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      <Form990PartVIISectionAGrp>
        <PersonNm>LYNDA E ROWE</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELLEN S MORE PHD</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOREEN M SAMUELS</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIHOKO WAKABAYASHI</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY JONES</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS BRADY</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10753</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA SULLIVAN-EBERHARD</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5014</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN J ADAMS</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>145740</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN LEFEBVRE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFECER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>66605</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1763</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NOREEN JOHNSON SMITH</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>144723</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2894</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEX JEAN-BAPTISTE</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>107401</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4805</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HELEN KANTOR</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>105484</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8724</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE PIETRY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR QUALITY/POPULATION HEALTH</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>249737</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7320</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL NEWTON</PersonNm>
        <TitleTxt>FAMILY NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>197731</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1924</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA ABDALLAH</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>193857</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8737</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH DENVER WARD</PersonNm>
        <TitleTxt>SCHOOL HEALTH NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>185621</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7608</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BABAFEMI ONABANJO</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>179429</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9793</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1954303</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>69335</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>61</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INSOURCE SERVICES INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>148 LINDEN STREET</AddressLine1Txt>
            <CityNm>WELLESLEY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02482</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY CONSULTANT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OSIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772852</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606772852</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY ASSISTANCE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TELELANGUAGE INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>610 SW BROADWAY STE 200</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSLATION SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JAMIL CLEANING SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>408 SUNDERLAND ROAD</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TIME DOC HEALTH</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>815 W WEED STREET</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60642</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>308480</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>150596</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>19380707</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>11619324</AllOtherContributionsAmt>
      <TotalContributionsAmt>31150627</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621498</BusinessCd>
        <TotalRevenueColumnAmt>24976323</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24976323</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>24976323</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>44520</TotalRevenueColumnAmt>
        <ExclusionAmt>44520</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>36270</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>36270</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>36270</TotalRevenueColumnAmt>
        <ExclusionAmt>36270</ExclusionAmt>
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        <Desc>PERFORMANCE AND MANAGEMENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>662906</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>662906</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>662906</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>56870646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25639229</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>80790</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>939861</TotalAmt>
        <ManagementAndGeneralAmt>939861</ManagementAndGeneralAmt>
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        <TotalAmt>29752091</TotalAmt>
        <ProgramServicesAmt>28913042</ProgramServicesAmt>
        <ManagementAndGeneralAmt>839049</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>867000</ProgramServicesAmt>
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        <ProgramServicesAmt>2607059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>264631</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1828570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157160</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>20600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>319840</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>77700</TotalAmt>
        <ManagementAndGeneralAmt>77700</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>16500</TotalAmt>
        <ManagementAndGeneralAmt>16500</ManagementAndGeneralAmt>
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        <TotalAmt>1018627</TotalAmt>
        <ProgramServicesAmt>697563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>321064</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>53</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13931</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>352861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104153</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2549956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14369</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2381407</TotalAmt>
        <ProgramServicesAmt>2380875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>532</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6686</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>50773</ManagementAndGeneralAmt>
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        <TotalAmt>391456</TotalAmt>
        <ProgramServicesAmt>391456</ProgramServicesAmt>
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        <ProgramServicesAmt>86148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21292</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES AND SE</Desc>
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        <ProgramServicesAmt>7714518</ProgramServicesAmt>
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        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>4003294</TotalAmt>
        <ProgramServicesAmt>3311233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>692061</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>246329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251173</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>328173</TotalAmt>
        <ProgramServicesAmt>309215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18958</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>749507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166580</ManagementAndGeneralAmt>
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        <TotalAmt>57314509</TotalAmt>
        <ProgramServicesAmt>53032671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4281838</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3242638</EOYAmt>
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        <EOYAmt>873201</EOYAmt>
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        <EOYAmt>3302397</EOYAmt>
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        <EOYAmt>3700014</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>295257</EOYAmt>
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        <EOYAmt>183218</EOYAmt>
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        <EOYAmt>744919</EOYAmt>
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        <EOYAmt>335306</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>21349121</BOYAmt>
        <EOYAmt>12676950</EOYAmt>
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        <EOYAmt>6470387</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>290347</EOYAmt>
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        <EOYAmt>1000000</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>10997042</BOYAmt>
        <EOYAmt>7760734</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>9205063</BOYAmt>
        <EOYAmt>2616150</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1147016</BOYAmt>
        <EOYAmt>2300066</EOYAmt>
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        <BOYAmt>10352079</BOYAmt>
        <EOYAmt>4916216</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21349121</BOYAmt>
        <EOYAmt>12676950</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-443863</ReconcilationRevenueExpnssAmt>
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