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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THRESHOLD REHABILITATION SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 LANCASTER AVE</AddressLine1Txt>
            <CityNm>READING</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MENTAL HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>218880</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BERKSHIRE PSYCHIATRIC &amp; BEHAVIORAL HEALT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>716 N PARK ROAD</AddressLine1Txt>
            <CityNm>WYOMISSING</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19610</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>215825</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SACHIDANAND D KAMTAM MD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>217 TRUMAN WAY</AddressLine1Txt>
            <CityNm>DOWNINGTOWN</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19335</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>179645</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IRIS TELEHEALTH MEDICAL GROUP PA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>114 W 7TH ST SUITE 900</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>134608</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROVIDENCE MEDICAL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>123 ETHAN LANE</AddressLine1Txt>
            <CityNm>COLLEGEVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19426</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>128419</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>40811</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3000</NoncashContributionsAmt>
      <TotalContributionsAmt>40811</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEES AND CONTRACTS FRO</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>9342973</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9342973</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT/ INSURANCE FEES</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>265872</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>265872</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEE INCOME</Desc>
        <BusinessCd>900002</BusinessCd>
        <TotalRevenueColumnAmt>155648</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>155648</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9764493</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>47948</TotalRevenueColumnAmt>
        <ExclusionAmt>47948</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2258</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>2258</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>50206</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>68873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132259</ManagementAndGeneralAmt>
        <FundraisingAmt>41888</FundraisingAmt>
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        <ManagementAndGeneralAmt>109599</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>19543</ManagementAndGeneralAmt>
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        <TotalAmt>68306</TotalAmt>
        <ProgramServicesAmt>68306</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>77095</TotalAmt>
        <ProgramServicesAmt>76547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>548</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>220</TotalAmt>
        <ManagementAndGeneralAmt>220</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>88107</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>57428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6607</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED PHYSICIAN SER</Desc>
        <TotalAmt>916475</TotalAmt>
        <ProgramServicesAmt>916475</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLIENT SUPPLIES AND OPE</Desc>
        <TotalAmt>253232</TotalAmt>
        <ProgramServicesAmt>253232</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>COMMUNICATION</Desc>
        <TotalAmt>220301</TotalAmt>
        <ProgramServicesAmt>217558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2743</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>111608</TotalAmt>
        <ProgramServicesAmt>109031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2577</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>106999</TotalAmt>
        <ProgramServicesAmt>92849</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <InvestmentsPubTradedSecGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2919373</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>1735</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>8350</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5046465</BOYAmt>
        <EOYAmt>6894215</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5448957</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>1848488</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-738</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <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">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>15798</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27146</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9337</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40811</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>4950378</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5110193</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10614753</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9764493</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>4966176</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>10624090</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>35589830</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>12000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12000</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>36000</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>4983291</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5149393</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10624208</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9853252</CurrentTaxYearAmt>
        <TotalAmt>35679198</TotalAmt>
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      <PublicSupportCY509Pct>0.99750</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99790</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00150</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00020</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningYearBalanceAmt>8350</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>8350</OtherExpendituresAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8350</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>8350</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8350</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>8350</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <EndYearBalanceAmt>8350</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <EndYearBalanceAmt>8350</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>56300</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>659796</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>420593</DepreciationAmt>
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      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>2576988</Amt>
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      <TotalLiabilityAmt>2576988</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-738</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-738</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9855510</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9855510</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8007022</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8007022</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8007022</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD AN ENDOWMENT FUND HELD IN AN ACCOUNT THROUGH THE PENNSYLVANIA TREASURER'S INVEST PROGRAM. THE ORGANIZATION CONSIDERS THE DIVIDENDS EARNED AND REINVESTED IN THE ACCOUNT EACH MONTH AS UNRESTRICTED INCOME. THE ORIGINAL DONOR RELEASED THE RESTRICTION ON THE FUNDS IN THE AUGUST 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS, IF ANY, AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS ALL FINANCIAL STATEMENTS AND TAX RETURNS PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES POLICY ESTABLISHING THE LEVELS OF COMPENSATION RANGES FOR STAFF PERSONS AND APPROVES THE COMPENSATION OF THE CEO ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS ANNUAL MEETING (WHICH IS OPEN TO THE PUBLIC) MAKES ALL OF THESE DOCUMENTS AVAILABLE AT THAT TIME. ADDITIONALLY THERE IS A HARD COPY OF ALL DOCUMENTS KEPT AT THE ORGANIZATION WHICH ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>