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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA GRACE</PersonNm>
        <TitleTxt>DIRECTOR OF BEHAVIORAL HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106623</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15316</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>936162</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>81843</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE AVENUE 1 LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5450 WISSAHICKON AVE</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19144</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LANDLORD</ServicesDesc>
        <CompensationAmt>200152</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAGNUM MANAGEMENT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>329 QUAIL DRIVE N</AddressLine1Txt>
            <CityNm>PHOENIXVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19460</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LANDLORD</ServicesDesc>
        <CompensationAmt>131233</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLIFTON LARSON ALLEN LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>610 WEST GERMANTOWN PIKE</AddressLine1Txt>
            <CityNm>PLYMOUTH MEETING</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19462</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDITOR</ServicesDesc>
        <CompensationAmt>103963</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICHAEL SBESIO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>654 VALLEY STREAM CIRCLE</AddressLine1Txt>
            <CityNm>FEASTERVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19053</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>101858</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>15638931</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>298158</AllOtherContributionsAmt>
      <TotalContributionsAmt>15937089</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>BEHAVIORAL HEALTH SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>8615405</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8615405</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENTIAL AND ACADEMIC</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3066139</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3066139</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NURSERY SCHOOL FEES</Desc>
        <BusinessCd>624410</BusinessCd>
        <TotalRevenueColumnAmt>1098346</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1098346</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12779890</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>570</TotalRevenueColumnAmt>
        <ExclusionAmt>570</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>3843</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3843</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3843</TotalRevenueColumnAmt>
        <ExclusionAmt>3843</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>275133</TotalRevenueColumnAmt>
        <ExclusionAmt>275133</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>275133</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>28996525</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12779890</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>279546</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>775833</TotalAmt>
        <ManagementAndGeneralAmt>775833</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14740829</TotalAmt>
        <ProgramServicesAmt>13979378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>741427</ManagementAndGeneralAmt>
        <FundraisingAmt>20024</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>182245</TotalAmt>
        <ProgramServicesAmt>164189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17821</ManagementAndGeneralAmt>
        <FundraisingAmt>235</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2103951</TotalAmt>
        <ProgramServicesAmt>1753584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>347516</ManagementAndGeneralAmt>
        <FundraisingAmt>2851</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1127464</TotalAmt>
        <ProgramServicesAmt>1015763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110246</ManagementAndGeneralAmt>
        <FundraisingAmt>1455</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>442800</TotalAmt>
        <ProgramServicesAmt>263544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176662</ManagementAndGeneralAmt>
        <FundraisingAmt>2594</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2364968</TotalAmt>
        <ProgramServicesAmt>1354298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1005943</ManagementAndGeneralAmt>
        <FundraisingAmt>4727</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>310535</TotalAmt>
        <ProgramServicesAmt>56648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253812</ManagementAndGeneralAmt>
        <FundraisingAmt>75</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>460681</TotalAmt>
        <ProgramServicesAmt>274186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183796</ManagementAndGeneralAmt>
        <FundraisingAmt>2699</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1268030</TotalAmt>
        <ProgramServicesAmt>1217182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44160</ManagementAndGeneralAmt>
        <FundraisingAmt>6688</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>202104</TotalAmt>
        <ProgramServicesAmt>201808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>296</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>98002</TotalAmt>
        <ProgramServicesAmt>34668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50766</ManagementAndGeneralAmt>
        <FundraisingAmt>12568</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>154954</TotalAmt>
        <ProgramServicesAmt>15488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139466</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>344359</TotalAmt>
        <ProgramServicesAmt>308114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36245</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1292389</TotalAmt>
        <ProgramServicesAmt>1482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1290907</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT SUPPLIES</Desc>
        <TotalAmt>2072041</TotalAmt>
        <ProgramServicesAmt>2053554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16566</ManagementAndGeneralAmt>
        <FundraisingAmt>1921</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>838904</TotalAmt>
        <ProgramServicesAmt>822966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13308</ManagementAndGeneralAmt>
        <FundraisingAmt>2630</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>556841</TotalAmt>
        <ProgramServicesAmt>229253</ProgramServicesAmt>
        <ManagementAndGeneralAmt>327070</ManagementAndGeneralAmt>
        <FundraisingAmt>518</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE/HOUSEKEEPIN</Desc>
        <TotalAmt>365499</TotalAmt>
        <ProgramServicesAmt>362338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3161</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>228592</TotalAmt>
        <ProgramServicesAmt>144538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82116</ManagementAndGeneralAmt>
        <FundraisingAmt>1938</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>29931021</TotalAmt>
        <ProgramServicesAmt>24252981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5617117</ManagementAndGeneralAmt>
        <FundraisingAmt>60923</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>764421</BOYAmt>
        <EOYAmt>2233177</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>5699341</BOYAmt>
        <EOYAmt>4329805</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1128734</BOYAmt>
        <EOYAmt>458828</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>13086117</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11417720</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1898636</BOYAmt>
        <EOYAmt>1668397</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>168912</BOYAmt>
        <EOYAmt>202401</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>14531986</BOYAmt>
        <EOYAmt>13938685</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24192030</BOYAmt>
        <EOYAmt>22831293</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3648017</BOYAmt>
        <EOYAmt>2297705</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>458465</BOYAmt>
        <EOYAmt>2609184</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4311418</BOYAmt>
        <EOYAmt>4349126</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>776960</BOYAmt>
        <EOYAmt>1234117</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>9194860</BOYAmt>
        <EOYAmt>10490132</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>489577</BOYAmt>
        <EOYAmt>-1576546</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>14507593</BOYAmt>
        <EOYAmt>13917707</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14997170</BOYAmt>
        <EOYAmt>12341161</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24192030</BOYAmt>
        <EOYAmt>22831293</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-934496</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1721513</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>0</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>17250667</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15434125</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13506284</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19401377</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15937089</CurrentTaxYearAmt>
        <TotalAmt>81529542</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>17250667</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15434125</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13506284</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19401377</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15937089</CurrentTaxYearAmt>
        <TotalAmt>81529542</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>81529542</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14859</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18275</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11657</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4413</CurrentTaxYearAmt>
        <TotalAmt>57698</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus3YearsAmt>18172</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>492</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>18664</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1674989</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>813</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>177016</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39028</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>275133</CurrentTaxYearAmt>
        <TotalAmt>2166979</TotalAmt>
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      <TotalSupportAmt>83772883</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>67163667</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97320</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97580</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - 2017 AMOUNT: $ 131,490. 2018 AMOUNT: $ 813. 2019 AMOUNT: $ 127,027. 2020 AMOUNT: $ 39,028. 2021 AMOUNT: $ 275,133. GAIN ON EXTINGUISHMENT OF DEBT - 2017 AMOUNT: $ 1,543,499. INSURANCE PROCEEDS - 2019 AMOUNT: $ 49,989.</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>18800</OtherCostOrOtherBasisAmt>
        <BookValueAmt>18800</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1561540</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1528730</DepreciationAmt>
        <BookValueAmt>32810</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>6184571</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4721487</DepreciationAmt>
        <BookValueAmt>1463084</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>999232</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>974159</DepreciationAmt>
        <BookValueAmt>25073</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4321974</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4193344</DepreciationAmt>
        <BookValueAmt>128630</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1668397</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN COMMUNITY FOUNDATION</Desc>
        <BookValueAmt>20978</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN PERPETUAL TRUST</Desc>
        <BookValueAmt>13917707</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>13938685</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FUNDER</Desc>
        <Amt>1234117</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1234117</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>28403224</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>593301</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>593301</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>28996525</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>29931021</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>29931021</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>29931021</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CVCA QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 50L(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, IT IS NOT SUBJECT TO STATE OR FEDERAL INCOME TAXES. CVCA FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF PERPETUAL TRUST 589,886. CHANGE IN VALUE OF COMMUNITY FDTN 3,415.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLE MATTHEWS</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>253386</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11800</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9663</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8240</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>283089</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE KIDDY</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>231989</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9682</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9196</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>265367</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH NIEZGODA</PersonNm>
        <TitleTxt>CFO/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>184366</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10268</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6795</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10958</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217387</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF THE BOARD EVALUATES THE CEO'S PERFORMANCE AS COMPARED TO STATED GOALS AND OBJECTIVES AND HAS THE AUTHORITY TO AWARD A DISCRETIONARY BONUS. THERE WAS NO BONUS AWARDED IN 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN THE FINANCE COMMITTEE OF THE BOARD REVIEWS A DRAFT. THE FINANCE COMMITTEE THEN INFORMS THE ENTIRE BOARD THEY HAVE COMPLETED THEIR REVIEW AND A COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED TO BE COMPLETED BY ALL BOARD MEMBERS AND KEY STAFF. A BOARD MEMBER WILL ABSTAIN FROM VOTING ON AN ISSUE IF AN ACTUAL CONFLICT OR THE APPEARANCE OF A CONFLICT EXISTS. STAFF ARE PROHIBITED FROM ANY CONFLICTS OF INTEREST, AS PER AGENCY POLICY. AS GOVERNED BY ARTICLE 9.8 OF THE BYLAWS, BOARD MEMBERS ARE REQUIRED TO REPORT POTENTIAL CONFLICTS TO THE BOARD. THE MEMBERS OF THE BOARD THAT DO NOT HAVE AN ACTUAL OR POTENTIAL CONFLICT MAKE THE FINAL DETERMINATION AS TO WHETHER AN ACTUAL CONFLICT EXISTS. CURRENTLY THERE HAVE BEEN NO CONFLICTS IDENTIFIED AND/OR REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF PERPETUAL TRUST -589,886. CHANGE IN VALUE OF COMMUNITY FDTN -3,415. TO AGREE NET ASSETS TO PY RETURN -1,128,212.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
