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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Roberta Winchell</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angela Butler</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael R Bazinet</PersonNm>
        <TitleTxt>Immediate Past President</TitleTxt>
        <AverageHoursPerWeekRt>0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Beatrice Szantyr</PersonNm>
        <TitleTxt>2nd Vice President</TitleTxt>
        <AverageHoursPerWeekRt>0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy Woodcock</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Glenn Goodwin</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1225087</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>139794</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Workgroup Technology Partners</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 110</AddressLine1Txt>
            <CityNm>Westbrook</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04098</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT support and equipment</ServicesDesc>
        <CompensationAmt>256828</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Netsmart Technologies</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11100 Nail Ave</AddressLine1Txt>
            <CityNm>Overland Park</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR/Billing System &amp; Support</ServicesDesc>
        <CompensationAmt>173985</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Berry Dunn</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 Elm Street</AddressLine1Txt>
            <CityNm>Manchester</CityNm>
            <StateAbbreviationCd>NH</StateAbbreviationCd>
            <ZIPCd>03101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>External Auditors</ServicesDesc>
        <CompensationAmt>167700</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CoreMedical Group</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 306478</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>372306478</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temporary Staffing</ServicesDesc>
        <CompensationAmt>138978</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>New England Home Health Care</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1022 Stillwater Avenue</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temporary Staffing</ServicesDesc>
        <CompensationAmt>117283</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>1205</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>5552118</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>97588</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>5650911</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Mainecare</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>12490259</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12490259</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>6022520</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6022520</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other Government Fees</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3529558</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3529558</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Private Insurance</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1336855</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1336855</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Rental Services</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>210066</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>210066</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>1117480</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>24706738</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>99796</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>256458</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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        <Desc>Other Agencies</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>453207</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>453207</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Reimbursed Services</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>58284</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58284</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Group Home Rents</Desc>
        <BusinessCd>623990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>24750</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>101043</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <FundraisingAmt>8723</FundraisingAmt>
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        <FundraisingAmt>4099</FundraisingAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4877</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>5000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135000</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1902732</ProgramServicesAmt>
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        <FundraisingAmt>130</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>1471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44115</ManagementAndGeneralAmt>
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      </AdvertisingGrp>
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        <ProgramServicesAmt>799332</ProgramServicesAmt>
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        <ProgramServicesAmt>368128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>511386</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1305443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218993</ManagementAndGeneralAmt>
        <FundraisingAmt>228</FundraisingAmt>
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        <ProgramServicesAmt>658280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10361</ManagementAndGeneralAmt>
        <FundraisingAmt>53</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131128</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>334894</ProgramServicesAmt>
        <ManagementAndGeneralAmt>424204</ManagementAndGeneralAmt>
        <FundraisingAmt>511</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Service Provider Tax</Desc>
        <TotalAmt>507582</TotalAmt>
        <ProgramServicesAmt>507582</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>WRAP Funds Expended</Desc>
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        <ProgramServicesAmt>235647</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
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        <ProgramServicesAmt>111471</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <FundraisingAmt>45745</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>27070816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4726914</ManagementAndGeneralAmt>
        <FundraisingAmt>59489</FundraisingAmt>
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        <EOYAmt>89627</EOYAmt>
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        <EOYAmt>73119</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1420623</EOYAmt>
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        <EOYAmt>2901120</EOYAmt>
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        <EOYAmt>1180858</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>15478122</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3411864</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3001839</EOYAmt>
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        <EOYAmt>3406148</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>15485198</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2500910</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1595276</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>3958474</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3199355</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>7273523</BOYAmt>
        <EOYAmt>11254015</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3579919</BOYAmt>
        <EOYAmt>3131616</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1041070</BOYAmt>
        <EOYAmt>1099567</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4620989</BOYAmt>
        <EOYAmt>4231183</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11894512</BOYAmt>
        <EOYAmt>15485198</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-506027</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>297870</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-181649</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
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