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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ray Khirallah</PersonNm>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Reynolds</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cait Chapman</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Janina Solomon</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gina Betts</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cambley Sassman</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Katherine Ratley</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rameshwar Thapa</PersonNm>
        <TitleTxt>Highly Compensated Employe</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>A Rebecca Crowell</PersonNm>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>130959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Keller</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>109151</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>358242</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Aetna</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 775392</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60677</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>1115237</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Ben E Keith</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 901001/7650 Will Rogers Bl</AddressLine1Txt>
            <CityNm>Fort Worth</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food/Beverage/ Supplies</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Philadelphia Insurance</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5340 S Legacy Dr 135</AddressLine1Txt>
            <CityNm>Plano</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1050316</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Other Service Fees</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>347838</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Food Assistance Progra</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>73700</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>137350</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>7897751</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>18821</TotalRevenueColumnAmt>
        <ExclusionAmt>18821</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Revenue</Desc>
        <BusinessCd>624100</BusinessCd>
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        <ExclusionAmt>34654</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Clinical Trials</Desc>
        <BusinessCd>624100</BusinessCd>
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        <ExclusionAmt>17379</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>2287</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>36162</ManagementAndGeneralAmt>
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        <FundraisingAmt>8938</FundraisingAmt>
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        <ProgramServicesAmt>41379</ProgramServicesAmt>
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        <ProgramServicesAmt>24048</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>28851</ProgramServicesAmt>
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        <FundraisingAmt>480</FundraisingAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>57938</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Uncollectible Accounts</Desc>
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        <ProgramServicesAmt>20127</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>11565</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>8684229</ProgramServicesAmt>
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        <EOYAmt>177534</EOYAmt>
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        <EOYAmt>2955055</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>35008</EOYAmt>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>76739</EOYAmt>
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        <EOYAmt>175764</EOYAmt>
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        <EOYAmt>5762</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <PublicSupportPY170Pct>0.96910</PublicSupportPY170Pct>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <ZIPCode>RESTRICTED</ZIPCode>
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    </IRS990ScheduleB>
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        <BookValueAmt>221751</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>3414589</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>614085</DepreciationAmt>
        <BookValueAmt>776331</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>4412671</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>9789889</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1681</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>582493</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-11565</OtherRevenueAmt>
      <RevenueNotReportedAmt>569247</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9220642</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9220642</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10537248</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>582493</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>582493</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>9954755</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>11565</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>11565</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9966320</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Revenue/Expense Reclassified for Taxes -11,565.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Revenue/Expense Reclassified for Taxes 11,565.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Auxiliary Function</Event1Nm>
        <GrossReceiptsEvent1Amt>62260</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>62260</CharitableContriEvent1Amt>
        <GrossReceiptsTotalAmt>62260</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>62260</CharitableContributionsTotAmt>
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    </IRS990ScheduleG>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>A Rebecca Crowell</PersonNm>
        <TitleTxt>CEO/Executive Director</TitleTxt>
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        <TotalCompensationFilingOrgAmt>130959</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Michael Keller</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <Desc>Supplies</Desc>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Behavioral Health</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>112</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 Review Process: Form 990 is e-mailed to board executive committee members, which includes, at a minimum, all board officers and finance committee chair.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of Interest: All members of the Board of Directors are required to complete a conflict of interest statement when they join the Board. Statements are updated periodically.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Whistleblower Policy: The organization has several policies covering reporting of business ethics, fraud, collusion, employee harassment and discrimination, and client rights and abuse, including a toll-free direct line to the state's licensing authority.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Public Inspection: The organization's governing documents, policies and financial statements are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of Interest: Annually, all board members, operating officers, and key employees are solicited and required to sign and return a certificate disclosing any conflict of interest.</ExplanationTxt>
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</Return>