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        <PersonNm>Prasad Potaraju</PersonNm>
        <TitleTxt>Med Dir</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
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        <TitleTxt>Employee</TitleTxt>
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      <ContractorCompensationGrp>
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      <TotalContributionsAmt>663836</TotalContributionsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Title XIX</Desc>
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      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>89797</RelatedOrExemptFuncIncomeAmt>
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      <GrossRentsGrp>
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      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>170604</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>137081</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>137081</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>15851500</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>2302750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>189162</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7770324</TotalAmt>
        <ProgramServicesAmt>7180476</ProgramServicesAmt>
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      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>592991</TotalAmt>
        <ProgramServicesAmt>547977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45014</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1492493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122602</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>812047</TotalAmt>
        <ProgramServicesAmt>750404</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61643</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>654907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41437</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>186569</TotalAmt>
        <ProgramServicesAmt>169880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16689</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>329808</TotalAmt>
        <ProgramServicesAmt>301016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28792</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>506233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36834</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>195680</TotalAmt>
        <ProgramServicesAmt>146225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49455</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Operating Supplies</Desc>
        <TotalAmt>141128</TotalAmt>
        <ProgramServicesAmt>136330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4798</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Operating Expenses</Desc>
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        <ProgramServicesAmt>395217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172048</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Equipment and Improvements</Desc>
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        <ProgramServicesAmt>184609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44255</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>14768517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1402577</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>7714273</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2807483</BOYAmt>
        <EOYAmt>2897788</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1842693</EOYAmt>
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        <EOYAmt>208142</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2705834</EOYAmt>
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        <EOYAmt>2346568</EOYAmt>
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        <EOYAmt>388015</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3165229</BOYAmt>
        <EOYAmt>2734583</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>12289905</BOYAmt>
        <EOYAmt>12634147</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>12634147</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>15368730</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>344242</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="990A">
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        <CurrentTaxYearMinus3YearsAmt>15241554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16520701</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16405842</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16117854</CurrentTaxYearAmt>
        <TotalAmt>77943733</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>15241554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16520701</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16405842</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16117854</CurrentTaxYearAmt>
        <TotalAmt>77943733</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>77943733</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>71696</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>30693</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>-8259</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>91525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>89797</CurrentTaxYearAmt>
        <TotalAmt>275452</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>78219185</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99650</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99710</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="990D">
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      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
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        <BookValueAmt>271873</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>56119</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other Current</Desc>
        <Amt>26956</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Medicaid Payback Non Current</Desc>
        <Amt>100000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Advances from State of Ohio Non Cur</Desc>
        <Amt>196028</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>16515336</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>16515336</RevenueSubtotalAmt>
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      <ExpensesSubtotalAmt>16171094</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16171094</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Agent not reporting amounts on 990 (Part IV, line 1b)</FormAndLineReferenceDesc>
        <ExplanationTxt>North Central is an Organizational Representative Payee, appointed by the Social Security Administration to receive and manage the Social Security and/or Social Security Disability funds for some beneficiaries who are patients of North Central. North Central maintains a custodial bank account on behalf of these patients as instructed by the Social Security Administrations guidelines. Total yearly activity and cash on hand at end of year that was held on behalf of these patients is as follows: Beginning balance.....................$ 231,798 Net change............................$ 20,303 Ending balance........................$ 252,101</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>North Central Mental Health Services has adopted guidance relating to accounting for uncertainty in income taxes, which requires that a tax position be recognized or derecognized based on a more likely than not threshold. This applies to positions taken or expected to be taken in a tax return. North Central Mental Health Services does not believe its financial statements include any uncertain tax positions. North Central Mental Health Services open tax periods are 2014 through 2017 based on filed Forms 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Donald R Wood</PersonNm>
        <TitleTxt>PresCEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>25549</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph J Niedzwiedski</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>37880</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269463</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William R Silliman</PersonNm>
        <TitleTxt>Clinical Dir</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>30094</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>248905</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert M Loar</PersonNm>
        <TitleTxt>Assoc Dir of Oper Sup</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>32546</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>221568</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel P Bridgeo</PersonNm>
        <TitleTxt>Comm Serv Dir</TitleTxt>
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        <TotalCompensationFilingOrgAmt>154134</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Prasad Potaraju</PersonNm>
        <TitleTxt>Med Dir</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>9677</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166825</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Radhika Gollapudy</PersonNm>
        <TitleTxt>Employee</TitleTxt>
        <BaseCompensationFilingOrgAmt>242727</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34738</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>277465</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bela Agabalyan</PersonNm>
        <TitleTxt>Employee</TitleTxt>
        <BaseCompensationFilingOrgAmt>242274</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27093</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269367</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ajay Bhatia</PersonNm>
        <TitleTxt>Employee</TitleTxt>
        <BaseCompensationFilingOrgAmt>237822</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13790</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>251612</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lacy Nau</PersonNm>
        <TitleTxt>Employee</TitleTxt>
        <BaseCompensationFilingOrgAmt>139602</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13210</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152812</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>E-mail prior to filing; and approved at a subsequent board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board Members prepare an annual Conflict of Interest form.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Reviewed by the Board of Trustees. The CEO reviews top management compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Reviewed by the Board of Trustees. The CEO reviews other officers and key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available on written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Proceeds from casualty insurance loss</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>