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      <Form990PartVIISectionAGrp>
        <PersonNm>LUANNE DECKER</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY DUBOSE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARTIN GANZER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL JACKSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY LYKES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MOULAGIANNIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MULLEN RN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JON NOVAK</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICE SIRMONS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHALEETA SMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE POWLETTE STOYER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE LASS WOJNO</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARISSA ZILCH</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1515749</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
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      <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>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>3M HEALTH INFORMATION SYSTEMS INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 120881</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCUMENTATION SERVICE</ServicesDesc>
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      <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>
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      <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>LH HOMECARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>693 KENMORE BLVD</AddressLine1Txt>
            <CityNm>AKRON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44314</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME CARE</ServicesDesc>
        <CompensationAmt>123795</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3215785</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>125604</AllOtherContributionsAmt>
      <TotalContributionsAmt>3341389</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14900742</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14900742</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>414687</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>414687</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLEAN SWEEP JOB TRAINING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>341427</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>341427</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15656856</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>50373</TotalRevenueColumnAmt>
        <ExclusionAmt>50373</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>9182345</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>5320912</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3861433</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3861433</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>491494</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>491494</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>491494</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>20009783</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>50373</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>892412</ProgramServicesAmt>
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        <ProgramServicesAmt>9783112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1765589</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>377652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61970</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1340331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219939</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>677540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134739</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>7010</TotalAmt>
        <ManagementAndGeneralAmt>7010</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>16355</TotalAmt>
        <ManagementAndGeneralAmt>16355</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>104324</TotalAmt>
        <ProgramServicesAmt>59103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45221</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>304747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111716</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>317552</TotalAmt>
        <ProgramServicesAmt>275340</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42212</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>345656</TotalAmt>
        <ProgramServicesAmt>298992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46664</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>60245</TotalAmt>
        <ProgramServicesAmt>13179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47066</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>346480</TotalAmt>
        <ProgramServicesAmt>286525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59955</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>173165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13040</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>1316239</TotalAmt>
        <ProgramServicesAmt>1304020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12219</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>580988</TotalAmt>
        <ProgramServicesAmt>580988</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BUILDING REPAIR AND MAI</Desc>
        <TotalAmt>309120</TotalAmt>
        <ProgramServicesAmt>197814</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111306</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>138261</TotalAmt>
        <ProgramServicesAmt>15813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122448</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>96712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128073</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>16677445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3106063</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>2000</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>9790960</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>148970</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2286542</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>82680</EOYAmt>
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        <EOYAmt>71371</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3327734</EOYAmt>
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        <EOYAmt>387076</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>51189</EOYAmt>
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        <EOYAmt>3672693</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>19821215</EOYAmt>
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        <EOYAmt>514252</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>387076</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>9340099</EOYAmt>
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        <EOYAmt>10344474</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>105972</BOYAmt>
        <EOYAmt>136642</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>10481116</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>19821215</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3618037</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-9275</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>2620546</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>944018</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2987482</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3341389</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>19295636</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25330695</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>18305653</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>22283118</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>28672084</CurrentTaxYearAmt>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>