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            <ZIPCd>15251</ZIPCd>
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        <CompensationAmt>431425</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15222</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURANCE</ServicesDesc>
        <CompensationAmt>190743</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>468844</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>48538</NoncashContributionsAmt>
      <TotalContributionsAmt>570265</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>11670842</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11670842</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>737524</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>361795</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>1014</ExclusionAmt>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <ManagementAndGeneralAmt>112694</ManagementAndGeneralAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>9448</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>9448</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9448</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>9448</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>58682</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>49234</OtherExpendituresAmt>
        <EndYearBalanceAmt>9448</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>58226</BeginningYearBalanceAmt>
        <ContributionsAmt>456</ContributionsAmt>
        <EndYearBalanceAmt>58682</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>58013</BeginningYearBalanceAmt>
        <ContributionsAmt>213</ContributionsAmt>
        <EndYearBalanceAmt>58226</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>231953</OtherCostOrOtherBasisAmt>
        <BookValueAmt>231953</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>27107655</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13052194</DepreciationAmt>
        <BookValueAmt>14055461</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5225746</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4350080</DepreciationAmt>
        <BookValueAmt>875666</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1073297</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>927140</DepreciationAmt>
        <BookValueAmt>146157</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>15309237</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACT LIABILITIES</Desc>
        <Amt>10521</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT FUNDS PAYABLE</Desc>
        <Amt>56703</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSIT PAYABLE</Desc>
        <Amt>22083</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE FEES</Desc>
        <Amt>2195815</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES - OPERATING LEASES</Desc>
        <Amt>107121</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2392243</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13109554</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>516328</OtherRevenueAmt>
      <RevenueNotReportedAmt>516328</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12593226</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1198118</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1198118</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13791344</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17494296</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>622050</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>622050</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16872246</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1198118</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1198118</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>18070364</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUNDS ARE USED FOR FINANCING SMALL TO MODERATE CAPITAL PROJECTS, FOR BUILDING FACILITIES, AND MAJOR EQUIPMENT FOR WHICH THERE IS AN ESTABLISHED NEED AND THE ORGANIZATION HAS A RESPONSIBILITY TO PROVIDE. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DECREASE IN NET ASSETS WITH DONOR RESTRICTIONS $ 516,328 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 390,682 GAIN ON DISPOSAL OF ASSETS $ 356,560 RETURN OF CONTRIBUTION EXPENSE $ 450,876 TOTAL $ 1,198,118 SCHEDULE D, PART XII, LINE 2D IMPAIRMENT OF GOODWILL $ 622,050 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 390,682 GAIN ON DISPOSAL OF ASSETS $ 356,560 RETURN OF CONTRIBUTION EXPENSE $ 450,876 TOTAL $ 1,198,118</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF JEANETTE HEALTH SERVICES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800891316</BondIssuerEIN>
        <BondIssuedDt>2015-09-01</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>REFUNDING OF OUTSTANDING NOTES</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2392450</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>89101</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>9910899</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 1C</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: CITY OF JEANNETTE HEALTH SERVICES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/01/2015</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MEDICAL SUPPLIES</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>48538</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS LISTED IN PART I, COLUMN B ARE BASED ON THE NUMBER OF CONTRIBUTORS FOR EACH TYPE OF PROPERTY CONTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONTRACTED THE HILL GROUP TO FILL INTERIM ROLE OF CEO AND CFO. THESE ROLES WERE NOT PAID FROM THE ORGANIZATION BUT THROUGH THE CONTRACTED THIRD PARTY AND THEREFORE ARE NOT REPORTED ON PART VII OF THE FORM 990. THE ORGANIZATION PAID THE HILL GROUP $590,040 DURING 2022 FOR THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF BETHLEN HOME CONSIST OF THE FOLLOWING ENTITIES: THE HUNGARIAN REFORMED FEDERATION OF AMERICA, THE CALVINE SYNOD CONFERENCE OF THE UNITED CHURCH OF CHRIST, AND THE HUNGARIAN REFORMED CHURCH IN AMERICA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS SHALL CONSIST OF NINE TO FIFTEEN MEMBERS, EACH ELECTED TO A TERM OF THREE YEARS. THE BOARD OF DIRECTORS ARE MADE UP OF AT LEAST ONE MEMBER FROM THE HUNGARIAN REFORMED CHURCH OF AMERICA, ONE MEMBER FROM THE CALVIN SYNOD CONFERENCE OF THE UNITED CHURCH OF CHRIST, ONE MEMBER FROM GBU DISTRICT 3000, AND THE REMAINING MEMBERS ELECTED FROM THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BETHLEN HOME HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES, OFFICERS, DIRECTORS, AND ADVISORS TO THE BOARD MUST SIGN A CERTIFICATION OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AT NEW HIRE ORIENTATION, UPON ELECTION TO A SEAT ON THE BOARD OF DIRECTORS, OR WHEN SELECTED TO SERVE IN A SUPERVISORY CAPACITY TO THE BOARD. THE CORPORATE COMPLIANCE COMMITTEE WILL PERIODICALLY, AND NO LESS THAN ANNUALLY, REVIEW THE CERTIFICATES OF COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS EXECUTIVE COMMITEE IS GIVEN THE NECESSARY INFORMATION TO REVIEW THE SALARIES OF THE EXECUTIVE DIRECTOR AND EACH ADMINISTRATOR ANNUALLY. THE COMMITTEE SOLICITS INFORMATION FROM OUTSIDE THE ORGANIZATION TO DETERMINE IF COMPENSATION IS IN LINE WITH OTHER COMPARABLE ORGANIZATION. THE EXECUTIVE DIRECTOR PROVIDES THE EXECUTIVE COMMITTEE WITH AN ANNUAL PERFORMANCCE ASSESSMENT REVIEW OF EACH ADMINISTRATOR. THE COMMITTEE MAY THEN, AT ITS DISCRETION, INTERVIEW ADMINISTRATORS. THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL WRITTEN EVALUATION OF THE EXECUTIVE DIRECTOR'S PERFORMANCE. THE EXECUITVE COMMITTEE THEN SUBMITS ITS FINDINGS TO THE FULL BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18:</FormAndLineReferenceDesc>
        <ExplanationTxt>BETHLEN HOME MAKES ITS FORM 990 AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>BELTHEN HOME'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVALIABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPAIRMENT OF GOODWILL $-622,050</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTANTS TOTAL FEES:1277535</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL &amp; PURCHASED SVS TOTAL FEES:1261480</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:796029</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:DUES AND SUBSCRIPTIONS TOTAL FEES:488</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
