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      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>5659854</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>773043</TotalRevenueColumnAmt>
        <ExclusionAmt>773043</ExclusionAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ManagementAndGeneralAmt>121766</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>151321</ProgramServicesAmt>
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        <FundraisingAmt>3451</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>143213</ProgramServicesAmt>
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        <ProgramServicesAmt>273903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13869</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>16585</ProgramServicesAmt>
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        <ProgramServicesAmt>414205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88759</ManagementAndGeneralAmt>
        <FundraisingAmt>88758</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>92838</ProgramServicesAmt>
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        <Desc>MEDICAL AND PHARMACY SU</Desc>
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        <ProgramServicesAmt>1387980</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RADIOLOGY AND MEDICAL E</Desc>
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        <ProgramServicesAmt>465189</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FUNDRAISING EXPENSE</Desc>
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        <ProgramServicesAmt>72896</ProgramServicesAmt>
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        <EOYAmt>496742</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>27832</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>103305</EOYAmt>
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        <EOYAmt>18264019</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>25768828</EOYAmt>
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        <EOYAmt>1000663</EOYAmt>
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        <EOYAmt>53725974</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>67618</EOYAmt>
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        <BOYAmt>170914</BOYAmt>
        <EOYAmt>67618</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>27365911</BOYAmt>
        <EOYAmt>29626284</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>20963214</BOYAmt>
        <EOYAmt>24032072</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>48329125</BOYAmt>
        <EOYAmt>53658356</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>48500039</BOYAmt>
        <EOYAmt>53725974</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3059872</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2113711</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>155648</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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        <InvestmentEarningsOrLossesAmt>2852227</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>842604</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>17298675</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-2357675</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>901836</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>15289052</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>15751465</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3673968</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>876870</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>18548563</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>14808305</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1682651</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>739491</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>15751465</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>708980</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>720042</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>14808305</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>0.67752</PrmnntEndowmentBalanceEOYPct>
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      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2303509</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2303509</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>2071755</DepreciationAmt>
        <BookValueAmt>13448381</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>25061</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>2041332</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>445736</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>18264019</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>2113711</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>9400978</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>11514689</RevenueNotReportedAmt>
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      <OtherRevenuesNotIncludedAmt>-108271</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>13495</RevenueNotReportedFinclStmtAmt>
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      <DonatedServicesUseFcltsAmt>9400978</DonatedServicesUseFcltsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>EARNINGS OF THE ENDOWMENT FUND ARE TO BE USED FOR OPERATIONS OF THE CLINIC. THE TRANSFER OF FUNDS FOR OPERATING NEEDS IS AT THE DISCRETION OF THE BOARD BUT CAN BE NO MORE THAN 5% OF THE MARKET VALUE OF FUND IN ANY GIVEN YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THIS GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990) IS FILED ANNUALLY BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS -108,271.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES IN SPLIT-INTEREST VALUE -155,648.</ExplanationTxt>
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        <Event2Nm>BASH</Event2Nm>
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        <CharitableContriEvent2Amt>18550</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>6960</GrossRevenueEvent2Amt>
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        <FoodAndBeverageEvent2Amt>8005</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>1310</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>7460</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>1369522</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1341282</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>28240</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>6873</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>34324</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>3810</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>19568</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>64575</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-36335</NetIncomeSummaryAmt>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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        <PersonNm>LESLIE LASCHEID</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>4431</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ESTABLISHED A NONQUALIFIED ARRANGEMENT FOR LESLIE LASCHEID THAT IS FUNDED BY A LIFE INSURANCE POLICY FOR WHICH THE ORGANIZATION IS THE BENEFICIARY. THE 2021 AMOUNT IS $150,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>1388727</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS A STANDING COMMITTEE OF THE BOARD WHICH SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION; PROVIDED, HOWEVER, THAT THE DESIGNATION OF AND DELEGATION OF AUTHORITY TO COMMITTEES SHALL NOT RELIEVE THE BOARD OF DIRECTORS, OR ANY DIRECTOR INDIVIDUALLY, OF ANY RESPONSIBILITY IMPOSED ON THE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR BY THESE BYLAWS, OR BY LAWS. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE DESIGNATED CORPORATE OFFICERS AND SUCH OTHER DIRECTORS APPOINTED BY THE BOARD AS MAY BE REQUIRED TO ASSURE OPERATIONAL CONTROL OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS WILL BE PROVIDED WITH AN ELECTRONIC COPY OF A FINAL DRAFT OF 990 PRIOR TO FILING AND BE INSTRUCTED TO VOICE ANY QUESTIONS OR CONCERNS TO THE BOARD CHAIRMAN AND CEO. ALL MEMBERS WILL BE NOTIFIED OF ANY CHANGES TO THE FORM 990 FROM WHAT THEY REVIEWED AND WHAT IS ULTIMATELY FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES AND BOARD MEMBERS ARE AWARE OF WHAT REPRESENTS A CONFLICT OF INTEREST. ALL ARE COVERED BY THE POLICY AND ANY POTENTIAL CONFLICTS ARE TO BE BROUGHT TO THE ATTENTION OF THE CHAIRMAN OR CEO. THE BOARD MEMBERS ANNUALLY SIGN OFF ON THE CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE BOARD CHAIR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR CEO IS REVIEWED BY OFFICERS OF THE BOARD, UTILIZING LOCAL NOT-FOR-PROFIT COMPENSATION DATA. THE MOST RECENT REVIEW WAS IN OCTOBER 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE ON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 155,648.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>