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      <Desc>OUTPATIENT TREATMENT INCLUDES THE FOLLOWING SERVICES:DIAGNOSTIC ASSESSMENT: CONDUCTED TO PROVIDE THE INFORMATION TO IDENTIFY PATIENT CLINICAL NEED, FUNCTIONING LEVEL, FORMULATE INITIAL AND ONGOING SERVICES, TREATMENT APPROACHES, FORMULATE A DIAGNOSTIC IMPRESSION, IDENTIFY PROBLEMS THAT MAY BE IMPAIRING PROGRESS IN TREATMENT, AND IMPLEMENT APPROPRIATE PATIENT REFERRALS.GROUP COUNSELING: DESIGNED TO TREAT THE PATIENTS' MENTAL ILLNESS AND EMOTIONAL PROBLEMS BY A TRAINED CLINICIAN TO FACILITATE AND GUIDE A GROUP OF 3 OR MORE MEMBERS WHO REACT TO EACH OTHER ON A COGNITIVE LEVEL FOR THE PURPOSE OF INCREASING THE PATIENTS' FUNCTIONAL LEVEL, INCREASING THE FUNCTIONAL EFFECTIVENESS OF BEHAVIOR, ENHANCING RELATIONSHIP SKILLS, AND PROMOTING POSITIVE PERSONALITY GROWTH.INDIVIDUAL COUNSELING: PROFESSIONAL STAFF UTILIZE A VARIETY OF TREATMENT MODALITIES/APPROACHES DESIGNED TO PROVIDE PATIENTS WITH MAXIMUM TREATMENT BENEFIT. PSYCHOTHERAPY IS INDIVIDUALIZED AND INTERVENTIONS ARE DESIGNED TO BENEFIT EACH PATIENT AND FREQUENCY OF SESSIONS IS BASED ON PRESENTING MANIFESTATIONS OF ONGOING BEHAVIOR. PHARMACOLOGIC MANAGEMENT: AFTER PSYCHIATRIC EVALUATION BY A PSYCHIATRIST OR APRN BC (ADVANCE PRACTICE REGISTERED NURSE WITH PRESCRIBING LICENSURE) IT WILL BE DETERMINED IF MEDICATION IS PRESCRIBED AND HOW OFTEN AND OVER WHAT PERIOD OF TIME MEDICATION/SOMATIC APPOINTMENTS WILL BE SCHEDULED.DAY TREATMENT: DESIGNED TO PROVIDE COMPREHENSIVE, INTENSIVE, FLEXIBLE, STRUCTURED, GOALORIENTED, FACETOFACE TREATMENT SERVICES TO PATIENTS WHO ARE EXPERIENCING AN ACUTE PERIOD OF DIFFICULTY IN FUNCTIONING, PROBLEMS COPING WITH LIFE STRESS, EXACERBATION OF EMOTIONAL PROBLEMS, AND UNSTABLE MEDICATION MANAGEMENT.COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT (CPST): PROVIDES AN ARRAY OF SERVICES DELIVERED BY COMMUNITY BASED, MOBILE INDIVIDUALS. SERVICES ADDRESS THE INDIVIDUALIZED MENTAL HEALTH NEEDS OF THE CLIENT. CPST PROFESSIONALS WILL MAINTAIN ONGOING ASSESSMENT OF CLIENT NEEDS AND ASSISTANCE IN ACHIEVING PERSONAL INDEPENDENCE IN MANAGING BASIC NEEDS AS IDENTIFIED BY THE INDIVIDUAL AND/OR GUARDIAN. 60,768 SERVICES PROVIDED TO 7,884 DISTINCT CLIENTS.</Desc>
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        <Desc>THE AGENCY IS THE SUMMIT AND LAKE COUNTY 988 SUICIDE AND CRISIS LIFELINE PROVIDER. TRAINED RESPONSE WORKERS PROVIDE A SAFE PLACE TO DISCUSS FEELINGS AND PROBLEMS INCLUDING DEPRESSION, SUICIDAL THOUGHTS, ANXIETY, LONELINESS, INTERPERSONAL PROBLEMS, AND FINANCIAL ISSUES. ALL CALLS PLACED TO 988 ARE FREE AND CONFIDENTIAL. THE AGENCY PROVIDES THIS 24/7 SERVICE IN CONJUNCTION WITH THE NATIONAL 988 SUICIDE AND CRISIS LIFELINE NETWORK.19,243 CALL TOTALING 3,523 HOURS OF LIFELINE SUPPORT.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD PAYDO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE GILGER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACY YAEGER PHD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>255110</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18471</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA BAHRY</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.30</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>99321</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAMAN KRIMPURI</PersonNm>
        <TitleTxt>VP/MEDICAL DIRECTOR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>YUAN-HUA THAKORE MD</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11288</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GABRIELA FEIER MD</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MANZOOR ELAHI MD</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38696</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARILENA ACHIM MD</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>222908</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28668</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL KESSELRING</PersonNm>
        <TitleTxt>APN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>139226</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24379</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1783784</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>219383</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 713519</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19171</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
        <CompensationAmt>362781</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLEAR VISTA HEALTH &amp; WELLNESS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10123 ALLIANCE DRIVE SUITE 30</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45242</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INPATIENT ADMISSIONS</ServicesDesc>
        <CompensationAmt>291200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATNET PLUS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 CAMPUS DR 700</AddressLine1Txt>
            <CityNm>STOW</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
        <CompensationAmt>170614</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AP FBO VPL SOLUTIONS LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 823461</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19182</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP STAFFING</ServicesDesc>
        <CompensationAmt>166073</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERGIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12558 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP STAFFING</ServicesDesc>
        <CompensationAmt>160559</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>2029</FundraisingAmt>
      <GovernmentGrantsAmt>1656449</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1256949</AllOtherContributionsAmt>
      <NoncashContributionsAmt>59921</NoncashContributionsAmt>
      <TotalContributionsAmt>2915427</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8133844</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8133844</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1683696</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>16201</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>34073</ExclusionAmt>
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      <OtherRevenueTotalAmt>34073</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>59921</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>9674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5374</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>28285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15715</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2211075</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>135670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6803</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>677574</TotalAmt>
        <ProgramServicesAmt>661907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15667</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>195466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11279</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>134573</TotalAmt>
        <ProgramServicesAmt>134573</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>83571</TotalAmt>
        <ProgramServicesAmt>77545</ProgramServicesAmt>
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        <ProgramServicesAmt>277811</ProgramServicesAmt>
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        <ProgramServicesAmt>268101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14949</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OUTREACH</Desc>
        <TotalAmt>261176</TotalAmt>
        <ProgramServicesAmt>255899</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5277</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>241579</TotalAmt>
        <ProgramServicesAmt>241579</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CREDIT LOSS EXPENSE</Desc>
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        <ProgramServicesAmt>94831</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>132325</TotalAmt>
        <ProgramServicesAmt>127473</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>1518346</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>679</EOYAmt>
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        <EOYAmt>1896653</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>214382</EOYAmt>
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        <EOYAmt>119901</EOYAmt>
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        <EOYAmt>253805</EOYAmt>
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      <TotalAssetsGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>6615306</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    </IRS990>
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2003735</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2548413</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2171560</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2915427</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>2548413</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2171560</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2915427</CurrentTaxYearAmt>
        <TotalAmt>12285982</TotalAmt>
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      <PublicSupportTotal170Amt>12285982</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>461</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56762</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>121489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>87122</CurrentTaxYearAmt>
        <TotalAmt>266293</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>68819</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>58117</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>123378</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34073</CurrentTaxYearAmt>
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      <GrossReceiptsRltdActivitiesAmt>64313839</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.93280</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2020 AMOUNT: $ 157,246. 2021 AMOUNT: $ 68,819. 2022 AMOUNT: $ 58,117. 2023 AMOUNT: $ 123,378. 2024 AMOUNT: $ 34,073.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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