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        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>255373</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FELDESMAN TUCKER LEIFER FIDELL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1129 20TH STREET NW 4TH FLOOR</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>229549</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ERNESTO CRUZ</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>HC 03 BOX 30384</AddressLine1Txt>
            <CityNm>AGUADILLA</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00603</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL PRACTITIONER-BUPRENORPHINE SPECIALIST</ServicesDesc>
        <CompensationAmt>131595</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ORTIZ-PEREZ PSC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1943</AddressLine1Txt>
            <CityNm>HATILLO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00659</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ENGINEER</ServicesDesc>
        <CompensationAmt>110596</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>3116950</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1706</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>3118656</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE FEES-NET OF CONTRACTUAL</Desc>
        <BusinessCd>621900</BusinessCd>
        <TotalRevenueColumnAmt>3411570</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3411570</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION UNDER PRHD HEALTH REFORM</Desc>
        <BusinessCd>621900</BusinessCd>
        <TotalRevenueColumnAmt>17316826</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17316826</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUES</Desc>
        <BusinessCd>621900</BusinessCd>
        <TotalRevenueColumnAmt>5262600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5262600</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WRAPAROUND PAYMENTS</Desc>
        <BusinessCd>621900</BusinessCd>
        <TotalRevenueColumnAmt>9623740</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9623740</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>QUALITY INCENTIVE-PRHD HEALTH REFORM</Desc>
        <BusinessCd>621900</BusinessCd>
        <TotalRevenueColumnAmt>240042</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>240042</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>133644</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>35988422</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>830871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>830871</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>8498</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8498</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>8498</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>39946447</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36827791</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>382206</TotalAmt>
        <ManagementAndGeneralAmt>382206</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7716298</TotalAmt>
        <ProgramServicesAmt>5155104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2561194</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>821959</TotalAmt>
        <ProgramServicesAmt>535655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>286304</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>565373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>339518</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>3762594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>798593</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>123907</TotalAmt>
        <ProgramServicesAmt>123907</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>991849</TotalAmt>
        <ProgramServicesAmt>991849</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>135907</TotalAmt>
        <ProgramServicesAmt>4024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131883</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>51561</TotalAmt>
        <ProgramServicesAmt>51561</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>47103</TotalAmt>
        <ProgramServicesAmt>3541</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43562</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
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        <ManagementAndGeneralAmt>24966</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>685604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106675</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>304739</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLAIMS PAID-HEALTH REFORM</Desc>
        <TotalAmt>15701006</TotalAmt>
        <ProgramServicesAmt>15701006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS AND MEDICINES</Desc>
        <TotalAmt>2810291</TotalAmt>
        <ProgramServicesAmt>2810291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>67408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25874</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>NON-CAPITALIZED EQUIPMENT</Desc>
        <TotalAmt>43847</TotalAmt>
        <ProgramServicesAmt>43847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1007827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6861</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>31814330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4707636</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>8358618</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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      <LandBldgEquipBasisNetGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2023965</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>457310</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4422101</BOYAmt>
        <EOYAmt>2481275</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>37160907</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1839330</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>39000237</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>41481512</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3424481</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>2429285</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="24021167" softwareVersionNum="v1.00">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="R000003" softwareId="24021167" softwareVersionNum="v1.00">
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        <OtherCostOrOtherBasisAmt>1038354</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1038354</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>9147557</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>5176681</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      <EquipmentGrp>
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        <OtherCostOrOtherBasisAmt>3382442</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3975156</DepreciationAmt>
        <BookValueAmt>-592714</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <OtherCostOrOtherBasisAmt>84394</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>80651</DepreciationAmt>
        <BookValueAmt>3743</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>5626064</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>39946447</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>0</NetUnrealizedGainsInvstAmt>
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      <RecoveriesPriorYearGrantsAmt>0</RecoveriesPriorYearGrantsAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>39946447</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>0</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>39946447</TotalRevenuePerForm990Amt>
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      <InvestmentExpensesNotIncld2Amt>0</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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    <IRS990ScheduleO documentId="R000004" softwareId="24021167" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A COMPLETE COPY OF THIS FORM 990 AND DISCUSSES IT WITH ALL GOVERNING BOARD MEMBERS BEFORE SUBMITTING THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers, directors and key employees have knowledge of conflict of interest policy. When possible conflict of interest is detected, the Executive Director is authorized and directed to bring the matter to the attention of the Board of Directors and to take the corresponding action according to established policies and procedures.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director-The Board of Directors are the body that evaluate the Executive Director and key employees for compensation purposes. Based on performance, goal achievements and availability of funds. Other Officers an key employees-The Board of Directors are the body that evaluate the Executive Director and key employees for compensation purposes. Based on performance, goal achievements and availability of funds.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Fees for professional service providers: medical and health care professionals, finance and legal professionals, engineering and technical support, construction and facilities maintenance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Extinguishment of debt.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>