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      <ContriRptFundraisingEventAmt>48890</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>17899</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-13819</TotalRevenueColumnAmt>
        <ExclusionAmt>-13819</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>86680571</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>86366227</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-5026</ExclusionAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>42530096</TotalAmt>
        <ProgramServicesAmt>39530578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2999518</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>603513</TotalAmt>
        <ProgramServicesAmt>560292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43221</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5182817</TotalAmt>
        <ProgramServicesAmt>4811656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>371161</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>3136924</TotalAmt>
        <ProgramServicesAmt>2912270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>224654</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>90243</TotalAmt>
        <ManagementAndGeneralAmt>90243</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>189502</TotalAmt>
        <ManagementAndGeneralAmt>189502</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>388229</TotalAmt>
        <ManagementAndGeneralAmt>388229</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>185314</TotalAmt>
        <ManagementAndGeneralAmt>185314</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4697319</TotalAmt>
        <ProgramServicesAmt>4121297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>576022</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1072574</TotalAmt>
        <ProgramServicesAmt>1072574</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>81595</TotalAmt>
        <ManagementAndGeneralAmt>81595</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>66386</TotalAmt>
        <ManagementAndGeneralAmt>66386</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>375436</TotalAmt>
        <ManagementAndGeneralAmt>375436</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4239831</TotalAmt>
        <ProgramServicesAmt>3939170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>300661</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1367935</TotalAmt>
        <ProgramServicesAmt>1367935</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>12029830</TotalAmt>
        <ProgramServicesAmt>12029830</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUEL</Desc>
        <TotalAmt>2418962</TotalAmt>
        <ProgramServicesAmt>2418962</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1851379</TotalAmt>
        <ProgramServicesAmt>1463349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>388030</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES AND SERVICE CHA</Desc>
        <TotalAmt>261204</TotalAmt>
        <ManagementAndGeneralAmt>261204</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>190298</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>81170237</TotalAmt>
        <ProgramServicesAmt>74418211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6752026</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>7855997</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4684536</BOYAmt>
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        <EOYAmt>10328401</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>3879</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>43631077</LandBldgEquipCostOrOtherBssAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>50000</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>6915622</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>11868467</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>27758556</BOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>33268890</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>42639250</BOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5510334</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>37556</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>242730</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>363730</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>319370</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>73430572</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>79107044</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>86366227</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>65910319</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>73673302</CurrentTaxYearMinus2YearsAmt>
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        <TotalAmt>368871499</TotalAmt>
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      <PublicSupportTotal509Amt>368871499</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>222</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>146</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>51249</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>10</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>6410</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8325</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4080</CurrentTaxYearAmt>
        <TotalAmt>38784</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>63141059</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>79479538</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportCY509Pct>0.99970</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99970</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME FROM FUNDRAISING EVENTS 38,784</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <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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    <IRS990ScheduleD documentId="RetDoc4">
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        <BookValueAmt>4571807</BookValueAmt>
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        <Desc>INVESTMENT IN CAPTIVE INSURANCE COLL</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET - OPERATING</Desc>
        <BookValueAmt>728566</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS, CENTRAL</Desc>
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        <Desc>CONTINGENT LIABILITIES</Desc>
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        <Desc>INTEREST RATE SWAP LIABILTIY</Desc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN WILKINSON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN BURGHARDT</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH MCHARDY</PersonNm>
        <TitleTxt>PARAMEDIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>187193</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2709</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>197052</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE LUMETTA</PersonNm>
        <TitleTxt>PARAMEDIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>189383</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11750</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201133</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY DOW</PersonNm>
        <TitleTxt>PARAMEDIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>169330</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1348</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>142</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>170820</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF MAY 17, 2019, MEDSTAR, INC. IS JOINTLY OWNED BY MCLAREN HEALTH CARE CORPORATION, HENRY FORD HEALTH SYSTEM, AND ASCENSION MICHIGAN (33.3 PERCENT OWNED BY EACH ENTITY). EACH OWN 20,000 SHARES OF COMMON STOCK. MHCC OWNS 20,000 SHARES OF CLASS A, HFHS OWNS 20,000 SHARES OF CLASS B, AND AM OWNS 20,000 SHARES OF CLASS C. THE BOARD OF DIRECTORS MUST BE 9 IN TOTAL, 3 EACH ELECTED BY OWNERS OF THE THREE CLASSES OF STOCK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE THIRD OF THE DIRECTORS WILL BE ELECTED AT THE ANNUAL MEETING OF THE SHAREHOLDERS BY HOLDERS OF CLASS A COMMON STOCK. ONE THIRD OF THE DIRECTORS WILL BE ELECTED AT THE ANNUAL MEETING OF THE SHAREHOLDERS BY HOLDERS OF THE CLASS B COMMON STOCK. ONE THIRD OF THE DIRECTORS WILL BE ELECTED AT THE ANNUAL MEETING OF THE SHAREHOLDERS BY HOLDERS OF THE CLASS C COMMON STOCK. AT LEAST ONE OF THE DIRECTORS ELECTED BY EACH CLASS OF SHAREHOLDER SHALL BE REPRESENTATIVE OF THE COMMUNITIES SERVED BY THE CORPORATION AND SUCH DIRECTOR CANNOT BE AN EMPLOYEE OF THE SHAREHOLDER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) AMEND, ADOPT, ALTER OR REPEAL THE ARTICLES OF THE INCORPORATION, CERTIFICATE OF INCORPORATION, OR BYLAWS, OR ANY OTHER ACTION WHICH WOULD CHANGE THE RELATIVE RIGHTS OF THE SHAREHOLDERS OF THE CORPORATION WITH RESPECT TO THOSE RESERVED RESPONSIBILITIES OR WITH RESPECT TO ANY DISTRIBUTIONS FROM THE CORPORATION OR ITS SUBSIDIARIES, INCLUDING THOSE UPON DISSOLUTION. (B) ADOPT ANY STRATEGIC OR ANNUAL OPERATING PLAN (INCLUDING OPERATING OR CAPITAL BUDGETS), OR APPROVAL OF ANY EXPENDITURES ABOVE 150,000 NOT INCLUDED WITHIN AN APPROVED PLAN OR BUDGET, OTHER THAN PURSUANT TO SUBSECTION (F) BELOW. (C) ENCUMBER, OR GRANT A LIEN ON ASSETS OF THE CORPORATION OR ITS SUBSIDIARIES. (D) INCUR, ASSUME OR GUARANTEE ANY LONG-TERM INDEBTNESS OR OTHER BORROWINGS, INCLUDING ANY CAPITAL LEASES, OR ANY SHORT-TERM INDEBTNESS OTHER THAN SHORT-TERM INDEBTNESS NOT IN EXCESS OF 100,000 AND NOT BY ITS TERMS TO BE OUTSTANDING FOR MORE THAN SIXTY (60) DAYS. (E) EXCHANGE, ABANDON OR OTHERWISE DISPOSE OF FIXED ASSETS BY MEANS OF SALE, LEASE OR ANY OTHER VOLUNTARY OR INVOLUNTARY CONVEYANCE OR TRANSFER OF TITLE, WICH IN THE AGGREGATE IN ANY FISCAL YEAR OF THE CORPORATION AND ITS SUBSIDIARIES EXCEEDS 250,000, EXCEPT AS SPECIFICALLY IDENTIFIED IN A BUDGED APPROVED PURSUANT TO THE PROVISIONS OF SECTION 2.2 PARAGRAPH 2 OF THE CORPORATE BYLAWS. (F) INVEST IN ANY ENTITY, CAPITAL STOCK OR ANY ACQUISITION OF FIXED ASSETS BY MEANS OF PURCHASE, LEASE OR IN ANY OTHER MANNER RESULTING IN EXPENDITURES BY THE CORPORATION AND ITS SUBSIDIARIES WHICH IN THE AGGREGATE IN ANY FISCAL YEAR EXCEEDS 250,000, EXCEPT AS SPECIFICALLY IDENTIFIED IN A BUDGET APPROVED PURSUANT TO THE PROVISIONS OF SECTION 2.2, PARAGRAPH 2 OF THE CORPORATE BYLAWS. (G) AUTHORIZE, TRANSFER OR ISSUE SHARES OF CAPITAL STOCK OF THE CORPORATION OR ANY SUBSIDIARY, OR AUTHORIZE ANY OTHER TYPE OF SECURITY HAVING AN EQUITY INTEREST OR VOTING RIGHTS IN THE CORPORATION OR ANY SUBSIDIARY, OR AUTHORIZE ANY CHANGE IN THE MEMBERSHIP OF ANY SUBSIDIARY OR THE CORPORATION. (H) INSTITUTE BY THE CORPORATION OR ANY SUBSIDIARY A VOLUNTARY PROCEEDING SEEKING PROTECTION UNDER FEDERAL OR STATE BANKRUPTCY, INSOLVENCY OR OTHER SIMILAR LAWS. (I) SELL, LEASE, EXCHANGE, TRANSFER OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION OR ANY SUBSIDIARY, OR MERGE OR CONSOLIDATE THE CORPORATION OR ANY SUBSIDIARY WITH ANOTHER ENTITY. (J) DISSOLVE OR REORGANIZE THE CORPORATION OR ANY SUBSIDIARY. (K) EXERCISE ANY POWERS, AUTHORITY OR RESPONSIBILITY REQUIRED BY SECTION 2.2, PARAGRAPH 2 TO BE RESERVED TO THE CORPORATION BY THE ARTICLES OF INCORPORATION, CERTIFICATE OF INCORPORATION OR EQUIVALENT ORGANIZATIONAL DOCUMENTS OF ENTITIES OTHER THAN IN CORPORATE FORM OF ANY SUBSIDIARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CEO. THE BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE RETURN BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION POLICY 113 COVERS DISCUSSION OF CONFLICTS WITH EXTERNAL AGENCIES; ALSO POLICIES 104 (COMPLIANCE PLAN) AND 105 (CODE OF CONDUCT) COVER RELATED TOPICS. OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY OCCUR, AT LEAST ANNUALLY. THIS IS MONITORED THROUGH DISCUSSIONS WITH BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. INDIVIDUALS WITH A CONFLICT OF INTEREST WOULD BE RESTRICTED FROM SPEAKING OR VOTING ON A POTENTIAL ISSUE. WHEN HIRING NEW EMPLOYEES, THE ORGANIZATION HAS CONTRACTED WITH A THIRD-PARTY INVESTIGATIVE AGENCY TO VERIFY EMPLOYMENT INFORMATION TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. INDIVIDUALS ARE RESTRICTED FROM WORKING AT OR FOR A COMPETITOR IN THE SAME SERVICE AREA/MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO HAS AN EMPLOYMENT CONTRACT, WHICH IS ANNUALLY APPROVED BY THE BOARD OF DIRECTORS. CEO COMPENSATION IS ALSO DETERMINED BY A COMBINATION OF A REVIEW OF PEER FORM 990S (REVIEWED ANNUALLY) AND A COMPENSATION SURVEY. IN 2018 GALLAGHER INC. WAS HIRED TO CONDUCT THE SALARY SURVEY FOR THE CEO, REPORT, AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD. AS A RESULT, A NEW CONTRACT WAS DEVELOPED AND IMPLEMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REMAINDER OF THE MANAGEMENT TEAM SETS ANNUAL GOALS AND THEY ARE EVALUATED BY THE CEO. ANNUAL REVIEWS ARE COMPLETED ON EACH MEMBER OF THE MANAGEMENT TEAM WITH EVALUATION AND DISCUSSION, MAINTAINED IN THEIR RESPECTIVE PERSONNEL FILES, AS TO THE COMPLETION OF EACH INDIVIDUAL'S ATTAINMENT OF GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLIICY, AND FINANCIAL STATEMENTS HAVE NOT BEEN MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBT -12,029,830 FUNDRAISING EXPENSES 17,899 FUNDRAISING EXPENSES -17,899 PROVISION FOR BAD DEBT 12,029,830</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>