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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK PANCIERA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR VICTOR ROMANO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR ELIZABETH A WORLEY SSJ</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE S STAUB</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR PATRICK TAYLOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J PATRICK FITZGERALD</PersonNm>
        <TitleTxt>ASSISTANT SE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2482249</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>232178</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECG MANAGEMENT CONSULTANTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11512 EL CAMINO REAL STE 200</AddressLine1Txt>
            <CityNm>SAN DIAGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>948272</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROSS COUNTRY SEARCH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6551 PARK OF COMMERCE BLVD</AddressLine1Txt>
            <CityNm>BOCA RATON</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33487</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITING</ServicesDesc>
        <CompensationAmt>526875</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRIC CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10564 SUCCESS LANE STE D</AddressLine1Txt>
            <CityNm>DAYTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45458</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>259370</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELOITTE CONSULTING LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBOX 7247-6446</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191706446</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING/AUD</ServicesDesc>
        <CompensationAmt>154846</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KFORCE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1551 SAWGRASS CORPORATE PKWY STE 43</AddressLine1Txt>
            <CityNm>SUNRISE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33323</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP LABOR</ServicesDesc>
        <CompensationAmt>129282</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>11754</AllOtherContributionsAmt>
      <TotalContributionsAmt>11754</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <TotalRevenueColumnAmt>20861529</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20861529</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <TotalRevenueColumnAmt>359630</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>359630</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ACCOUNTING &amp; IT SERV INCOME</Desc>
        <TotalRevenueColumnAmt>253634</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>253634</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOUSEKEEPING SERVICE INCOME</Desc>
        <TotalRevenueColumnAmt>170878</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>170878</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OFFICE RENTAL</Desc>
        <TotalRevenueColumnAmt>86356</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>86356</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>-1575516</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-1575516</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>20156511</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>291701</TotalRevenueColumnAmt>
        <ExclusionAmt>291701</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20459966</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20156511</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>291701</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10892022</TotalAmt>
        <ProgramServicesAmt>7328127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3563895</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>846047</TotalAmt>
        <ProgramServicesAmt>627843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218204</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>840415</TotalAmt>
        <ProgramServicesAmt>637988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202427</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>994675</TotalAmt>
        <ProgramServicesAmt>720434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>274241</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>724798</TotalAmt>
        <ProgramServicesAmt>724798</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>133477</TotalAmt>
        <ProgramServicesAmt>125685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7792</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>71940</TotalAmt>
        <ManagementAndGeneralAmt>71940</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4206806</TotalAmt>
        <ProgramServicesAmt>4098597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108209</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>554733</TotalAmt>
        <ProgramServicesAmt>554733</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>280596</TotalAmt>
        <ProgramServicesAmt>245344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35252</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1209072</TotalAmt>
        <ProgramServicesAmt>916208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>292864</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>220469</TotalAmt>
        <ProgramServicesAmt>220469</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>142368</TotalAmt>
        <ProgramServicesAmt>132472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9896</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>428941</TotalAmt>
        <ProgramServicesAmt>428941</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>126742</TotalAmt>
        <ProgramServicesAmt>126742</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RENT</Desc>
        <TotalAmt>224711</TotalAmt>
        <ProgramServicesAmt>224711</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>78592</TotalAmt>
        <ProgramServicesAmt>22561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56031</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>74638</TotalAmt>
        <ProgramServicesAmt>74638</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HELP WANTED</Desc>
        <TotalAmt>60702</TotalAmt>
        <ProgramServicesAmt>11202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49500</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>185511</TotalAmt>
        <ProgramServicesAmt>176004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9507</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22297255</TotalAmt>
        <ProgramServicesAmt>17397497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4899758</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>12434818</BOYAmt>
        <EOYAmt>20249619</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>131864</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>50452</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>272430</BOYAmt>
        <EOYAmt>191925</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7174944</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5603874</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1821598</BOYAmt>
        <EOYAmt>1571070</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>332379</BOYAmt>
        <EOYAmt>477184</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>36046032</BOYAmt>
        <EOYAmt>42300683</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>51053934</BOYAmt>
        <EOYAmt>64972797</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3188167</BOYAmt>
        <EOYAmt>6990023</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>92000</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>436262</BOYAmt>
        <EOYAmt>407828</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3634095</BOYAmt>
        <EOYAmt>3490844</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7258524</BOYAmt>
        <EOYAmt>10980695</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>40022595</BOYAmt>
        <EOYAmt>49592279</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3772815</BOYAmt>
        <EOYAmt>4399823</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>43795410</BOYAmt>
        <EOYAmt>53992102</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>51053934</BOYAmt>
        <EOYAmt>64972797</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1837289</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>12033981</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1855220</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>51655</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>92151</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54034</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11754</CurrentTaxYearAmt>
        <TotalAmt>2064814</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>15888470</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15657186</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17245239</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19629212</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20156511</CurrentTaxYearAmt>
        <TotalAmt>88576618</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>17743690</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15708841</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17337390</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19683246</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20168265</CurrentTaxYearAmt>
        <TotalAmt>90641432</TotalAmt>
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      <PublicSupportTotal509Amt>90641432</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>82652</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>88686</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>90671</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>149877</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>291701</CurrentTaxYearAmt>
        <TotalAmt>703587</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>82652</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>88686</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>90671</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>149877</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>291701</CurrentTaxYearAmt>
        <TotalAmt>703587</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus3YearsAmt>75392</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>348</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>75740</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>17826342</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15872919</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17428409</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19833123</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20459966</CurrentTaxYearAmt>
        <TotalAmt>91420759</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99150</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99340</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>347420</OtherCostOrOtherBasisAmt>
        <BookValueAmt>347420</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2181900</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1506712</DepreciationAmt>
        <BookValueAmt>675188</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>100522</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12598</DepreciationAmt>
        <BookValueAmt>87924</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4540102</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4084564</DepreciationAmt>
        <BookValueAmt>455538</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1571070</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLES FROM AFFILIATES</Desc>
        <BookValueAmt>31758843</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN CHS FOUND.</Desc>
        <BookValueAmt>4399823</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LEASE RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>3473915</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ADV &amp; MGT FEES REC. AFFIL &amp; DEV COST</Desc>
        <BookValueAmt>2281149</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER</Desc>
        <BookValueAmt>382521</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED</Desc>
        <BookValueAmt>4432</BookValueAmt>
      </OtherAssetsOrgGrp>
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        <Desc>LEASE LIABILITIES</Desc>
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        <Desc>PATIENT AND RESIDENT FUNDS HELD</Desc>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE A RODREGUEZ YUMET</PersonNm>
        <TitleTxt>VP OF HR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINA HURTADO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA WILSON</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>15687</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9024</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>251847</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEANNIE MCCABE</PersonNm>
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        <DeferredCompensationFlngOrgAmt>15195</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13559</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>251836</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURETTA FOSTER</PersonNm>
        <TitleTxt>VP OF RISK MGT.</TitleTxt>
        <BaseCompensationFilingOrgAmt>198750</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8946</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7314</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>215010</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
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        <BondIssuedDt>2016-01-28</BondIssuedDt>
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        <RebateNotDueYetInd>true</RebateNotDueYetInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CITY OF HIALEAH GARDENS SER. 2015 REFINANCE 2007 SERIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>CITY OF HIALEAH GARDENS SER. 2015 08/15/24</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>CATHOLIC HEALTH SERVICES ("CHS") WAS FORMED IN 1986 TO PLAN, DEVELOP, MANAGE AND COORDINATE THE NEW AND EXISTING NOT-FOR-PROFIT HEALTH CARE RELATED FACILITIES OF THE ARCHDIOCESE OF MIAMI. OVER THE YEARS ITS OVERSIGHT HAS EXPANDED TO INCLUDE LOW INCOME HOUSING FOR SENIORS, AN EARLY CHILDHOOD EDUCATION PROVIDER AND THE CATHOLIC CEMETERIES ALSO SPONSORED BY THE ARCHDIOCESE OF MIAMI. ALL ENTITIES ARE EXEMPT UNDER SECTION 501(C)(3) AND SERVE ALL FAITHS WITHIN THEIR GEOGRAPHIC AREA. THE CATHOLIC HEALTH SERVICES SYSTEM INCLUDES 4 SKILLED NURSING AND LONG-TERM CARE FACILITIES WITH A TOTAL OF 633 LICENSED BEDS. THESE FACILITIES SERVED 4,040 PATIENTS IN FISCAL 2024. THREE SPECIALTY REHABILITATION HOSPITALS WITH A TOTAL OF 88 LICENSED BEDS SERVED 829 INPATIENTS IN FISCAL 2024, AND AN ADDITIONAL 120 INDIVIDUALS RECEIVED SERVICES IN THE HOSPITALS' THERAPY DEPARTMENT. TWO ASSISTED LIVING FACILITIES WITH A TOTAL OF 121 LICENSED BEDS SERVED 173 INDIVIDUALS DURING THE YEAR. 1,312 CLIENTS RECEIVED HOME HEALTH SERVICES FROM THE SYSTEM'S TWO HOME HEALTH AGENCIES. CATHOLIC HOSPICE SERVED 6,440 PATIENTS IN THEIR HOMES, HEALTHCARE FACILITIES, PALLIATIVE CARE AND IN THE AGENCY'S 3 INPATIENT UNITS. CATHOLIC HOUSING MANAGEMENT, A PROGRAM SERVICE OF CHS, OVERSEES 2,311 APARTMENTS IN 17 HUD HOUSING COMMUNITIES FOR LOW INCOME SENIORS IN BROWARD AND MIAMI-DADE COUNTIES. IN FISCAL 2024,2,916 RESIDENTS OF ALL FAITHS BENEFITED FROM THIS SAFE AND AFFORDABLE HOUSING. CENTRO MATER'S FIVE CHILD CARE CENTERS SERVED 1,698 CHILDREN AND THEIR FAMILIES IN FISCAL 2024, PROVIDING EARLY LEARNING SERVICES FUNDED THROUGH FEDERAL AND LOCAL GOVERNMENT SOURCES AND PRIVATE AGENCIES. COMMUNITY BENEFIT IS PROVIDED IN VARIOUS FORMS. THE HEALTHCARE ENTITIES DEVOTE SUBSTANTIAL EFFORTS AND RESOURCES TO PROVIDING HEALTH SERVICES TO PEOPLE IN THEIR COMMUNITIES WHO NEED CARE BUT CANNOT AFFORD IT. BENEFITS TO THE POOR ARE PROVIDED TO PERSONS WHO ARE ECONOMICALLY POOR OR ARE MEDICALLY INDIGENT AND CANNOT AFFORD TO PAY BECAUSE THEY HAVE INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. CHARITY CARE IS PROVIDED TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY AND WHO ARE UNABLE TO ACCESS FEDERAL OR STATE ENTITLEMENT PROGRAMS. THE FACILITIES DO NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND DO NOT REPORT SUCH AMOUNTS AS NET PATIENT SERVICE REVENUE. QUALIFICATION FOR CHARITY CARE AND FINANCIAL ASSISTANCE IS DETERMINED USING FEDERAL POVERTY GUIDELINES. COST INCURRED IN EXCESS OF NORMAL INPATIENT AND RESIDENT REIMBURSEMENT RATES RECEIVED ARE BASED ON COST-TO-CHARGE RATIO METHODOLOGY. IN FISCAL 2024 "TOTAL UNCOMPENSATED AND CHARITY CARE" TOTALED APPROXIMATELY 8,360,665 AND MADE UP 31% OF THE TOTAL CHS COMMUNITY BENEFIT. IN FISCAL 2024 "ELDERLY HOUSING RENTAL SUBSIDY" TOTALED APPROXIMATELY 8,980,000 WHICH ACCOUNTS FOR 33% OF THE COMMUNITY BENEFIT BREAKDOWN AS THE TENANT SHARE OF MONTHLY RENT AVERAGES ONLY 347 THROUGHOUT THESE PROPERTIES. APPROXIMATELY 269,500 OF COMMUNITYBENEFIT IS PROVIDED THROUGH "COMMUNITY HEALTH IMPROVEMENT" THROUGH MEDICINE, THERAPIES, AND NURSING. IN ADDITION, CATHOLIC HEALTH SERVICES FACILITIES, THROUGH THEIR PARTICIPATION IN HEALTH FAIRS AND COMMUNITY SPONSORED EVENTS, PROVIDE COMMUNITY HEALTH EDUCATION AND HEALTH SUPPORT SERVICES TO THOSE WHO WOULD OTHERWISE NOT HAVE THE BENEFIT OF THESE SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER, IS THE ARCHBISHOP OF THE ARCHDIOCESE OF MIAMI AND HIS SUCCESSORS IN OFFICE, HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS AND TO DETERMINE ANY MATTER WHICH MAY BE PROPERLY BROUGHT BEFORE THE MEMBERS FOR ACTION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTOR OF BUDGET AND FINANCIAL PLANNING AND CFO CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE THE RETURN IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES AND DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ARE PROVIDED WITH THE POLICY UPON HIRE. THE POLICY IS REVIEWED ANNUALLY BY THE CORPORATE COMPLIANCE OFFICER, WHO ALSO DETERMINES WHETHER A CONFLICT MAY EXIST. PER POLICY, EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST OCCURS, IT IS INVESTIGATED AND THE RESULTS ARE REPORTED TO THE GOVERNING BODY. LEGAL AND DISCIPLINARY ACTION AND RESTRICTIONS ARE IDENFIFIED ON AN INDIVIDUAL BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE BOARD OF DIRECTORS IS INDEPENDENT WITH RESPECT TO COMPENSATION AND BENEFITS. TOTAL COMPENSATION ANALYSIS IS CONDUCTED BY AN INDEPENDENT CONSULTANT WHO PROVIDES DATA TO COMPARE COMPENSATION AND BENEFITS FOR SIMILAR POSITIONS WITHIN THE INDUSTRY. COMPENSATION AND BENEFIT CHANGES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS ARE DISCUSSED IN THE BOARD MEETINS AND ARE PROPERLY DOCUMENTED IN THE MINUTES. FORM 990, PART VII, LINE 1A: AVERAGE HOURS PER WEEK FOR OFFICERS ARE PAID BY THE TAXPAYER AND INCLUDE HOURS WORKED FOR RELATED ORGANIZATIONS AS FOLLOWS: DAVID D'AMICO - 36.8 HOURS ARISTIDES PALLIN - 36.1 HOURS BRIAN KIEDROWSKI - 39.0 HOURS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSOURCED SERVICES 33,890 0 0 CONSULTING FEES 4,034,589 108,209 0 BILLING FEES 30,498 0 0 OTHER -380 0 0 TOTAL 4,098,597 108,209 0</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSALS 0 BOOKKEEPING SERVICE REIMBURSEMENT 0 LOSS ON DISPOSALS 0 BOOKKEEPING SERVICE REIMBURSEMENT 0 CHANGE IN BENE INT-CHS FOUND 627,008 EQUITY IN EARNINGS FROM UNCON. SUB 860,742 PORTION OF EQUITY IN EARNINGS FROM 0 RELATED LIMITED PARTNERSHIPS INCLUDED IN 0 PROGRAM SERVICE REVENUE 1,566,231 TRANSFERS FROM AFFILIATE 8,980,000 TOTAL 12,033,981</ExplanationTxt>
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          <BusinessNameLine1Txt>ST JOSEPH RESIDENCE INC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>FL</StateAbbreviationCd>
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</Return>