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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8522</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1101429</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>165684</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLLABORATIVE RADIATION ONCOLOGY PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>302 KENSINGTON AVE</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN PROFESSIONAL FEES</ServicesDesc>
        <CompensationAmt>953071</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VARIAN MEDICAL SYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>70140 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR SOFTWARE AND MAINTENANCE CONTRACT</ServicesDesc>
        <CompensationAmt>888026</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HURLEY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE HURLEY PLAZA</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEASED STAFF SALARIES</ServicesDesc>
        <CompensationAmt>710777</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5098 W BRISTOL RD</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE &amp; MAINTENANCE</ServicesDesc>
        <CompensationAmt>288470</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASCENSION GENESYS HOSPITAL</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO BOX 778778</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60677</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>LEASED STAFF SALARIES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>15970</AllOtherContributionsAmt>
      <TotalContributionsAmt>15970</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>6361145</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6361145</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1038161</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>REIMB FOR PHARMACISTS COST</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>364716</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>364716</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH AND CLINICAL TRIALS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>200076</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>200076</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>7964098</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>135973</TotalRevenueColumnAmt>
        <ExclusionAmt>135973</ExclusionAmt>
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      <GrossRentsGrp>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>316811</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>316811</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2525476</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2129676</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>395800</TotalRevenueColumnAmt>
        <ExclusionAmt>395800</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <RelatedOrExemptFuncIncomeAmt>8280909</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>531773</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>107254</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>181449</TotalAmt>
        <ManagementAndGeneralAmt>181449</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1551381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>372966</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>50679</TotalAmt>
        <ProgramServicesAmt>43557</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>322325</TotalAmt>
        <ProgramServicesAmt>3708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>318617</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>109879</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>40758</TotalAmt>
        <ManagementAndGeneralAmt>40758</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>35740</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2179227</ProgramServicesAmt>
        <ManagementAndGeneralAmt>168119</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19572</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>51203</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>411531</TotalAmt>
        <ProgramServicesAmt>352509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59022</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>83174</TotalAmt>
        <ProgramServicesAmt>40436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42738</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>6705</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>5766486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3031844</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>6290</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <PersonNm>ERIC KEDROSKY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AFFAN SHOHATEE</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1968</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177909</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1Txt>ECONOMIC DEVELOPMENT CORPORATION OF THE CITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>382273690</BondIssuerEIN>
        <BondIssuedDt>2008-06-01</BondIssuedDt>
        <IssuePriceAmt>11500000</IssuePriceAmt>
        <PurposeDesc>TO FINANCE BUILDING, STRUCTURES, LAND &amp; SITE IMPROVEMENTS, AND EQUIPMENT</PurposeDesc>
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        <RefundingEscrowAmt>4397348</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>105000</IssuanceCostsFromProceedsAmt>
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        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
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        <PrivateBusConcerningUBIPct>0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
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        <VariableRateIssueInd>true</VariableRateIssueInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS ARE GENESYS REGIONAL MEDICAL CENTER AND HURLEY MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PROVIDED IN THE ORGANIZATION'S BYLAWS, EACH CLASS OF MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT AND REMOVE CERTAIN MEMBERS OF THE BOARD OF DIRECTORS; THE AT-LARGE DIRECTOR(S), AS THAT TERM IS DEFINED IN THE BYLAWS, MAY BE REMOVED BY BOTH CLASSES OF MEMBERS WITH OR WITHOUT CAUSE OR AS OTHERWISE PROVIDED IN THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS SHALL HAVE THE FULL AUTHORITY TO GOVERN THE AFFAIRS OF THE ORGANIZATION, EXCEPT FOR THOSE ACTIONS NOTED IN ARTICLE VIII THAT REQUIRE APPROVAL OF BOTH CLASSES OF MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS SENT TO THE EXECUTIVE DIRECTOR FOR REVIEW AND SIGNATURE. THE EXECUTIVE DIRECTOR DISTRIBUTES THE FORM 990 TO THE BOARD PRIOR TO FILING. QUESTIONS ARE ADDRESSED TO THE GHCI FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLIANCE OFFICER REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. IF A CONFLICT AMONG THE BOARD CAN'T BE RESOLVED THE ISSUE IS SENT TO THE CEO'S OF THE MEMBER ORGANIZATIONS - HURLEY MEDICAL CENTER AND GENESYS REGIONAL MEDICAL CENTER - TO RESOLVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS REVIEWS AND HAS THE FINAL APPROVAL OR DISAPPROVAL FOR ALL COMPENSATION DECISIONS RECOMMENDED BY THE HUMAN RESOURCE COMMITTEE AND GHCI ADMINISTRATION. COMPENSATION DISCUSSION FOR SALARY DETERMINATION FOR KEY EMPLOYEES (ALL EMPLOYEES) COME FROM INDEPENDENT NATIONAL MARKET DATA ANALYSTS AND INDEPENDENT NATIONAL MARKET SALARY SURVEYS FROM GENESYS AND HURLEY HUMAN RESOURCE DEPARTMENTS. THIS DATA IS THEN ANALYZED THROUGH GENESYS AND HURLEY HUMAN RESOURCE DEPARTMENTS AND THEN DISCUSSED, DELIBERATED AT THE GHCI HUMAN RESOURCE COMMITTEE AND DOCUMENTED IN THE BOARD MINUTES, WITH BOTH GENESYS AND HURLEY REPRESENTATIVES PRESENT TO COME TO A DECISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALWAYS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES FOR SERVICE: - Total Expense: 195895, Program Service Expense: 38385, Management and General Expenses: 157510, Fundraising Expenses: ; CONTRACT LABOR: - Total Expense: 2151451, Program Service Expense: 2140842, Management and General Expenses: 10609, Fundraising Expenses: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - 57732; Total - 57732;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.</ExplanationTxt>
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