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        <TitleTxt>MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1761707</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>187140</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>22</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12 CANTRELL RD</AddressLine1Txt>
            <CityNm>CORINTH</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>38834</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02135</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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        <Desc>OTHER INCOME</Desc>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>308950</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>659101</TotalAmt>
        <ProgramServicesAmt>500244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158857</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>400383</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>34706</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>89271</TotalAmt>
        <ProgramServicesAmt>69330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19941</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>223562</TotalAmt>
        <ProgramServicesAmt>132183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91379</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>58745</TotalAmt>
        <ProgramServicesAmt>17580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41165</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>29328</TotalAmt>
        <ProgramServicesAmt>18729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10599</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>527199</TotalAmt>
        <ProgramServicesAmt>345511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181688</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>63162</TotalAmt>
        <ProgramServicesAmt>30146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33016</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>3425548</TotalAmt>
        <ProgramServicesAmt>3364407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61141</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTUAL SERVICES</Desc>
        <TotalAmt>1795209</TotalAmt>
        <ProgramServicesAmt>1720647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74562</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>248990</TotalAmt>
        <ProgramServicesAmt>177052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71938</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>152539</TotalAmt>
        <ProgramServicesAmt>96073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56466</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>169316</TotalAmt>
        <ProgramServicesAmt>99003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70313</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16287522</TotalAmt>
        <ProgramServicesAmt>13204271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3083251</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4980195</BOYAmt>
        <EOYAmt>5445656</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>6857128</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>758138</BOYAmt>
        <EOYAmt>535058</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>423062</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>53086</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>42686</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10666388</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3866239</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6971936</BOYAmt>
        <EOYAmt>6800149</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>11563</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>395061</EOYAmt>
      </IntangibleAssetsGrp>
      <TotalAssetsGrp>
        <BOYAmt>20710039</BOYAmt>
        <EOYAmt>20563449</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1023921</BOYAmt>
        <EOYAmt>937764</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>783380</BOYAmt>
        <EOYAmt>623185</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1807301</BOYAmt>
        <EOYAmt>1560949</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>18902738</BOYAmt>
        <EOYAmt>19002500</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>18902738</BOYAmt>
        <EOYAmt>19002500</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>20710039</BOYAmt>
        <EOYAmt>20563449</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>604168</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-504406</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4330804</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4903614</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6228837</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4011848</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3494178</CurrentTaxYearAmt>
        <TotalAmt>22969281</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>4903614</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6228837</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4011848</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3494178</CurrentTaxYearAmt>
        <TotalAmt>22969281</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>22969281</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearAmt>336246</CurrentTaxYearAmt>
        <TotalAmt>729050</TotalAmt>
      </GrossInvestmentIncome170Grp>
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      <PublicSupportPY170Pct>0.98340</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>215104</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1961657</DepreciationAmt>
        <BookValueAmt>5193707</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>944015</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>1237629</DepreciationAmt>
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      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6800149</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SHORT-TERM NOTE PAYABLE</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SHORT-TERM LEASE LIABILITY</Desc>
        <Amt>113009</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM LEASE LIABILITY</Desc>
        <Amt>66370</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>623185</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16891690</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>16891690</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>16891690</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16287522</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>16287522</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16287522</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>NEIL WANEE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>259131</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1126</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22355</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>282612</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MONROE</PersonNm>
        <TitleTxt>CLINCIAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>246250</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1126</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>29290</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>276666</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN KOEHLER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239748</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1126</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>29315</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>270189</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLINTON WASHINGTON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239793</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1126</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20939</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>261858</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM GUNTHARP</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>226386</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1126</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20323</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>247835</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOBY COLLINS</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>207688</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1116</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>27214</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>236018</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARILYN SUMERFORD</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>203816</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1116</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24719</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>229651</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc5">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KENNETH SUMERFORD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF ED</RelationshipDescriptionTxt>
        <TransactionAmt>1200</TransactionAmt>
        <TransactionDesc>OFFICE RENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNETH SUMERFORD IS THE SPOUSE OF THE EXECUTIVE DIRECTOR. THE ORGANIZATION RENTS OFFICE SPACE FROM MR SUMERFORD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTOR OF FINANCE AND EXECUTIVE DIRECTOR REVIEW THE 990 AND PRESENT THE RESULTS TO THE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AT THE ANNUAL MEETING IN JUNE. WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE BOARD MEMBER MUST RESIGN IF IT IS IN CONFLICT WITH THE BOARD'S BYLAWS. THE ORGANIZATION ALSO HAS A COMPLIANCE OFFICER THAT MONITORS COMPLIANCE WITH THE VARIOUS PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF TOP MANAGEMENT POSITIONS IS SET BY THE BOARD AND REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS AND KEY POSITIONS IS SET BY THE BOARD AND REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PUBLIC DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>