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        <PersonNm>BRANDON GAFFNEY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA GILLIARD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL HUMPHRIES</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARLON HUNTER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANTINA MAYO</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER MCCUTCHEON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FAITH POLKEY MD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK RAJKOWSKI</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC SCHLUETER MD</PersonNm>
        <TitleTxt>CLINICAL REP</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI THOMPSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUE VEER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STAN WARDLAW</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLORIA WARNER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM WEATHERFORD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI YOUNG</PersonNm>
        <TitleTxt>CEO (AS OF 6/24)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>207463</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25893</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA B ALLEN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>31095</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1290</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLO VICTORIANO</PersonNm>
        <TitleTxt>CPO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124573</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16259</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHALETTA MILLER</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>120765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15605</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LATHRAN WOODARD</PersonNm>
        <TitleTxt>FORMER CEO (AS OF 12/31/23)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>143840</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>667</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>627736</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>59714</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>108100</MembershipDuesAmt>
      <GovernmentGrantsAmt>5189104</GovernmentGrantsAmt>
      <TotalContributionsAmt>5297204</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>75576</TotalRevenueColumnAmt>
        <ExclusionAmt>75576</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER CONTRACT REVENUE</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>636218</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>636218</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONFERENCES AND SEMINA</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>485143</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>485143</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1121361</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6494141</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1121361</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>75576</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>4320</TotalAmt>
        <ProgramServicesAmt>4320</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>264</TotalAmt>
        <ProgramServicesAmt>264</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>302479</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>1027921</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>30740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10061</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>580971</TotalAmt>
        <ProgramServicesAmt>456689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124282</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>116793</TotalAmt>
        <ProgramServicesAmt>92326</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24467</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>3305</TotalAmt>
        <ProgramServicesAmt>2757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>548</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>53315</TotalAmt>
        <ProgramServicesAmt>44469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8846</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>72000</TotalAmt>
        <ManagementAndGeneralAmt>72000</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2762456</TotalAmt>
        <ProgramServicesAmt>2688830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73626</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>8700</TotalAmt>
        <ProgramServicesAmt>3727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4973</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>199126</TotalAmt>
        <ProgramServicesAmt>193654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5472</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>163602</TotalAmt>
        <ProgramServicesAmt>120742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42860</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>98480</TotalAmt>
        <ProgramServicesAmt>93214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5266</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>580198</TotalAmt>
        <ProgramServicesAmt>549170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31028</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>890</TotalAmt>
        <ManagementAndGeneralAmt>890</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>71182</TotalAmt>
        <ManagementAndGeneralAmt>71182</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>22277</TotalAmt>
        <ProgramServicesAmt>1133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21144</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSE</Desc>
        <TotalAmt>89086</TotalAmt>
        <ProgramServicesAmt>27319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61767</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <TotalAmt>26337</TotalAmt>
        <ProgramServicesAmt>19540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6797</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SERVICE FEES</Desc>
        <TotalAmt>24966</TotalAmt>
        <ProgramServicesAmt>12840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12126</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>15930</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15930</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>6354553</TotalAmt>
        <ProgramServicesAmt>5672134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>682419</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>124138</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2226306</BOYAmt>
        <EOYAmt>2546181</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1509874</BOYAmt>
        <EOYAmt>922061</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>64727</BOYAmt>
        <EOYAmt>120730</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1832846</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>790382</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1084719</BOYAmt>
        <EOYAmt>1042464</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>108337</BOYAmt>
        <EOYAmt>80902</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4993963</BOYAmt>
        <EOYAmt>4836476</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>848863</BOYAmt>
        <EOYAmt>816575</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>198115</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>106293</BOYAmt>
        <EOYAmt>80902</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1172781</BOYAmt>
        <EOYAmt>1095592</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>3740884</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3821182</BOYAmt>
        <EOYAmt>3740884</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4993963</BOYAmt>
        <EOYAmt>4836476</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>139588</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-219886</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4678523</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5696042</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5835182</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5938719</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5297204</CurrentTaxYearAmt>
        <TotalAmt>27445670</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4678523</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5696042</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5835182</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5938719</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5297204</CurrentTaxYearAmt>
        <TotalAmt>27445670</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>27445670</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>13917</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1809</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15089</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>63810</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>75576</CurrentTaxYearAmt>
        <TotalAmt>170201</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1069850</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1098487</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>979031</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1002299</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1121361</CurrentTaxYearAmt>
        <TotalAmt>5271028</TotalAmt>
      </OtherIncome170Grp>
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      <PublicSupportCY170Pct>0.83450</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.83210</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2020 AMOUNT: $ 1,069,850. 2021 AMOUNT: $ 1,098,487. 2022 AMOUNT: $ 979,031. CONFERENCES AND SEMINARS - 2023 AMOUNT: $ 373,995. 2024 AMOUNT: $ 485,143. CONTRACTUAL AND CONSULTATION FEES - 2023 AMOUNT: $ 621,824. 2024 AMOUNT: $ 636,218. CREDENTIALING - 2023 AMOUNT: $ 6,480.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>72000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>999</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>72999</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1 LOBBYING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGES A PROFESSIONAL LOBBYIST TO ADVOCATE ON STATE LEGISLATIVE ISSUES THAT ARE IMPORTANT TO THE ORGANIZATION AND ITS MEMBERS. DURING THE YEAR, A MEMBER OF THE ORGANIZATION'S STAFF LOBBIED ON BEHALF OF THE ORGANIZATION. IT IS ESTIMATED THAT 1% OF THE STAFF MEMBER'S TIME AND SALARY, $999, WAS RELATED TO LOBBYING EFFORTS.</ExplanationTxt>
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      <LandGrp>
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        <BookValueAmt>277500</BookValueAmt>
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        <DepreciationAmt>494619</DepreciationAmt>
        <BookValueAmt>742632</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>318095</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>295763</DepreciationAmt>
        <BookValueAmt>22332</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1042464</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>80902</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>80902</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>6494141</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6494141</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6494141</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6354553</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6354553</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6354553</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A NON-PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES, AND IS NOT A PRIVATE FOUNDATION. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ASSOCIATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. NO UNRELATED BUSINESS INCOME HAS BEEN REPORTED BY THE ASSOCIATION ON THE ANNUAL IRS FORM 990 IN THE LAST THREE YEARS, WHICH REMAIN OPEN AND SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. ACCORDINGLY, NO PROVISION FOR FEDERAL AND STATE INCOME TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. THE ASSOCIATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ALL TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT WOULD BE MATERIAL TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKI YOUNG</PersonNm>
        <TitleTxt>CEO (AS OF 6/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>207463</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9649</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16244</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>233356</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LATHRAN WOODARD</PersonNm>
        <TitleTxt>FORMER CEO (AS OF 12/31/23)</TitleTxt>
        <BaseCompensationFilingOrgAmt>143840</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>667</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>144507</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME: LATHRAN WOODARD, DESCRIPTION: SEVERANCE/CHANGE OF CONTROL, CURRENT YEAR AMOUNT: $87,500. PLAN DESCRIPTION: THE ASSOCIATION RECORDED $350,000 IN SEVERANCE EXPENSES IN JUNE 2024 WITH 4 EQUAL INSTALLMENTS OF $87,500 TO BE MADE, ONE OF WHICH WAS MADE BEFORE DECEMBER 31, 2024.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION'S NAVIGATOR GRANT ENDED IN AUGUST 2024 THUS, THE CONTRACTS WITH COMMUNITY HEALTH CENTERS THROUGHOUT THE STATE OF SOUTH CAROLINA FOR OUTREACH AND ENROLLMENT SERVICES WERE PHASED OUT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS MADE UP OF MEMBERS FROM THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS MADE UP OF THE CEO/ED OF EACH ORGANIZATIONAL MEMBER AND A CLINICAL REPRESENTATIVE, AS PRESCRIBED BY SCPHCA'S BYLAWS. MS. GLORIA WARNER, INTERIM CEO OF COOPERATIVE HEALTH CENTER, BOARD MEMBER, MAINTAINED A BUSINESS RELATIONSHIP WITH DR. ERIC SCHLUETER, CMO OF COOPERATIVE HEALTH CENTER, CLINICAL REPRESENTATIVE. ALTHOUGH EACH OF THESE INDIVIDUALS IS EMPLOYED BY THE SAME ORGANIZATION, THEY PROVIDE THE BOARD OF DIRECTORS WITH DIVERSE AND NEEDED PERSPECTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION IS A MEMBERSHIP ORGANIZATION. MEMBERSHIP IS COMPRISED OF SECTION 330 OF THE PUBLIC HEALTH SERVICE ACT GRANTEES AND OTHER LIKE-MISSION ORIENTED ENTITIES AND INDIVUDALS INTERESTED IN IMPROVING ACCESS TO HEALTH CARE SERVICES TO ALL PEOPLE THROUGHOUT THE STATE OF SOUTH CAROLINA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO THE BY-LAWS OF THE SC PRIMARY HEALTH CARE ASSOCIATION, ALL ORGANIZATIONAL MEMBERS IN GOOD STANDING ARE ELIGIBLE TO HOLD A SEAT ON THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL CONSIST OF ONE (1) AUTHORIZED REPRESENTATIVE OF EACH ORGANIZATIONAL MEMBER, WHO SHALL BE ITS CHIEF EXECUTIVE OFFICER OR EXECUTIVE DIRECTOR, PROVIDED THE ORGANIZATION IS IN GOOD STANDING, AND ONE (1) CLINICAL REPRESENTATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A PRELIMINARY DRAFT OF THE FORM 990 WITH APPLICABLE REQUIRED SCHEDULES AND OTHER INFORMATION WAS PREPARED AND SUBMITTED TO THE ASSOCIATION'S MANAGEMENT FOR REVIEW. SUBSEQUENT TO MANAGEMENT'S REVIEW, A COPY OF THE PRELIMINARY DRAFT OF THE FORM 990 WITH APPLICABLE SCHEDULES WAS DISTRIBUTED TO THE BOARD FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO SUBMISSION OF THE FINAL VERSION TO THE IRS AND THE STATE OF SOUTH CAROLINA COMPTROLLER GENERAL'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>SCPHCA MAINTAINS EFFECTIVE INTERNAL CONTROLS OVER CASH RECEIPTS AND DISBURSEMENTS. MONTHLY THESE CONTROLS ARE MONITORED FOR COMPLIANCE THROUGH FINANCIAL REPORTING AND THE DISCLOSURE OF ALL FINANCIAL TRANSACTIONS TO THE BOARD FINANCE COMMITTEE, THEN TO THE FULL BOARD. THIS ASSISTS WITH THE AVOIDANCE OF EVENTS OR CIRCUMSTANCES THAT COULD VIOLATE THE SCPHCA CONFLICT OF INTEREST POLICY. IN ACCORDANCE WITH THE SCPHCA BY-LAWS, CONFLICT OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY AND ANY DUALITY OF INTEREST OR POSSIBLE CONFLICTS MUST BE DISCLOSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO, MANAGEMENT AND ALL OTHER STAFF IS UPDATED EVERY THREE (3) YEARS BY AN EXTERNAL ORGANIZATION THROUGH A COMPENSATION STUDY. THE PROCESS OF APPROVING NEW COMPENSATION SCALE IS DONE IN ACCORDANCE WITH THE BOARD-APPROVED POLICIES OF THE SCPHCA. THIS PROCESS, LAST COMPLETED IN 2023, ENSURES THAT SALARIES ARE CONSISTENT AND COMPETITIVE WITH THE INDUSTRY STANDARDS. CEO COMPENSATION WAS REVIEWED DURING 2024 AS THE ASSOCIATION RECRUITED FOR AND FILLED THIS POSITION. THIS INCLUDED INDEPENDENT REVIEW, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION MAKING PROCESSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FEDERAL FORM 990 WITH ALL APPLICABLE SCHEDULES AND OTHER FINANCIAL INFORMATION IS SUBMITTED TO THE STATE OF SOUTH CAROLINA PUBLIC CHARITIES DIVISION. ONCE RECEIVED AND PROCESSED, THIS INFORMATION IS MADE AVAILABLE FOR PUBLIC ACCESS BY THE PUBLIC CHARITIES DIVISION OF THE STATE OF SOUTH CAROLINA TO SATISFY THE STATE'S REPORTING AND DISCLOSURE REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROF SERVICES: PROGRAM SERVICE EXPENSES 2,688,830. MANAGEMENT AND GENERAL EXPENSES 73,626. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,762,456.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTATEMENT OF PRIOR PERIOD REVENUE -219,886.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITOR SELECTION AND OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>