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      <OtherExpensesGrp>
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        <FormAndLineReferenceDesc>HIGHLAND - CLARKSBURG HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: INTERVIEWS WERE CONDUCTED WITH INTERNAL AND EXTERNAL STAKEHOLDERS AND INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: CHILD ADVOCACY CENTER, WVU AND PIERPONT COLLEGES, FAMILY MATTERS PSYCHOLOGICAL SERVICES, YMCA, WVU CANCER INSTITUTE, MUSTARD SEED COMMUNITY FOOD PANTRY, BECKLEY-RALEIGH HEALTH DEPARTMENT, EASTRIDGE HEALTH SERVICES, HEALTH ACCESS FREE CLINIC, UNITED WAY OF HARRISON AND DODDRIDGE COUNTIES, BERKELY-MORGAN HEALTH DEPARTMENT, COMMUNITY CORRECTIONS, HARRISON COUNTY, HEALTH ACCESS FREE CLINIC, WVU CARRUTH CENTER FOR COUNSELING, WILLIAM R. SHARPE HOSPITAL, STONEWALL JACKSON HOSPITAL, CAMDEN CLARK MEDICAL CENTER, WEST VIRGINIA 15TH JUDICIAL CIRCUIT, AND HARRISON-CLARKSBURG HEALTH DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY SUPPORT: PARTICIPATION IN THE HARRISON COUNTY CHAMBER OF COMMERCE.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HALLOWEEN, CHRISTMAS &amp; EASTER PRESENTS FOR PATIENTS AND PATIENT ART SHOW.OTHER: EMPLOYEE APPRECIATION ACTIVITIES THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT AND ARE REPORTED ON PART III, LINE 2. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>HCHI RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICE RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HCHI RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HCHI'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS HCHI RECORDS A SIGNIFICANT PROVISION FOR IMPLICIT P.C. RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORMER PATIENTS WITH DELINQUENT PRIVATE PAY ACCOUNTS WILL BE NOTIFIED AND GIVEN THE OPTION OF PAYING THE ACCOUNT IN FULL OR PARTICIPATING IN A PREDEFINED MONTHLY PAYMENT PLAN. FORMER PATIENTS WILL BE NOTIFIED OF THEIR FINANCIAL OBLIGATION FOR SERVICES RENDERED BY RECEIVING MONTHLY STATEMENTS WITH BALANCE DUE. FORMER PATIENTS WHO DID NOT WISH TO APPLY DURING THEIR HOSPITALIZATION WILL BE GIVEN ANOTHER OPPORTUNITY TO APPLY FOR CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAM DURING THE COLLECTION PROCESS. ALL PRIVATE PAY ACCOUNTS WILL BE REVIEWED TO DETERMINE THE LAST DATE OF PAYMENT. THE COLLECTION SPECIALIST WILL ATTEMPT TO CONTACT THE DEBTOR BY PHONE TO SETUP A PAYMENT ARRANGEMENT. THE COLLECTION SPECIALIST WILL ALSO REMIND THE PATIENT OR RESPONSIBLE PARTY OF THE HOSPITAL CHARITY CARE AND SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS. THE COLLECTION SPECIALIST WILL DOCUMENT ALL CONVERSATIONS WITH THE DEBTOR IN THE PATIENT'S BILLING DATABASE. IF THE PATIENT SHOULD APPLY FOR THE CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS WITHIN 240 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT, AND IT IS DETERMINED THAT THE PATIENT QUALIFIES FOR ONE OF THE ASSISTANCE PROGRAMS, THE HOSPITAL'S COLLECTION REPRESENTATIVE WILL CONTACT THE COLLECTION AGENCY AND INSTRUCT THAT THE ACCOUNT BE REMOVED FROM COLLECTION AND THAT THE CREDIT BUREAU BE NOTIFIED TO REMOVE THE BALANCE FROM THE PATIENT'S CREDIT REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR PRIMARY REFERRAL AREA SERVES AS OUR FOCUS AND INCLUDES BERKELEY, HARRISON, KANAWHA, LEWIS, MARSHALL, MERCER, MONONGALIA, PLEASANTS, RALEIGH, RANDOLPH, AND WOOD COUNTIES. WE FIRMLY ACKNOWLEDGE THE IMPERATIVE OF COLLABORATION BETWEEN BEHAVIORAL HEALTH CARE, PUBLIC HEALTH, AND SOCIAL SERVICES TO FOSTER AN ENVIRONMENT WHERE EVERYONE CAN ACCESS EQUITABLE OPPORTUNITIES FOR OPTIMAL HEALTH. HEALTH, IN ITS ENTIRETY, EXTENDS BEYOND HEALTHCARE AND IS INFLUENCED BY VARIOUS FACTORS SUCH AS HOUSING, EDUCATION, AND TRANSPORTATION. THIS HOLDS PARTICULARLY TRUE FOR INDIVIDUALS FACING UNMET HEALTH AND SOCIAL NEEDS. THE SOCIAL SERVICES DESIGNED TO HELP ARE OFTEN SEPARATED FROM MEDICAL SERVICES AND PUBLIC HEALTH PROGRAMS TASKED WITH IMPROVING HEALTH. THIS CHALLENGE HAS BECOME INCREASINGLY URGENT IN THE AFTERMATH OF THE COVID-19 PANDEMIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF HIGHLAND-CLARKSBURG HOSPITAL TO MAKE FINANCIAL COUNSELING SERVICES AVAILABLE TO ALL PATIENTS, INCLUDING INFORMATION ABOUT CHARITY CARE AND SLIDING SCALE DISCOUNT POLICIES THAT ARE AVAILABLE TO QUALIFIED INDIVIDUALS. FINANCIAL COUNSELING IS NOT CONSIDERED A CONDITION OF ADMISSION. PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY EXAMINATION OR TREATMENT WILL BE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT WILL BE GIVEN THE OPPORTUNITY TO REQUEST A PATIENT ADVOCATE, DESIGNEE OR FAMILY MEMBER TO ASSIST IN THE FINANCIAL COUNSELING DISCUSSIONS. FINANCIAL COUNSELING MAY OCCUR AT ANY TIME FROM ADMISSION TO DISCHARGE AS LONG AS THE PATIENT'S CARE IS NOT INTERFERED WITH AND THE PATIENT CONSENTS TO THE DISCUSSIONS.PATIENTS WITH NO THIRD PARTY REIMBURSEMENT SOURCE WILL BE INFORMED OF PAYMENT RESPONSIBILITY PRIOR TO ADMISSION. PATIENTS WILL BE OFFERED THE SERVICES OF HOSPITAL'S DESIGNATED FINANCIAL COUNSELOR TO APPLY FOR OTHER FORMS OF ASSISTANCE SUCH AS WV MEDICAID OR OBTAINING COVERAGE THROUGH THE HEALTHCARE MARKET PLACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE LARGE DIFFERENCES IN THE PERCENTAGE OF RACIAL MINORITIES BETWEEN WEST VIRGINIA AND THE REST OF THE UNITED STATES. OUR REFERRAL AREA AND WEST VIRGINIA ARE ABOUT 93% WHITE AND 4% BLACK. THE PERCENTAGE OF RESIDENTS REPRESENTING OTHER RACES IS ABOUT 3% IN OUR REFERRAL AREA AND WEST VIRGINIA. (BUREAU, QUICK FACTS, 2022) MOREOVER, THERE ARE FEW RESIDENTS WHO ARE FROM OTHER COUNTRIES, AS COMPARED TO THE REST OF THE UNITED STATES. (BUREAU, QUICK FACTS, 2022) THIS RELATIVELY HOMOGENEOUS LOCAL POPULATION MEANS THAT HIGHLAND CLARKSBURG HOSPITAL PRIORITIZES SERVICES FOR MINORITY POPULATIONS SO THAT THEY DO NOT FACE ANY DISPARITIES OR BARRIERS TO CARE. ALTHOUGH SOME GROUPS ARE UNDER-REPRESENTED IN WEST VIRGINIA, HIGHLAND-CLARKSBURG HOSPITAL IS READY TO ACCOMMODATE MEMBERS OF ANY GROUP AND HAS ACCESS TO TRANSLATORS FOR LANGUAGES OTHER THAN ENGLISH AND THE DEAF.WHEN EXAMINING INDIVIDUALS OF ALL AGE GROUPS IN WEST VIRGINIA, INDIVIDUALS AGED 65 AND OLDER IS EXPERIENCING RAPID GROWTH YEAR-OVER-YEAR COMPARED TO YOUNGER SEGMENTS OF THE POPULATION. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY, WEST VIRGINIA'S POPULATION AGED 65 YEARS AND ABOVE IS ABOUT 365,000 WHICH IS AROUND 20% OF THE ENTIRE POPULATION. THIS TREND IS PREDICTED TO CONTINUE, WITH PREDICTIONS THAT BY 2035, NEARLY ONE IN FOUR STATE RESIDENTS WILL BE OVER THE AGE OF 65 ACCORDING TO THE WV CENTER ON BUDGET AND POLICY (WVCBP). WITH SUCH ASUBSTANTIAL PROJECTED RISE IN THE PROPORTION OF INDIVIDUALS AGED 65 AND OLDER, IT IS CRUCIAL FOR BEHAVIORAL HEALTHCARE PROVIDERS TO POSSESS EXPERTISE IN GERIATRIC ISSUES AND BE ADEQUATELY EQUIPPED TO ADDRESS THE UNIQUE NEEDS OF THIS AGE GROUP. RECOGNIZING THE SIGNIFICANCE OF THIS DEMOGRAPHIC SHIFT, HIGHLAND CLARKSBURG HOSPITAL PRIORITIZES STAYING INFORMED ABOUT GERIATRIC CONCERNS, FOSTERING COLLABORATIONS WITH PARTNERS, AND TAILORING OUR SERVICES TO EFFECTIVELY MEET THE EVOLVING MENTAL HEALTH NEEDS OF OLDER ADULTS. BY DOING SO, WE CAN ENSURE THE DELIVERY OF COMPREHENSIVE AND EXCEPTIONAL BEHAVIORAL CARE TO THIS GROWING SEGMENT OF OUR STATE'S POPULATION.WEST VIRGINIA REMAINS AMONG THE MOST ECONOMICALLY DISADVANTAGED STATES IN THE NATION, WITH A PER CAPITA PERSONAL INCOME OF AROUND $33,000 FROM 2022 - 2023 (BUREAU, QUICK FACTS 2023), RANKING WEST VIRGINIA 49TH AMONG 50 STATES. THE REST OF THE COUNTRY HAD PER CAPITA PERSONAL INCOME OF AROUND $37,000. HOWEVER, ACCORDING TO STATISTICS FROM WEST VIRGINIA UNIVERSITY'S COLLEGE OF BUSINESS AND ECONOMICS, THERE HAVE BEEN SOME RECENT ECONOMIC IMPROVEMENTS THROUGHOUT THE STATE. AS OF THE LAST QUARTER OF 2023, WEST VIRGINIA COMPLETED ITS EMPLOYMENT RECOVERY AFTER LOSING OVER 80,000 JOBS IN EARLY 2020 DUE TO THE COVID-19 PANDEMIC ACCORDING TO THE SOURCE. ADDITIONALLY, GDP GROWTH IN THE STATE DOUBLED AT THE NATIONAL LEVEL IN 2023 WHICH HAS NOT OCCURRED FOR MORE THAN A DECADE. ALTHOUGH THERE WERE SOME ECONOMIC ADVANTAGES IN 2023, A LARGE PERCENTAGE OF OUR POPULATION STILL CONTINUES TO STRUGGLE WITH ABOUT 17% OF RESIDENTS LIVING BELOW THE POVERTY LINE IN 2023. IT IS IMPORTANT TO NOTE THAT A SIGNIFICANT MAJORITY OF THESE FAMILIES WITH CHILDREN CONTINUE TO BE AFFECTED BY THESE CIRCUMSTANCES.IT IS EVIDENT THAT WEST VIRGINIA EXPERIENCES A HIGHER PREVALENCE OF POVERTY COMPARED TO THE REST OF THE UNITED STATES. THIS ECONOMIC DISPARITY IS REFLECTED IN THE MEDIAN HOUSEHOLD INCOME FOR OUR REFERRAL AREA AND THE STATE OF WEST VIRGINIA, WHICH STANDS AT $51,766 AND $50,884 RESPECTIVELY. THESE FIGURES ARE CONSIDERABLY LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $69,021. (UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, 2020)LOW EDUCATIONAL ATTAINMENT IS CLOSELY ASSOCIATED WITH LOW ECONOMIC STANDING, DIRECTLY AFFECTING SOCIOECONOMIC WELL-BEING. IN COMPARISON TO THE REST OF THE UNITED STATES, WEST VIRGINIA BOASTS A RELATIVELY HIGH PERCENTAGE OF HIGH SCHOOL GRADUATES. HOWEVER, RESIDENTS IN OUR REFERRAL AREA ARE LESS LIKELY TO PURSUE COLLEGE OR ADVANCED DEGREES AS SHOWN IN FIGURE 8. (BUREAU, QUICK FACTS, 2022)IN BOTH THE STATE OF WEST VIRGINIA AND OUR REFERRAL AREA, TOBACCO USE IS VERY COMMON. BECAUSE CIGARETTE SMOKING IS THOUGHT TO BE THE CAUSE OF NUMEROUS CANCERS, CARDIOVASCULAR DISEASE, RESPIRATORY DISORDERS, AND LOW BIRTH WEIGHT, LOWERING THE PREVALENCE OF TOBACCO USE IN OUR STATE COULD POSITIVELY AFFECT THE OVERALL HEALTH OF OUR AREA. 24% OF OUR PRIMARY REFERRAL REGION RESIDENTS SMOKE, WHICH IS SIMILAR TO THE NATIONAL AVERAGE. (US NEWS AND WORLD REPORT, 2023) 27% OF RESPONDENTS TO OUR ONLINE POLL REPORT HAVING FAMILY MEMBERS WHO USE TOBACCO PRODUCTS, AND 47% OF THESE RESPONDENTS STATE THAT SOMEONE IN THEIR FAMILY NEEDS HELP TO QUIT. MOREOVER, A TOTAL OF 31% CONSIDER TOBACCO USE AND E-CIGARETTE USE TO BE SERIOUS PROBLEMS.A BODY MASS INDEX OF 30 OR MORE IS REGARDED AS ADULT OBESITY IN THE POPULATION. RECENT STUDIES (KAISER FAMILY FOUNDATION, 2023) FIND THAT THE PERCENTAGE OF OBESE INDIVIDUALS IN OUR REFERRAL REGION IS 39%, HIGHER THAN THE STATE AVERAGE OF 32% AND SLIGHTLY LOWER THAN THE US RATE OF 40 %. SIMILARLY, THE PERCENTAGE OF ADULTS WHO ARE NOT PHYSICALLY ACTIVE IS MUCH HIGHER FOR OUR PRIMARY REFERRAL AREA THAN FOR WV AND SLIGHTLY HIGHER THAN THE US.(US NEWS AND WORLD REPORT, 2023)THE SIGNIFICANCE OF SAFE, STABLE, AND NURTURING CHILDHOOD ENVIRONMENTS IN FOSTERING IMPROVED HEALTH OUTCOMES, ECONOMIC OPPORTUNITIES, AND OVERALL QUALITY OF LIFE IN ADULTHOOD IS WIDELY ACKNOWLEDGED. HOWEVER, DISTRESSINGLY, EVERY YEAR, A CONSIDERABLE NUMBER OF CHILDREN UNDER 18 UNDERGO TRAUMATIC EVENTS REFERRED TO AS ADVERSE CHILDHOOD EXPERIENCES (ACES). THESE EVENTS ENCOMPASS VARIOUS FORMS OF PHYSICAL AND EMOTIONAL ABUSE, NEGLECT, AND HOUSEHOLD DYSFUNCTION, LEADING TO LONG-LASTING IMPACTS ON THEIR HEALTH AND WELL-BEING. COMPARATIVELY, CHILDREN IN WEST VIRGINIA REPORT A SIGNIFICANTLY HIGHER NUMBER OF ADVERSE EVENTS COMPARED TO CHILDREN IN THE ENTIRE UNITED STATES. THIS DATA ON ACES HELPS SHED LIGHT ON THE EXTENT OF CHILDHOOD TRAUMA AND PROVIDES VALUABLE INSIGHTS TO DRIVE EFFORTS IN REDUCING THE PREVALENCE OF SUCH EXPERIENCES AMONG CHILDREN. (KAISER FAMILY FOUNDATION, 2023) AS A BEHAVIORAL HEALTH HOSPITAL, WE WILL WORKWITH OUR PARTNERS TO PROMOTE POSITIVE CHILDHOOD ENVIRONMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PROVIDED IN DRAFT FORM TO THE BOARD OF DIRECTORS TO REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE QUALITY CONTROL DIRECTOR KEEPS A COPY OF THE POLICY ON FILE, WITH ALL BOARD MEMBERS SIGNING A COPY EVERY YEAR. ALSO, AS SITUATIONS ARISE, BOARD MEMBERS WILL EXCUSE THEMSELVES FROM ANY VOTE THAT MAY HAVE A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR THE CEO, CMO, AND CFO USING A SEPARATE FINANCE COMMITTEE AND COMPARATIVE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE QUALITY CONTROL DIRECTOR KEEPS A COPY OF THE POLICY ON FILE, WITH ALL BOARD MEMBERS SIGNING A COPY EVERY YEAR. ALSO, AS SITUATIONS ARISE, BOARD MEMBERS WILL EXCUSE THEMSELVES FROM ANY VOTE THAT MAY HAVE A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,004,589. MANAGEMENT AND GENERAL EXPENSES 923,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,927,606.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>