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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kate Anson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tyler Armato</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>102000</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>7646</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>8586</FundraisingAmt>
      <AllOtherContributionsAmt>2996522</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1978671</NoncashContributionsAmt>
      <TotalContributionsAmt>3005108</TotalContributionsAmt>
      <TotalProgramServiceRevenueAmt>0</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>52427</TotalRevenueColumnAmt>
        <ExclusionAmt>52427</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>7750</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>7750</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>7750</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-4185</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-4185</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-4185</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>25654</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>8586</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>4270</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>21384</TotalRevenueColumnAmt>
        <ExclusionAmt>21384</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <TotalRevenueColumnAmt>11649</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11649</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>11649</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3094133</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15214</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>73811</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>109646</TotalAmt>
        <ProgramServicesAmt>100874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6579</ManagementAndGeneralAmt>
        <FundraisingAmt>2193</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>467592</TotalAmt>
        <ProgramServicesAmt>305984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121583</ManagementAndGeneralAmt>
        <FundraisingAmt>40025</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>114403</TotalAmt>
        <ProgramServicesAmt>80631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25409</ManagementAndGeneralAmt>
        <FundraisingAmt>8363</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>7646</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
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        <FundraisingAmt>542</FundraisingAmt>
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      <TravelGrp>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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        <ProgramServicesAmt>4971</ProgramServicesAmt>
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        <FundraisingAmt>695</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Medicine and Supplies</Desc>
        <TotalAmt>2013534</TotalAmt>
        <ProgramServicesAmt>2013534</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Printing and Publications</Desc>
        <TotalAmt>967</TotalAmt>
        <ProgramServicesAmt>484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242</ManagementAndGeneralAmt>
        <FundraisingAmt>241</FundraisingAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>2677470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214719</ManagementAndGeneralAmt>
        <FundraisingAmt>70297</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>518877</BOYAmt>
        <EOYAmt>401577</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>57210</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>50943</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>534</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>131635</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>5466</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1309034</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>496590</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>771029</BOYAmt>
        <EOYAmt>812444</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1590740</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>3050549</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4200</BOYAmt>
        <EOYAmt>15122</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>45975</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>231394</BOYAmt>
        <EOYAmt>61097</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>2679881</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>309571</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>2989452</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>3050549</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>131647</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>133217</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus3YearsAmt>2385729</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2142819</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2567338</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3005108</CurrentTaxYearAmt>
        <TotalAmt>12997866</TotalAmt>
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        <TotalAmt>0</TotalAmt>
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      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>12997866</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>28867</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>52427</CurrentTaxYearAmt>
        <TotalAmt>153857</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
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        <TotalAmt>175275</TotalAmt>
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      <TotalSupportAmt>13326998</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>7092</GrossReceiptsRltdActivitiesAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <DepreciationAmt>306323</DepreciationAmt>
        <BookValueAmt>265797</BookValueAmt>
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      <EquipmentGrp>
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      <TotalBookValueLandBuildingsAmt>812444</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Refundable Advance</Desc>
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      </OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>3223974</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>133217</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>4270</OtherRevenueAmt>
      <RevenueNotReportedAmt>137487</RevenueNotReportedAmt>
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      <InvestmentExpensesNotIncldAmt>7646</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>7646</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>2954840</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>7646</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>7646</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Special Event $4270</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
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      <FundraisingEventInformationGrp>
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        <GrossReceiptsEvent1Amt>34240</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>8586</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>25654</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>3180</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1090</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>34240</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>8586</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>25654</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>3180</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1090</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>4270</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>21384</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>1978671</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>AWP</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is provided to the Board members at a regularly scheduled meeting as close as possible to the date that the 990 is prepared.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>We receive a copy of the NC Center for Nonprofits Salary Report which is used as a guideline for reviewing the Director's salary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>We can request average hourly rates from Human Resources at CMC - Northeast Hospital as a comparison for our other employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>