OtherExpenses>
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      <OtherExpenses>
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      <AllOtherExpenses>
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        <ProgramServices>165093</ProgramServices>
        <ManagementAndGeneral>65659</ManagementAndGeneral>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalLiabNetAssetsFundBalances>
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      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>The Center has adopted accounting guidance regarding the accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this policy, the Center may recognize the tax benefit from an uncertain tax position only if it is more-likely-than-not that the tax position would be sustained on examination by taxing authorities, based on the technical merits of the position. Management has evaluated the Center's tax positions and has concluded that the Center has taken no uncertain tax positions that require adjustment to the financial statements to comply with provisions of this guidance. As of June 30, 2010 and 2009, there are no material unrecognized/derecognized tax benefits or tax penalties or interest. The Center is no longer subject to U.S. federal, state or local tax examinations by tax authorities for years ending before June 30, 2007.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>A copy of the final draft of the 990 will be reviewed by the CEO and CFO, then subsequently presented and reviewed by the full Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Total Health Care, Inc. has a written Conflict of Interest Policy. Key employees, officers and directors update annually their disclosure statement. Any conflicts are reviewed by the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The compensation of the PRESIDENT/CEO is established by the Board of Directors and is determined annually based upon a market survey of comparable compensation data. The executive committee records and approves the compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>All organizational documents, financial statements, and its conflict of interest policy are available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VII, SECTION A</Identifier>
        <Explanation>BOARD MEMBER, STEVEN C. RUBIO, RESIGNED FROM THE BOARD IN APRIL 2010.</Explanation>
      </GeneralExplanation>
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