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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MANN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN COON</PersonNm>
        <TitleTxt>CHEIF MEDICAL OFFICER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6280</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WILKERSON MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <ReportableCompFromOrgAmt>492288</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHAY ALLEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN PEARSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE KAGAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HUNTER RAGLAND</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDITH WHITMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENT SPEAR</PersonNm>
        <TitleTxt>CFO THRU MARCH 2024</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5192</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1746902</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>115174</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <NoncashContributionsAmt>39462</NoncashContributionsAmt>
      <TotalContributionsAmt>297750</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>11239405</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11239405</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11239405</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>90886</TotalRevenueColumnAmt>
        <ExclusionAmt>90886</ExclusionAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>3032</OtherAmt>
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      <GainOrLossGrp>
        <OtherAmt>-3032</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-3032</TotalRevenueColumnAmt>
        <ExclusionAmt>-3032</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>87598</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>48885</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>38713</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>35563</TotalRevenueColumnAmt>
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      <OtherRevenueTotalAmt>35563</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>554223</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1021288</TotalAmt>
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        <ManagementAndGeneralAmt>7500</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>53648</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81074</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>103043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29059</ManagementAndGeneralAmt>
        <FundraisingAmt>1147</FundraisingAmt>
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      <OccupancyGrp>
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      <TravelGrp>
        <TotalAmt>86605</TotalAmt>
        <ProgramServicesAmt>9789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76814</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>51427</TotalAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSE</Desc>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>85736</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>980448</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>18267</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>52817</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>18145</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8544414</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>248836</EOYAmt>
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        <EOYAmt>80400</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1690775</EOYAmt>
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        <EOYAmt>6644790</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>208849</EOYAmt>
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        <EOYAmt>6853639</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>8544414</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>2748227</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>208554</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>156943</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>297750</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>10490684</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>11327004</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>11624754</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>308748</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>135065</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>538694</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>26206</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>60268</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41740</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35563</CurrentTaxYearAmt>
        <TotalAmt>189118</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>12064812</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11068254</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12477584</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11751203</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.98640</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98700</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00920</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00890</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2020 AMOUNT: $ 25,341. 2021 AMOUNT: $ 26,206. 2022 AMOUNT: $ 53,508. 2023 AMOUNT: $ 41,740. 2024 AMOUNT: $ 35,563. WORKSHOPS - 2022 AMOUNT: $ 6,760.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <BookValueAmt>793849</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>9562467</DepreciationAmt>
        <BookValueAmt>3431908</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1737786</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1350372</DepreciationAmt>
        <BookValueAmt>387414</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1107325</DepreciationAmt>
        <BookValueAmt>105224</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4718395</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>80400</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>80400</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>11145062</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11145062</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>554223</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>554223</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11699285</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12310688</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12310688</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>554223</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>554223</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12864911</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOLARSHIPS NETTED AGAINST PATIENT FEES ON FINANCIAL STATEMENTS 554,223.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOLARSHIPS NETTED AGAINST PATIENT FEES ON FINANCIAL STATEMENTS 554,223.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FINANCIAL AID</GrantTypeTxt>
        <RecipientCnt>101</RecipientCnt>
        <NonCashAssistanceAmt>554223</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>REDUCTION IN TOTAL FEES FUNDED FROM SCHOLARSHIP FUND.</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DOLLARS THAT HAVE BEEN DESIGNATED AS GRANT/SCHOLARSHIP MONEY ARE RECORDED INTO A SEPARATE GENERAL LEDGER ACCOUNT FOR VISIBILITY. ANY MONEY AWARDED TO PATIENTS REQUESTING FINANCIAL ASSISTANCE MUST BE APPROVED BY OUR EXECUTIVE STAFF (CEO OR CFO). ONCE APPROVED, THE GRANT IS CREDITED TO THE PATIENT'S ACCOUNT AND THE GRANT FUND IS REDUCED BY THE SAME AMOUNT. THE GRANT FUND IS THEN RECONCILED AT THE END OF EACH MONTH FOR ACCURACY.</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL WILKERSON MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>492288</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13655</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23590</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>529533</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA BENNETT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>270828</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>280148</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAY ALLEN</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7485</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212444</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENT SPEAR</PersonNm>
        <TitleTxt>CFO THRU MARCH 2024</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>2609</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE KAGAN</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5672</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154323</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN COON</PersonNm>
        <TitleTxt>CHEIF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>145102</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5885</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151382</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>300</ContributionCnt>
        <NoncashContributionsRptF990Amt>39462</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE COMPLETED FORM 990 WILL BE PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF OUR CONFLICT OF INTEREST POLICY ARE ACCOMPLISHED IN THE FOLLOWING MANNER: 1) ANNUALLY ALL DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SIGN A DISCLOSURE LISTING ALL POTENTIAL CONFLICT OF INTEREST MATTERS. 2) AT THE BEGINNING OF EVERY BOARD MEETING, EACH BOARD MEMBER IS REQUESTED TO DISCLOSE ANY NEW OR ARISING CONFLICT OF INTEREST ISSUES SINCE THE LAST BOARD MEETING. 3) A CORPORATE COMPLIANCE PROGRAM HAS BEEN ESTABLISHED WHICH INCLUDES ONGOING EMPLOYEE TRAINING REGARDING COMPLIANCE ISSUES, REPORTING AND INVESTIGATION, AND CONFLICT OF INTEREST DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING VARIOUS FORMS OF COMPARABILITY DATA. COMPENSATION OF KEY EMPLOYEES WITHIN THE ORGANIZATION IS DETERMINED BY THE CEO AND SHARED WITH THE BOARD OF DIRECTORS. THE PROCESS CONSISTS OF REVIEWING THE SALARY AND BENEFITS PROVIDED AT SIMILAR TREATMENT CENTERS, COUPLED WITH THEIR EXPERIENCE AND CREDENTIALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE INTRANET FOR ALL EMPLOYEES. THE FORM 990 IS AVAILABLE TO THE PUBLIC, AS REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>