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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTIN GANZER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL JACKSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY LYKES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MOULAGIANNIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MULLEN RN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON NOVAK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICE SIRMONS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHALEETA SMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE POWLETTE STOYER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE LASS WOJNO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN WOJNO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARISSA ZILCH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES A PIANALTO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1066364</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>99503</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHCOAST COMMUNITY HOME</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14221 BROADWAY AVE</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44125</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLIENT RENTS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MID-CONTINENT CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6464 METRO COURT</AddressLine1Txt>
            <CityNm>BEDFORD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>235674</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CREDIBLE WIRELESS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH 17409</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60055</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE PROVIDER</ServicesDesc>
        <CompensationAmt>224225</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KENDRICK BARNETT BASHOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>580 ROCKY HOLLOW DR</AddressLine1Txt>
            <CityNm>AKRON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44313</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PRIMARY CARE PHYSICIAN</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>3M HEALTH INFORMATION SYSTEMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 120881</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCUMENTATION SERVICE</ServicesDesc>
        <CompensationAmt>154366</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6016537</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>192458</AllOtherContributionsAmt>
      <TotalContributionsAmt>6208995</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14046980</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14046980</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>496626</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>496626</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLEAN SWEEP JOB TRAINING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>99843</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>99843</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14643449</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>22585</TotalRevenueColumnAmt>
        <ExclusionAmt>22585</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossSalesOfInventoryAmt>11105797</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>6328750</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>4777047</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4777047</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>865006</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>865006</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>865006</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>20285502</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>582112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107653</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9528959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1842662</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>401473</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>391309</TotalAmt>
        <ProgramServicesAmt>361514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29795</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2726332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>488930</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>27107</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>26325</TotalAmt>
        <ManagementAndGeneralAmt>26325</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>156301</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>217152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222863</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>333465</TotalAmt>
        <ProgramServicesAmt>266314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67151</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>345942</TotalAmt>
        <ProgramServicesAmt>237209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108733</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>13344</TotalAmt>
        <ProgramServicesAmt>10144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3200</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>334130</TotalAmt>
        <ProgramServicesAmt>291098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43032</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>177064</TotalAmt>
        <ProgramServicesAmt>170208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6856</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT EXPENSES</Desc>
        <TotalAmt>1056419</TotalAmt>
        <ProgramServicesAmt>1043380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13039</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BUILDING REPAIR AND MAI</Desc>
        <TotalAmt>398280</TotalAmt>
        <ProgramServicesAmt>278955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119325</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>259076</TotalAmt>
        <ProgramServicesAmt>84679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174397</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>104783</TotalAmt>
        <ProgramServicesAmt>19480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85303</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>53803</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69233</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>19923523</TotalAmt>
        <ProgramServicesAmt>16429113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3494410</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>2125</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9790960</BOYAmt>
        <EOYAmt>12679016</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>158107</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>2286542</BOYAmt>
        <EOYAmt>2410849</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>128492</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>72599</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>9774886</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3327734</BOYAmt>
        <EOYAmt>3543698</EOYAmt>
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        <EOYAmt>279713</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>51189</EOYAmt>
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        <EOYAmt>3710434</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>23036222</EOYAmt>
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        <EOYAmt>1638497</EOYAmt>
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        <EOYAmt>414983</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>279713</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>5931081</EOYAmt>
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        <EOYAmt>16950639</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>154502</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>17105141</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19821215</BOYAmt>
        <EOYAmt>23036222</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>6593559</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>30466</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>944018</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2987482</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3341389</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6208995</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>8436612</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>25330695</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26614252</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>9380630</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22283118</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28672084</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32823247</CurrentTaxYearAmt>
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