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        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169126</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17986</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SOPHONIA LUCIEN</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>171994</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5368</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBBIE BROWN</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>144755</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26362</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1407823</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>91682</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BU FAMILY MEDICINE ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DOWLING 5 SOUTH ONE BOSTON MEDICAL</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED PROVIDER</ServicesDesc>
        <CompensationAmt>817514</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SUFFOLK CONSTRUCTION COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>65 ALLERTON STREET</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02119</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>683479</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CPA MEDICAL BILLING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 SOUTH SHORE DRIVE</AddressLine1Txt>
            <CityNm>EAST HAVEN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06512</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCED BILLING</ServicesDesc>
        <CompensationAmt>456055</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OCHIN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED SERVICES FOR EPIC SYSTEM</ServicesDesc>
        <CompensationAmt>316787</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL SURGICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3056 TRADEPORT DRIVE</AddressLine1Txt>
            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32824</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICAL MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>271391</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>15300</FundraisingAmt>
      <GovernmentGrantsAmt>6532102</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1152677</AllOtherContributionsAmt>
      <NoncashContributionsAmt>225</NoncashContributionsAmt>
      <TotalContributionsAmt>7700079</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9220701</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9220701</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9220701</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>9212</TotalRevenueColumnAmt>
        <ExclusionAmt>9212</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>929197</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>929197</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>929197</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>129959</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>799238</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>15300</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>37490</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-37490</TotalRevenueColumnAmt>
        <ExclusionAmt>-37490</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>30469</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>15441</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>15028</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15028</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>34688</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34688</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>34688</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17871415</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9270417</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>129959</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>770960</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>525777</TotalAmt>
        <ProgramServicesAmt>386308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139469</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7413734</TotalAmt>
        <ProgramServicesAmt>5564061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1849673</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>123201</TotalAmt>
        <ProgramServicesAmt>92234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30967</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>584530</TotalAmt>
        <ProgramServicesAmt>436337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148021</ManagementAndGeneralAmt>
        <FundraisingAmt>172</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>566856</TotalAmt>
        <ProgramServicesAmt>427472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139384</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>56668</TotalAmt>
        <ManagementAndGeneralAmt>56668</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>89750</TotalAmt>
        <ManagementAndGeneralAmt>89750</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2455431</TotalAmt>
        <ProgramServicesAmt>2331493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123938</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>100206</TotalAmt>
        <ProgramServicesAmt>56724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43482</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>98040</TotalAmt>
        <ProgramServicesAmt>34394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63646</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>912472</TotalAmt>
        <ProgramServicesAmt>370150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>542322</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>12477</TotalAmt>
        <ProgramServicesAmt>7573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4904</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>13106</TotalAmt>
        <ProgramServicesAmt>3600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9506</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>162141</TotalAmt>
        <ProgramServicesAmt>113806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48276</ManagementAndGeneralAmt>
        <FundraisingAmt>59</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>747227</TotalAmt>
        <ProgramServicesAmt>436486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>310516</ManagementAndGeneralAmt>
        <FundraisingAmt>225</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>153173</TotalAmt>
        <ProgramServicesAmt>33313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119860</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FACILITY ALLOCATION</Desc>
        <TotalAmt>1430809</TotalAmt>
        <ProgramServicesAmt>1004273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>426018</ManagementAndGeneralAmt>
        <FundraisingAmt>518</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>510251</TotalAmt>
        <ProgramServicesAmt>501793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8458</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>142337</TotalAmt>
        <ProgramServicesAmt>62947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74240</ManagementAndGeneralAmt>
        <FundraisingAmt>5150</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>118768</TotalAmt>
        <ProgramServicesAmt>24318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94450</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16216954</TotalAmt>
        <ProgramServicesAmt>11887282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4323548</ManagementAndGeneralAmt>
        <FundraisingAmt>6124</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3852208</BOYAmt>
        <EOYAmt>4081433</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>100000</BOYAmt>
        <EOYAmt>100000</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>2106406</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>106117</BOYAmt>
        <EOYAmt>113210</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>33400071</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11068146</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>22131928</BOYAmt>
        <EOYAmt>22331925</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>190085</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>27880717</BOYAmt>
        <EOYAmt>28923059</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1282119</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3651775</BOYAmt>
        <EOYAmt>3457648</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>941876</BOYAmt>
        <EOYAmt>142230</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>5494116</BOYAmt>
        <EOYAmt>4881997</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>22206577</BOYAmt>
        <EOYAmt>23622057</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>180024</BOYAmt>
        <EOYAmt>419005</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>22386601</BOYAmt>
        <EOYAmt>24041062</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>27880717</BOYAmt>
        <EOYAmt>28923059</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1654461</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>7008749</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6312527</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6185448</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6006423</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7700079</CurrentTaxYearAmt>
        <TotalAmt>33213226</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>7008749</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6312527</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6185448</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6006423</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7700079</CurrentTaxYearAmt>
        <TotalAmt>33213226</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>33213226</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>915073</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>819482</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>776147</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>789644</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>808450</CurrentTaxYearAmt>
        <TotalAmt>4108796</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>25594</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23156</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36061</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>31351</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>116162</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>12167</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>29942</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34688</CurrentTaxYearAmt>
        <TotalAmt>112746</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>37550930</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>36488921</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.88450</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.87260</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 10,873. 2021 AMOUNT: $ 12,167. 2022 AMOUNT: $ 25,076. 2023 AMOUNT: $ 29,942. 2024 AMOUNT: $ 34,688.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>5179729</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5179729</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>23377732</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7604163</DepreciationAmt>
        <BookValueAmt>15773569</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1204327</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>212262</DepreciationAmt>
        <BookValueAmt>992065</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3075684</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2689122</DepreciationAmt>
        <BookValueAmt>386562</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>562599</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>562599</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>22331925</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONDITIONAL GRANT ADVANCES</Desc>
        <Amt>142230</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>142230</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17924346</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17924346</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-52931</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-52931</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17871415</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16269885</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>52931</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>52931</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16216954</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16216954</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MCHC ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MCHC HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2025. MCHC'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES -37,490. COST OF GOODS SOLD -15,441.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 37,490. COST OF GOODS SOLD 15,441.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>CARE IN THE SQUARE</Event1Nm>
        <GrossReceiptsEvent1Amt>15300</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>15300</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>50</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>4900</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2370</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>30170</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>15300</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>15300</CharitableContributionsTotAmt>
        <RentFcltyCostsTotalEventsAmt>50</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4900</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2370</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>30170</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>37490</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-37490</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GUALE VALDEZ</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>239374</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7050</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7442</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253866</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA LIVADITIS</PersonNm>
        <TitleTxt>DIRECTOR OF PEDIATRICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>192085</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5327</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>581</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197993</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NEENA CHATURVEDI</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>192409</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>577</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192986</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FERNANDA DANTE MARTINEZ DE FREITAS</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>169126</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187112</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGINA IZMAYLOVA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>176721</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5220</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>550</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>182491</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SOPHONIA LUCIEN</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL HEALTH SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>161994</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4872</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>496</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177362</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBBIE BROWN</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>144755</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4688</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21674</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171117</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONUSES PAID TO EMPLOYEES ARE DISCRETIONARY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE THE RETURN IS FILED. BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND REQUEST CLARIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS REVIEWED PERIODICALLY . ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE UPON APPOINTMENT AND ANNUALLY THEREAFTER. DISCLOSURES ARE REVIEWED BY MANAGEMENT AND, WHEN APPLICABLE, BY THE BOARD OR A DESIGNATED COMMITTEE. ANY IDENTIFIED CONFLICTS ARE DOCUMENTED, AND AFFECTED INDIVIDUALS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTES RELATED TO THE MATTER. COMPLIANCE WITH THE POLICY IS MONITORED ON AN ONGOING BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DETERMINES THE CEO COMPENSATION THROUGH THE HUMAN RESOURCES DEPARTMENT, USING THE SAME PROCESS APPLIED TO ALL OTHER EMPLOYEES. THE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BEFORE BECOMING EFFECTIVE. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED THROUGH HR USING THE SAME PROCESS, WITH RECOMMENDATIONS REVIEWED AND APPROVED BY THE CEO/EXECUTIVE DIRECTOR OR BOARD AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF ITNEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE ON THE INTERNET THROUGH GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,331,493. MANAGEMENT AND GENERAL EXPENSES 83,879. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,415,372. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 40,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,059.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED BETWEEN YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>