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      <DepreciationDepletionGrp>
        <TotalAmt>3078</TotalAmt>
        <ManagementAndGeneralAmt>3078</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>0</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>Ad Valorem Tax</Desc>
        <TotalAmt>513633</TotalAmt>
        <ManagementAndGeneralAmt>513633</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Office Rent</Desc>
        <TotalAmt>34800</TotalAmt>
        <ManagementAndGeneralAmt>34800</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Helath Insurance Trustees</Desc>
        <TotalAmt>30042</TotalAmt>
        <ManagementAndGeneralAmt>30042</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Office Expense</Desc>
        <TotalAmt>10590</TotalAmt>
        <ManagementAndGeneralAmt>10590</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>14762</ManagementAndGeneralAmt>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipAccumDeprecAmt>733417</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>139433350</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
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      <IntangibleAssetsGrp>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>225141654</EOYAmt>
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      <TotalAssetsGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>111417</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>111417</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>372558660</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>363813233</BOYAmt>
        <EOYAmt>372670077</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2432592</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-18354944</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>24779807</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="14000265" softwareVersionNum="2014v6.0">
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      <SupportingOrgType2Ind>X</SupportingOrgType2Ind>
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        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Shannon Medical Center</BusinessNameLine1Txt>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>15472432</SupportAmt>
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      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>15472432</SupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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      <MajorityDirTrstSupportedOrgInd>true</MajorityDirTrstSupportedOrgInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="14000265" softwareVersionNum="2014v6.0">
      <LandGrp>
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        <BookValueAmt>2156232</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>916229</OtherCostOrOtherBasisAmt>
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        <DepreciationAmt>22468</DepreciationAmt>
        <BookValueAmt>2547</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2437713</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Investment Income Receivable</Desc>
        <BookValueAmt>167592</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Mineral Interest</Desc>
        <BookValueAmt>400</BookValueAmt>
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      <TotalRevEtcAuditedFinclStmtAmt>9841365</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-18354944</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>9307375</OtherRevenueAmt>
      <RevenueNotReportedAmt>-9047569</RevenueNotReportedAmt>
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      <TotalRevenuePerForm990Amt>19913241</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>983910</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>77396</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>77396</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>906514</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>1101703</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>15472432</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>16574135</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17480649</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity in Subsidiary's Income $9307375</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expenses Netted in 990 $77396</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants to Subsidiary $15472432</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="14000265" softwareVersionNum="2014v6.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>Shannon Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 E Harris</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
        </USAddress>
        <RecipientEIN>752559845</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Operations, Improvements, Charity Care</PurposeOfGrantTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000265" softwareVersionNum="2014v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Presented to the managing trustee for review and discussion with the accounting firm preparing the return. Any questions or concerns are dealt with and the final return is presented to the board of trustees for final approval. Any unresolved questions at this time are referred to the accounting firm for response and explanation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Each trustee is aware of the conflict of interest policy and its requirements. During the year, Trustees excuse themselves from voting on issues that they feel may be a conflict of interest. Each year the trustees business and nonbusiness relationships that may require conflict of interest notifications or procedures are discussed and disclosed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are available upon request made in writing or in person at the offices of the Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity in Subsidiary Undistributed Earnings = $9307375</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants to Subsidiary = $15472432</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Shannon Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 E Harris</AddressLine1Txt>
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          <ZIPCd>76903</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Acute Care Hospital</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shannon Clinic</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120E Beauregard</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
        </USAddress>
        <EIN>752600873</EIN>
        <PrimaryActivitiesTxt>Multi-specialty Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shannon Medical Management</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120 E Harris</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
        </USAddress>
        <EIN>208367966</EIN>
        <PrimaryActivitiesTxt>Management Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shannon Business Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>120 E Harris</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
        </USAddress>
        <EIN>432038769</EIN>
        <PrimaryActivitiesTxt>Ancillary Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Shannon Medical Center</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shannon Real Estate Services</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>120 E Harris</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
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        <EIN>270075630</EIN>
        <PrimaryActivitiesTxt>Property Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>11</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>120 E Harris</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shannon Health System</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Management for Shannon Entities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Regional Cancer Treatment Center</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>102 N Magdalen Suite 120</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76903</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Radiology</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>