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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
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        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1669451</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>205297</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WORSHAM BROTHERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12 CANTRELL RD</AddressLine1Txt>
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            <StateAbbreviationCd>MS</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>947591</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATHENAHEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>80 GUEST SSTREET</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02135</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>392424</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARCHITECTURE SOUTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11631694</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>392804</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <TotalRevenueColumnAmt>7035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7035</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>7035</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>11638729</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>392804</ExclusionAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>354177</TotalAmt>
        <ProgramServicesAmt>266562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87615</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>587774</TotalAmt>
        <ProgramServicesAmt>435738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152036</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>369431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132979</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1786</TotalAmt>
        <ManagementAndGeneralAmt>1786</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28121</TotalAmt>
        <ManagementAndGeneralAmt>28121</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>95012</TotalAmt>
        <ProgramServicesAmt>75616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19396</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>227459</TotalAmt>
        <ProgramServicesAmt>149732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77727</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>34074</TotalAmt>
        <ProgramServicesAmt>7705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26369</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>33664</TotalAmt>
        <ProgramServicesAmt>22990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10674</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>440516</TotalAmt>
        <ProgramServicesAmt>314395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126121</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>53274</TotalAmt>
        <ProgramServicesAmt>26534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26740</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>3447550</TotalAmt>
        <ProgramServicesAmt>3378528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69022</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTUAL SERVICES</Desc>
        <TotalAmt>1609006</TotalAmt>
        <ProgramServicesAmt>1532543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76463</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>254853</TotalAmt>
        <ProgramServicesAmt>155926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98927</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>102259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42822</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>184910</TotalAmt>
        <ProgramServicesAmt>113248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71662</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15309065</TotalAmt>
        <ProgramServicesAmt>12442348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2866717</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>4980195</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>6146220</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>758138</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1124238</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>70177</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>10430299</LandBldgEquipCostOrOtherBssAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>11563</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>537215</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>20710039</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1023921</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>907334</BOYAmt>
        <EOYAmt>783380</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1929911</BOYAmt>
        <EOYAmt>1807301</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>18168422</BOYAmt>
        <EOYAmt>18902738</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>18902738</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>734316</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus1YearAmt>6228837</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4011848</CurrentTaxYearAmt>
        <TotalAmt>24829669</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <TotalAmt>24829669</TotalAmt>
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      <PublicSupportTotal170Amt>24829669</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearAmt>392804</CurrentTaxYearAmt>
        <TotalAmt>418352</TotalAmt>
      </GrossInvestmentIncome170Grp>
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      <GrossReceiptsRltdActivitiesAmt>11638729</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99690</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>215104</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>4173093</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>1534099</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SHORT-TERM NOTE PAYABLE</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM LEASE LIABILITY</Desc>
        <Amt>179873</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SHORT-TERM LEASE LIABILITY</Desc>
        <Amt>112057</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>783380</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16043381</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>16043381</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>16043381</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15309065</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>15309065</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15309065</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MONROE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>238098</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14515</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16889</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269502</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NEIL WANEE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>267798</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN KOEHLER</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14363</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20939</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266853</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM GUNTHARP</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>212053</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13168</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6948</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232169</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOBY COLLINS</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>12461</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14753</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228225</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARILYN SUMERFORD</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>9470</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14753</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>178239</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID SUMERFORD</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>141888</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8799</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6948</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>157635</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc5">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KENNETH SUMERFORD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF ED</RelationshipDescriptionTxt>
        <TransactionDesc>OFFICE RENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNETH SUMERFORD IS THE SPOUSE OF THE EXECUTIVE DIRECTOR. THE ORGANIZATION RENTS OFFICE SPACE FROM MR SUMERFORD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTOR OF FINANCE AND EXECUTIVE DIRECTOR REVIEW THE 990 AND PRESENT THE RESULTS TO THE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AT THE ANNUAL MEETING IN JUNE. WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE BOARD MEMBER MUST RESIGN IF IT IS IN CONFLICT WITH THE BOARD'S BYLAWS. THE ORGANIZATION ALSO HAS A COMPLIANCE OFFICER THAT MONITORS COMPLIANCE WITH THE VARIOUS PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF TOP MANAGEMENT POSITIONS IS SET BY THE BOARD AND REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS AND KEY POSITIONS IS SET BY THE BOARD AND REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PUBLIC DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>