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        <Description>Accrued postretirement health benefits</Description>
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      <OtherLiabilities>
        <Description>Rental security deposit liabilities</Description>
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      <TotalRevenue>62200522</TotalRevenue>
      <TotalExpenses>61608163</TotalExpenses>
      <ExcessOrDeficitForYear>592359</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3388</NetUnrealizedGLOnInvestments>
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      <TotalAdjustments>3388</TotalAdjustments>
      <ExcessOrDeficitPerFS>595747</ExcessOrDeficitPerFS>
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      <ExpensesNotRptdOnFinStmt>-1</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>61608163</TotalExpensesPerForm990>
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        <Identifier>SchD_P12_S00_L02d</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
        <Explanation>Other-Various rental expenses from Form 990, Part VIII, Line 6b of $43,312 are shown as expenses on the audit and are required to reduce rental revenue on the Form 990.</Explanation>
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      <Form990ScheduleDPartXIV>
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        <Explanation>Other-Expenses attributable to gross rents and deducted in Statement of Revenue, Part VIII, Line 6b and therefore not shown in Part IX Statement of Functional Expenses where they are shown in the audit.</Explanation>
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        <Explanation>$1 rounding.</Explanation>
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      <Form990ScheduleJPartIII>
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        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>The Board of Directors annually reviews the compensation history and at least three independent national and regional compensation surveys to evaluate the appropriateness of compensation plans for the CEO and officers and other key employees.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>The Vice President of Clinical Services, Kim K Kelly, PhD, and the former Vice President of Program Services, and current Intrastate Program Facilitator, George Durham are wife and husband.</Explanation>
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        <Explanation>The Board of Directors annually reviews the compensation history and at least three independent national and regional compensation surveys to evaluate the appropriateness of compensation plans for the CEO and officers and other key employees.</Explanation>
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        <Explanation>Available upon request.</Explanation>
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        <Explanation>Column E- No related organizations exist, and no disclosure of any conflicts of interest regarding other organizations have been made.</Explanation>
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      <GeneralExplanation>
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        <Explanation>Other changes in net assets: Prior period adjustment-correction of accounting errors $178,156; prior period adjustment-subsequent events $167,393;unrealized gain on investments $3,388. Total other changes $348,937.</Explanation>
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