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        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>REVIEW WITH DIRECTORS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>UPON REQUEST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 24E</ReturnReference>
        <Explanation>MILEAGE REIMBURSEMENT 77,684 MEDICAL DIRECTOR FEES 50,925 GENERAL INPATIENT 48,206 BAD DEBTS 35,000 MEDICAL SUPPLIES 32,906 WORKERS COMP INSURANCE 20,072 TELEPHONE 17,335 DUES &amp; SUBSCRIPTIONS 13,064 OUTPATIENT EXPENSE 9,763 RESPITE EXPENSE 8,108 INSERVICE &amp; EDUCATION 3,732 PROFESSIONAL FEES 3,377 UTILITIES 2,784 RECRUITMENT EXPENSE 2,387 TAXES &amp; LICENSES 1,423 REPAIRS &amp; MAINTENANCE 883 BANK CHARGES 648 UNIFORMS 470 BEREAVEMENT EXPENSE 439</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>