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        <Desc>Hearing: Our Hearing Services department typically serves approximately 800 individuals each year including our newly expanded options for drive-up and portable audiology devices. Our Hearing Service Bank provides free or reduced cost hearing aids and services to low-income children and seniors who otherwise would face a disabling communication disorder with many adverse consequences. The gift of hearing provides an increased quality of life, a sense of security and often the only path to employment and independence for older adults. For children the ability to hear and communicate is vital to their future; we want to give them the key to unlocking a world that they can succeed in. Each year our outcomes demonstrate that we succeed in making positive and significant impact in the lives of those we serve as over 95% of our patients indicate a significant improvement in their quality of life and ability to communicate.</Desc>
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      <AllOtherContributionsAmt>823739</AllOtherContributionsAmt>
      <TotalContributionsAmt>1022697</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2028451</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2028451</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
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      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-25762</TotalRevenueColumnAmt>
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      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>23969</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>32753</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>10846</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>13123</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2002689</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>62168</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>157675</TotalAmt>
        <ProgramServicesAmt>129734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14454</ManagementAndGeneralAmt>
        <FundraisingAmt>13487</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>1856631</TotalAmt>
        <ProgramServicesAmt>1527629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170196</ManagementAndGeneralAmt>
        <FundraisingAmt>158806</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>64011</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13337</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>159198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33170</ManagementAndGeneralAmt>
        <FundraisingAmt>11723</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>249969</TotalAmt>
        <ProgramServicesAmt>194985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40626</ManagementAndGeneralAmt>
        <FundraisingAmt>14358</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <FeesForServicesOtherGrp>
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        <ManagementAndGeneralAmt>5871</ManagementAndGeneralAmt>
        <FundraisingAmt>6892</FundraisingAmt>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
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      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>170604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2381</ManagementAndGeneralAmt>
        <FundraisingAmt>1143</FundraisingAmt>
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        <ProgramServicesAmt>21822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114</ManagementAndGeneralAmt>
        <FundraisingAmt>308</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>25587</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>9419</ProgramServicesAmt>
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        <FundraisingAmt>181</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Hearings Aids</Desc>
        <TotalAmt>203703</TotalAmt>
        <ProgramServicesAmt>203703</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>49371</TotalAmt>
        <ProgramServicesAmt>48612</ProgramServicesAmt>
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        <FundraisingAmt>665</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
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        <ManagementAndGeneralAmt>132</ManagementAndGeneralAmt>
        <FundraisingAmt>880</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>28437</ProgramServicesAmt>
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        <FundraisingAmt>100</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>19079</ProgramServicesAmt>
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        <FundraisingAmt>2867</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>782032</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>-128863</ReconcilationRevenueExpnssAmt>
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      <FSAuditedBasisGrp>
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        <CurrentTaxYearMinus2YearsAmt>991874</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>27981</CurrentTaxYearMinus1YearAmt>
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        <ContributorUSAddress>
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        <GrantsOrScholarshipsAmt>1716</GrantsOrScholarshipsAmt>
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      <CYMinus2YrEndwmtFundGrp>
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      <OtherLiabilitiesOrgGrp>
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      <TotalExpensesPerForm990Amt>3229540</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Special Events $10846</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
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        <GrossRevenueEvent1Amt>9500</GrossRevenueEvent1Amt>
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        <Event2Nm>B of E Event</Event2Nm>
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        <GrossRevenueEvent2Amt>14469</GrossRevenueEvent2Amt>
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        <GrossReceiptsTotalAmt>56722</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>32753</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>23969</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>205</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1920</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>600</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>8121</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>10846</DirectExpenseSummaryEventsAmt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shannon Tucker</PersonNm>
        <TitleTxt>Executive Dir.</TitleTxt>
        <BaseCompensationFilingOrgAmt>141397</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14174</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10890</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7535</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173996</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed and approved by the Executive Director of the organization as well as by the audit committee members, which includes the board treasurer. A copy is provided to all the members of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest policy is part of our by laws and each year our board of directors signs disclosure statements regarding conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>An annual review, including compensation adjustments based on job performance, of the executive director is completed by the chairman and vice chairman and then reviewed and approved by the entire board of directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Made available upon request.</ExplanationTxt>
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</Return>