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        <ReportableCompFromOrgAmt>128813</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25464</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1924798</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>278484</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NATIONAL HEALTHCARE CONSULTING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 ONTARIO AVE</AddressLine1Txt>
            <CityNm>PLAINVIEW</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FINANCE CONSULTANT</ServicesDesc>
        <CompensationAmt>743000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KAUFF MCGUIRE &amp; MARGOLIS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>950 THIRD AVENUE 14TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>256227</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROVIDER HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2455 E PARLEYS WAY SUITE 310</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>247798</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADEST LAW PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>33 PARK CIRCLE</AddressLine1Txt>
            <CityNm>CEDARHURSTY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11516</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL CONSULTING FEES</ServicesDesc>
        <CompensationAmt>150000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WINSTON SUPPORT SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>122 EAST 42ND STREET SUITE 320</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10168</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>138481</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7415626</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>339515</AllOtherContributionsAmt>
      <TotalContributionsAmt>7755141</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>20574406</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20574406</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NYRX REINVESTMENT PROGRAM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9800000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9800000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2584924</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2584924</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>415662</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>415662</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AIDS DRUG ASSISTANCE PROGRAM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>337442</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>337442</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>392129</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>392129</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>34104563</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>880520</TotalRevenueColumnAmt>
        <ExclusionAmt>880520</ExclusionAmt>
      </InvestmentIncomeGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>26590</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26590</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>26590</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>42766814</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34131153</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>880520</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1014752</TotalAmt>
        <ProgramServicesAmt>782264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>228991</ManagementAndGeneralAmt>
        <FundraisingAmt>3497</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9056575</TotalAmt>
        <ProgramServicesAmt>7093265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1931600</ManagementAndGeneralAmt>
        <FundraisingAmt>31710</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>61412</TotalAmt>
        <ProgramServicesAmt>38696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22543</ManagementAndGeneralAmt>
        <FundraisingAmt>173</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2403976</TotalAmt>
        <ProgramServicesAmt>1514747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>882457</ManagementAndGeneralAmt>
        <FundraisingAmt>6772</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>807932</TotalAmt>
        <ProgramServicesAmt>509078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>296578</ManagementAndGeneralAmt>
        <FundraisingAmt>2276</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>295169</TotalAmt>
        <ManagementAndGeneralAmt>295169</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>99750</TotalAmt>
        <ManagementAndGeneralAmt>99750</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>48250</TotalAmt>
        <ProgramServicesAmt>48250</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3862243</TotalAmt>
        <ProgramServicesAmt>2738216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1077286</ManagementAndGeneralAmt>
        <FundraisingAmt>46741</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>101963</TotalAmt>
        <ProgramServicesAmt>4628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91824</ManagementAndGeneralAmt>
        <FundraisingAmt>5511</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1012334</TotalAmt>
        <ProgramServicesAmt>102203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>909192</ManagementAndGeneralAmt>
        <FundraisingAmt>939</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2239124</TotalAmt>
        <ProgramServicesAmt>1771640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437171</ManagementAndGeneralAmt>
        <FundraisingAmt>30313</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>84541</TotalAmt>
        <ProgramServicesAmt>24172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60369</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>72998</TotalAmt>
        <ProgramServicesAmt>11676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61322</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>70008</TotalAmt>
        <ProgramServicesAmt>70008</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1191188</TotalAmt>
        <ProgramServicesAmt>1074883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108551</ManagementAndGeneralAmt>
        <FundraisingAmt>7754</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>188631</TotalAmt>
        <ProgramServicesAmt>13688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174943</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY AND CONSUMABLE</Desc>
        <TotalAmt>19196021</TotalAmt>
        <ProgramServicesAmt>18375577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>820444</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>436123</TotalAmt>
        <ProgramServicesAmt>342846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87050</ManagementAndGeneralAmt>
        <FundraisingAmt>6227</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PERSONNEL RECRUITING</Desc>
        <TotalAmt>178380</TotalAmt>
        <ProgramServicesAmt>127886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50494</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>123311</TotalAmt>
        <ProgramServicesAmt>37413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85398</ManagementAndGeneralAmt>
        <FundraisingAmt>500</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>378403</TotalAmt>
        <ProgramServicesAmt>150110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227100</ManagementAndGeneralAmt>
        <FundraisingAmt>1193</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>42923084</TotalAmt>
        <ProgramServicesAmt>34831246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7948232</ManagementAndGeneralAmt>
        <FundraisingAmt>143606</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>12017380</BOYAmt>
        <EOYAmt>11831941</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8511144</BOYAmt>
        <EOYAmt>5755192</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>2268067</BOYAmt>
        <EOYAmt>2613766</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1532378</BOYAmt>
        <EOYAmt>1838845</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>426541</BOYAmt>
        <EOYAmt>376324</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>184825</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15850088</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9188236</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7654841</BOYAmt>
        <EOYAmt>6661852</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7064082</BOYAmt>
        <EOYAmt>9237725</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>10581678</BOYAmt>
        <EOYAmt>9018855</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>535226</BOYAmt>
        <EOYAmt>524681</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>50831049</BOYAmt>
        <EOYAmt>48044006</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2853524</BOYAmt>
        <EOYAmt>2261418</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>8089777</BOYAmt>
        <EOYAmt>7730346</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1978943</BOYAmt>
        <EOYAmt>1479696</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>11250869</BOYAmt>
        <EOYAmt>9690045</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>24173113</BOYAmt>
        <EOYAmt>21161505</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>26657936</BOYAmt>
        <EOYAmt>26882501</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>26657936</BOYAmt>
        <EOYAmt>26882501</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>50831049</BOYAmt>
        <EOYAmt>48044006</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-156270</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>380835</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <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>8497608</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8673532</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11267105</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7559745</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7755141</CurrentTaxYearAmt>
        <TotalAmt>43753131</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>8673532</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11267105</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7559745</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7755141</CurrentTaxYearAmt>
        <TotalAmt>43753131</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>43753131</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>232026</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>499527</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>880520</CurrentTaxYearAmt>
        <TotalAmt>1612073</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>22081</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>147077</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>110061</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26590</CurrentTaxYearAmt>
        <TotalAmt>675052</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>46040256</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>94678957</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95030</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96090</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2020 AMOUNT: $ 369,243. 2021 AMOUNT: $ 22,081. 2022 AMOUNT: $ 147,077. 2023 AMOUNT: $ 110,061. 2024 AMOUNT: $ 26,590.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>48250</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>48250</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>34782996</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>34831246</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>833497</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>839626</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>3673123</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>5509685</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>43675</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>40525</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>46050</CurrentYearMinus1Amt>
        <CurrentYearAmt>48250</CurrentYearAmt>
        <TotalAmt>178500</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>208374</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>209907</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>918281</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1377422</GrassrootsCeilingAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-A:</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYMENTS TO 3RD PARTY CONSULTANTS WITH EXPERTISE IN PUBLIC RELATIONS, ADVERTISING, GOVERNMENT AFFAIRS AND NON-PROFIT FUNDRAISNG.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>12705488</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6699530</DepreciationAmt>
        <BookValueAmt>6005958</BookValueAmt>
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      <EquipmentGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>380835</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>380835</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>42766814</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>42766814</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>42923084</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>42923084</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>42923084</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2025, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2022 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>TERESITA RODRIGUEZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>402653</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18470</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>431473</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMUND SISON</PersonNm>
        <TitleTxt>DIRECTOR OF INFECTIOUS DISEASES</TitleTxt>
        <BaseCompensationFilingOrgAmt>314463</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10149</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>850</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>325462</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSANNE N RENDEIRO-DOBLE</PersonNm>
        <TitleTxt>ASSOCIATE DIRECTOR OF MEDICINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>225961</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7049</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>61836</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>294846</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL CHAMBLISS</PersonNm>
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        <BaseCompensationFilingOrgAmt>207293</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6797</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>48821</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIHAELA MIHAI</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>236946</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7142</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18470</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262558</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YUMIKO SANO</PersonNm>
        <TitleTxt>CHIEF OF PROGRAM DATA OPERATIONS OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>225574</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6898</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>23248</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255720</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENJAMIN SOLOMON</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR OF MENTAL HEALTH SE</TitleTxt>
        <BaseCompensationFilingOrgAmt>173095</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5451</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>206035</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGINA GUSSIE</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>128813</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3942</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21522</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154277</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON UNION STAFF RECEIVED A DISCRETIONARY LONGEVITY OR TENURE BONUS, DETERMINED BY YEARS OF SERVICE, WHICH IS APPROVED BY CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OUTSOURCES THE ROLE OF ITS CFO AND OTHER FISCAL DUTIES TO NATIONAL HEALTHCARE CONSULTING, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE &amp; THE FULL BOARD FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>APICHA CHC REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICTS OF INTEREST POLICY, WHICH WAS APPROVED BY ITS BOARD OF DIRECTORS, AND APPLIES TO ALL BOARD MEMBERS AND KEY MANAGEMENT, AMONG OTHERS. ALL BOARD MEMBERS AND KEY MANAGEMENT ANNUALLY COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE THAT REQUIRES THEM TO DISCLOSE ANY INFORMATION THAT COULD GIVE RISE TO CONFLICTS OF INTEREST, AND INCLUDES A COPY OF THE CONFLICTS OF INTEREST POLICY. DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS ARE THE RESPONSIBILITY OF THE BOARD OF DIRECTORS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT AN AFFECTED INDIVIDUAL BE EXCLUDED FROM PARTICIPATION IN BOARD OF DIRECTORS DELIBERATIONS ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FULL BOARD GOES INTO EXECUTIVE SESSION TO REVIEW AND EVALUATE THE CEO'S COMPENSATION, AND THE FULL BOARD VOTES AND APPROVES THAT COMPENSATION. THE CEO IS RESPONSIBLE FOR REVIEW, EVALUATION AND APPROVAL OF OTHER KEY EMPLOYEES COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SIMILAR TO THE FORM 990, THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ANNUAL REPORT WHICH INCLUDES KEY FINANCIAL ELEMENTS IS POSTED TO THE ORGANIZATIONS WEBSITE AND IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>