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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NINA LOW</PersonNm>
        <TitleTxt>CLINICAL NURSE SPECIALIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>156546</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11403</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC L MASI EDD</PersonNm>
        <TitleTxt>FORMER PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>424314</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2347407</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>157947</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>43</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARBOR ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1270 TURNPIKE ST</AddressLine1Txt>
            <CityNm>NORTH ANDOVER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01845</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SOLUTIONS</ServicesDesc>
        <CompensationAmt>593118</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RADIUS EXECUTIVE IT SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>40 SHATTUCK ROAD SUITE 209</AddressLine1Txt>
            <CityNm>ANDOVER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01810</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SOLUTIONS</ServicesDesc>
        <CompensationAmt>395015</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAXIM HEALTHCARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12558 COLLECTIONS CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SOLUTIONS</ServicesDesc>
        <CompensationAmt>322619</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT HALF</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12400 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SOLUTIONS</ServicesDesc>
        <CompensationAmt>262153</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON LEWIS PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 PARK PLAZA 4TH FLOOR</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>254508</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>72605</FundraisingAmt>
      <GovernmentGrantsAmt>467153</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>516068</AllOtherContributionsAmt>
      <TotalContributionsAmt>1055826</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>55018574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55018574</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD PARTY REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8527238</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8527238</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>63545812</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>724617</TotalRevenueColumnAmt>
        <ExclusionAmt>724617</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>407770</SecuritiesAmt>
        <OtherAmt>1000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>407770</SecuritiesAmt>
        <OtherAmt>1000</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>408770</TotalRevenueColumnAmt>
        <ExclusionAmt>408770</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>72605</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>40649</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-40649</TotalRevenueColumnAmt>
        <ExclusionAmt>-40649</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>261209</TotalRevenueColumnAmt>
        <ExclusionAmt>261209</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>261209</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>65955585</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63545812</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1353947</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2069072</TotalAmt>
        <ProgramServicesAmt>1328045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>741027</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>34249980</TotalAmt>
        <ProgramServicesAmt>32118508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2068614</ManagementAndGeneralAmt>
        <FundraisingAmt>62858</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6105878</TotalAmt>
        <ProgramServicesAmt>5374353</ProgramServicesAmt>
        <ManagementAndGeneralAmt>721947</ManagementAndGeneralAmt>
        <FundraisingAmt>9578</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2675038</TotalAmt>
        <ProgramServicesAmt>2477798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191764</ManagementAndGeneralAmt>
        <FundraisingAmt>5476</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>423386</TotalAmt>
        <ManagementAndGeneralAmt>423386</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>123896</TotalAmt>
        <ManagementAndGeneralAmt>123896</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>207358</TotalAmt>
        <ManagementAndGeneralAmt>207358</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3730832</TotalAmt>
        <ProgramServicesAmt>2493148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1235300</ManagementAndGeneralAmt>
        <FundraisingAmt>2384</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>204398</TotalAmt>
        <ProgramServicesAmt>1920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202478</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>220076</TotalAmt>
        <ProgramServicesAmt>58868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160127</ManagementAndGeneralAmt>
        <FundraisingAmt>1081</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>85544</TotalAmt>
        <ProgramServicesAmt>2934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81886</ManagementAndGeneralAmt>
        <FundraisingAmt>724</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1650227</TotalAmt>
        <ProgramServicesAmt>1650227</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>471309</TotalAmt>
        <ProgramServicesAmt>432456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38788</ManagementAndGeneralAmt>
        <FundraisingAmt>65</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>386640</TotalAmt>
        <ProgramServicesAmt>365341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21299</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1335929</TotalAmt>
        <ProgramServicesAmt>1217591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118338</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>487558</TotalAmt>
        <ProgramServicesAmt>10527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>477031</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>716431</TotalAmt>
        <ProgramServicesAmt>656286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59703</ManagementAndGeneralAmt>
        <FundraisingAmt>442</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RENT</Desc>
        <TotalAmt>637827</TotalAmt>
        <ProgramServicesAmt>637827</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>467731</TotalAmt>
        <ProgramServicesAmt>228808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238923</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>381345</TotalAmt>
        <ProgramServicesAmt>266714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114566</ManagementAndGeneralAmt>
        <FundraisingAmt>65</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>614503</TotalAmt>
        <ProgramServicesAmt>395589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218457</ManagementAndGeneralAmt>
        <FundraisingAmt>457</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>57244958</TotalAmt>
        <ProgramServicesAmt>49716940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7444888</ManagementAndGeneralAmt>
        <FundraisingAmt>83130</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5697895</BOYAmt>
        <EOYAmt>12078542</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5553077</BOYAmt>
        <EOYAmt>5692903</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>7855777</BOYAmt>
        <EOYAmt>7138478</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>673693</BOYAmt>
        <EOYAmt>794859</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>41765580</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17824795</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>23869042</BOYAmt>
        <EOYAmt>23940785</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>12554752</BOYAmt>
        <EOYAmt>15301521</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>383527</BOYAmt>
        <EOYAmt>347538</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1655089</BOYAmt>
        <EOYAmt>1549499</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>58242852</BOYAmt>
        <EOYAmt>66844125</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3319698</BOYAmt>
        <EOYAmt>3369827</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>1592524</BOYAmt>
        <EOYAmt>734476</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>10865262</BOYAmt>
        <EOYAmt>10214432</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1813664</BOYAmt>
        <EOYAmt>1744336</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1574250</BOYAmt>
        <EOYAmt>1471898</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>19165398</BOYAmt>
        <EOYAmt>17534969</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>39076107</BOYAmt>
        <EOYAmt>49307809</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1347</BOYAmt>
        <EOYAmt>1347</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>39077454</BOYAmt>
        <EOYAmt>49309156</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>58242852</BOYAmt>
        <EOYAmt>66844125</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>8710627</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1521075</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2894179</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8795506</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3582568</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3465204</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1055826</CurrentTaxYearAmt>
        <TotalAmt>19793283</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>8795506</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3582568</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3465204</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1055826</CurrentTaxYearAmt>
        <TotalAmt>19793283</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>19793283</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>82267</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>108538</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>156117</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>423628</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>724617</CurrentTaxYearAmt>
        <TotalAmt>1495167</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>534808</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>206676</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>175968</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>241495</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>261209</CurrentTaxYearAmt>
        <TotalAmt>1420156</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>22708606</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>240030542</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.87160</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.90880</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING REVENUE - 2019 AMOUNT: $ 133,398. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. OTHER INCOME - 2019 AMOUNT: $ 401,410. 2020 AMOUNT: $ 206,676. 2021 AMOUNT: $ 175,968. 2022 AMOUNT: $ 241,495. 2023 AMOUNT: $ 261,209.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1946100</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1946100</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>27168014</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9769163</DepreciationAmt>
        <BookValueAmt>17398851</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5154730</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2923596</DepreciationAmt>
        <BookValueAmt>2231134</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>7130120</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5077493</DepreciationAmt>
        <BookValueAmt>2052627</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>366616</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>54543</DepreciationAmt>
        <BookValueAmt>312073</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>23940785</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>697995</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>485199</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>288704</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1471898</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>67601790</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1521075</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>84481</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>40649</OtherRevenueAmt>
      <RevenueNotReportedAmt>1646205</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>65955585</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>65955585</TotalRevenuePerForm990Amt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AND ITS DETERMINATION AS TO ITS INCOME BEING RELATED OR UNRELATED AS ITS ONLY SIGNIFICANT TAX POSITIONS. HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. THE ORGANIZATION'S FEDERAL AND STATE TAX RETURNS ARE GENERALLY OPEN FOR EXAMINATION FOR THREE YEARS FOLLOWING THE DATE FILED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <PersonNm>ANDREA SALZMAN LICSW</PersonNm>
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        <ExplanationTxt>THE 990 IS REVIEWED AND APPROVED BY A MEMBER OF THE FINANCE COMMITTEE PRIOR TO THE DATE OF SUBMISSION. THE FORM 990 IS ALSO E-MAILED TO THE ENTIRE FINANCE COMMITTEE FOR THEIR REVIEW AND TO ALL BOARD MEMBERS, PRIOR TO THE DATE OF SUBMISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE A YEAR ALL BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. THE CHAIRMAN OR SECRETARY OF THE BOARD MAKES A DETERMINATION AS TO WHETHER A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL CONFLICT IS FOUND, THAT MEMBER IS REMOVED FROM THE DECISIONS OF THE CONFLICTING MATTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE COMPRISED OF SELECT BOARD MEMBERS WITH RELEVANT EXPERIENCE IN OUR INDUSTRY, USE SUCH DATA AS ANNUAL MENTAL HEALTH REPORTS TO DETERMINE THE COMPENSATION OF THE PRESIDENT AND CEO. DECISIONS OF THE COMMITTEE ARE REVIEWED BY THE FULL BOARD AND CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATION AND DECISIONS ARE KEPT. THE LAST REVIEW WAS PERFORMED AND VOTED BY THE BOARD OF DIRECTORS IN JUNE 2023, WHEN THE NEW PRESIDENT AND CEO WAS APPOINTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS AND THE FORM 990 ARE AVAILABLE FROM THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</ExplanationTxt>
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</Return>