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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
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      <NoncashContributionsAmt>8954</NoncashContributionsAmt>
      <TotalContributionsAmt>262569</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>4241224</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4241224</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>4241224</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>64862</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>113333</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>101735</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>11598</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>11598</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>3345</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8253</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>350927</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>385803</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>-34876</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-34876</TotalRevenueColumnAmt>
        <ExclusionAmt>-34876</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>335368</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>267742</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>67626</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>67626</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRAVEL REIMBURSEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5256</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5256</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3347</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>2289</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>47341</ManagementAndGeneralAmt>
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        <FundraisingAmt>19961</FundraisingAmt>
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        <ProgramServicesAmt>44964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5620</ManagementAndGeneralAmt>
        <FundraisingAmt>5621</FundraisingAmt>
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        <Desc>CLINICAL OPERATIONS COS</Desc>
        <TotalAmt>1053631</TotalAmt>
        <ProgramServicesAmt>1053631</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CHARITABLE ASSISTANCE</Desc>
        <TotalAmt>134343</TotalAmt>
        <ProgramServicesAmt>134343</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BANK CHARGES</Desc>
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        <ProgramServicesAmt>45876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26754</ManagementAndGeneralAmt>
        <FundraisingAmt>3825</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>49486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19049</ManagementAndGeneralAmt>
        <FundraisingAmt>5282</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <FundraisingAmt>2435</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3303715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>393386</ManagementAndGeneralAmt>
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        <EOYAmt>250</EOYAmt>
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        <EOYAmt>1216</EOYAmt>
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        <EOYAmt>1714356</EOYAmt>
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        <EOYAmt>84173</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1867009</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>11969610</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>468925</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12003123</BOYAmt>
        <EOYAmt>12438535</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>14305544</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>827129</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-391717</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>544405</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>303885</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>427931</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>262569</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>544405</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>303885</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>427931</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>262569</CurrentTaxYearAmt>
        <TotalAmt>2482119</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>49874</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>2432245</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>84629</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>132103</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>148164</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>178195</CurrentTaxYearAmt>
        <TotalAmt>564975</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>382</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2890</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2906</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3345</CurrentTaxYearAmt>
        <TotalAmt>9523</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
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      <PublicSupportPY170Pct>0.81010</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>1605060</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>929184</DepreciationAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>350936</DepreciationAmt>
        <BookValueAmt>327134</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6419443</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED VACATION</Desc>
        <Amt>76517</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>7656</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>84173</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-391717</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-391717</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4967965</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>25215</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-369477</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-344262</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>25215</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED FASB ASC 740-10, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS ENDING DECEMBER 31, 2019 TO 2022, ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>BOTTLE REVENUE EXPENSES INCLUDED IN REVENUE -267,742. RENTAL EXPENSES INCLUDED IN REVENUES -101,735.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTTLE REVENUE EXPENSES INCLUDED IN REVENUE 267,742. EXCLUDED RENTAL EXPENSES 101,735.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>198500</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7492</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12500</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218492</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 AND 990T ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND ACCOUNTANT AFTER THE INDEPENDENT AUDIT HAS BEEN RECEIVED AND ACCEPTED BY THE FINANCE COMMITTEE. THE EXECUTIVE DIRECTOR SIGNS THE 990 AND 990T AND SHARES THEM WITH THE FINANCE COMMITTEE AND BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DISTRIBUTES POLICIES TO THE BOARD OF DIRECTORS EACH YEAR IN THE JANUARY MEETING. ADDITIONALLY, EACH BOARD MEMBER ANNUALLY SIGNS A CONFLICT OF INTEREST STATEMENT, A CONFIDENTIAL INFORMATION AND INTELLECTUAL PROPERTY AGREEMENT, AND A BOARD OF DIRECTORS' COVENANT. BOARD MEMBERS SELF-REPORT ANY CONFLICTS RELATED TO AN ISSUE REQUIRING VOTE - ABSTAINING FROM VOTING IF CONFLICT IS CONFIRMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS; COMPARABILITY DATA, AS NEEDED; AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. ALL THE OFFICERS VOLUNTEER THEIR TIME, ENERGY, AND EXPERTISE TO THE ORGANIZATION AND AS SUCH, A COMPENSATION REVIEW PROCEDURE IS NOT APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 41,473. MANAGEMENT AND GENERAL EXPENSES 4,146. FUNDRAISING EXPENSES 1,513. TOTAL EXPENSES 47,132. BAD DEBT: PROGRAM SERVICE EXPENSES 28,738. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,738. EVENTS: PROGRAM SERVICE EXPENSES 25,198. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,198. TELEPHONE AND COMMUNICATIONS: PROGRAM SERVICE EXPENSES 5,734. MANAGEMENT AND GENERAL EXPENSES 707. FUNDRAISING EXPENSES 706. TOTAL EXPENSES 7,147. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 3,778. MANAGEMENT AND GENERAL EXPENSES 1,357. FUNDRAISING EXPENSES 59. TOTAL EXPENSES 5,194. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 1,059. MANAGEMENT AND GENERAL EXPENSES 676. FUNDRAISING EXPENSES 76. TOTAL EXPENSES 1,811. VOLUNTEER RECOGNITION: PROGRAM SERVICE EXPENSES 1,516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,516. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 1,130. MANAGEMENT AND GENERAL EXPENSES 83. FUNDRAISING EXPENSES 81. TOTAL EXPENSES 1,294.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, PART LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT POLICIES AND SELECTION OF AN INDEPENDENT ACCOUNTANT BY THE FINANCE COMMITTEE HAS NOT CHANGED SINCE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
