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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
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      <GrossInvestmentIncome170>
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      <TotalSupport>11651559</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>9144132</GrossReceiptsFromAdmissionsEtc>
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      <OtherLiabilities>
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      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>false</SeverancePayment>
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      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>These documents are available on site and can be reviewed upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The organization utilizes a wage and salary scale for all employees. The scale is periodically revised and approved by the Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The conflict of interest policy is found in our organization ethics policy and the board member by-laws and is discussed in annual Board retreats each year. Members of the Board of Directors are prohibited from realizing any financial gain from their service as board members. No member of the Board shall be an employee of the Center, or spouse or child, parent, brother or sister by blood or marriage of such an employee. No members of the Board may have an employer-employee relationship. No members of the Board may be relatives such as spouse, brother, sister, son, daughter, cousin or in-laws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>After the return is prepared by the outside CPA firm, and before being submitted to the Internal Revenue Service, it is reviewed by the CEO/CFO and forwarded to the Finance Committee and Board of Directors for review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Client Note 1 - Georgia Highlands Medical Services, Inc. did not have any fundraising expenses during the year ended May 31, 2011.</Explanation>
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</Return>