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        <CompensationAmt>606575</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GORDON FOOD SERVICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>630 JOHN HANCOCK RD</AddressLine1Txt>
            <CityNm>TAUNTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02780</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>282006</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRO-EMS SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>31 SMITH PLACE</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02138</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COVID TESTING VENDOR</ServicesDesc>
        <CompensationAmt>250215</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMSCRIPT MA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>140 LOCKE DRIVE</AddressLine1Txt>
            <CityNm>MARLBOROUGH</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01752</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>172125</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>134130</FundraisingAmt>
      <GovernmentGrantsAmt>1534792</GovernmentGrantsAmt>
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      <TotalContributionsAmt>2118237</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIEN SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10804075</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10804075</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MASSACHUSETTS DEPARTMENT OF HEALT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>334523</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>334523</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CARES ACT PROVIDER RELIEF FUND PA</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>157775</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>157775</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>11296373</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>90674</TotalRevenueColumnAmt>
        <ExclusionAmt>90674</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>7278</ExclusionAmt>
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        <ManagementAndGeneralAmt>435889</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>71944</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <FundraisingAmt>32365</FundraisingAmt>
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        <ManagementAndGeneralAmt>31712</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12616</ProgramServicesAmt>
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        <ProgramServicesAmt>26852</ProgramServicesAmt>
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        <FundraisingAmt>6600</FundraisingAmt>
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        <ManagementAndGeneralAmt>52693</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ManagementAndGeneralAmt>97</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>10000</ManagementAndGeneralAmt>
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        <TotalAmt>270134</TotalAmt>
        <ProgramServicesAmt>270134</ProgramServicesAmt>
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        <TotalAmt>369850</TotalAmt>
        <ProgramServicesAmt>369850</ProgramServicesAmt>
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        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>748502</TotalAmt>
        <ProgramServicesAmt>748502</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>USER FEES</Desc>
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        <ProgramServicesAmt>653944</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>COVID EXPENSES</Desc>
        <TotalAmt>502772</TotalAmt>
        <ProgramServicesAmt>502772</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>NURSING</Desc>
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        <ProgramServicesAmt>263790</ProgramServicesAmt>
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        <ProgramServicesAmt>1137179</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1258346</ManagementAndGeneralAmt>
        <FundraisingAmt>60656</FundraisingAmt>
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        <EOYAmt>215249</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>12997907</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>2887207</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      <IntangibleAssetsGrp>
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        <EOYAmt>1929</EOYAmt>
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        <EOYAmt>10787242</EOYAmt>
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        <EOYAmt>72568</EOYAmt>
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        <EOYAmt>2064526</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>746960</BOYAmt>
        <EOYAmt>668279</EOYAmt>
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        <BOYAmt>7611381</BOYAmt>
        <EOYAmt>8722716</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9551046</BOYAmt>
        <EOYAmt>10787242</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>500232</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>611100</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>3</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus4YearsAmt>137794</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>174243</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>151992</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1946660</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>14951881</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>3486</CurrentTaxYearMinus4YearsAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <InvestmentIncomePYPct>0.00790</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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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      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13516880</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13025075</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotReportedAmt>8430</ExpensesNotReportedAmt>
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      <OtherExpensesNotIncludedAmt>3</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>3</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED NET ASSETS IN THE AMOUNT OF $668,279 FOR RENOVATIONS AND UPGRADES TO THE NURSING FACILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NOT-FORPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION AND VARIOUS POSITIONS RELATED TO THE UNRELATED BUSINESS INCOME TAXES RELATED TO ITS REAL ESTATE RENTAL, AND WHICH IS INCLUDED IN OTHER INCOME IN THE STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES DURING THE PERIODS COVERED BY THESE FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX RETURNS COULD BE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO SUCH EXAMINATIONS PENDING OR IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF FUNDRAISING EVENT EXPENSE 8,430.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF FUNDRAISING EVENT EXPENSE 8,430.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 3.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>X-MAS CARDS</Event1Nm>
        <GrossReceiptsEvent1Amt>8905</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>8905</CharitableContriEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2256</OtherDirectExpensesEvent1Amt>
        <Event2Nm>RADIOTHON</Event2Nm>
        <GrossReceiptsEvent2Amt>125225</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>125225</CharitableContriEvent2Amt>
        <OtherDirectExpensesEvent2Amt>1584</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>15708</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>15708</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>4590</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>149838</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>134130</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>15708</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>8430</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>8430</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>7278</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDITH PAULS</PersonNm>
        <TitleTxt>RN NURSING SUPERVISOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>156040</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>156043</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WORKS WITH A MANAGEMENT COMPANY TO RUN THE NURSING AND REHABILITATION CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING BODY INCLUDES OFFCIERS, EXECUTIVE BOARD MEMBERS AND TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW PRIOR TO FILING. AFTER THE REVIEW, ANY REVISIONS ARE COMMUNICATED TO THE RETURN PREPARER IN ORDER TO FINALIZE THE FORM 990 FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR TOP MANAGEMENT OFFICIALS IS DETERMINED THROUGH THE USE OF RECRUITMENT FIRMS AND WAGE SURVEYS. THE PRESIDENT DISCUSSES THE COMPENSATION WITH THE INDIVIDUAL(S) AND WILL ALSO CONDUCT ANNUAL REVIEWS. THE COMPENSATION FOR THE INDIVIDUALS(S) IS DISCUSSED BY THE PRESIDENT WITH THE BOARD. FURTHER, WAGE SURVEYS ARE USED AS A MEANS OF COMPARING COMPENSATION FOR SIMILARYLY QUALIFIED INDIVIDUALS(S).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 3.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
