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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLI L FOURNIER</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>255321</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER RHODY</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>248994</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAILEY A LITTLETON</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195393</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY M DEVOOGD</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>198221</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1685885</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>30</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>E CLINICAL WORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SOFTWARE</ServicesDesc>
        <CompensationAmt>512951</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOUNTAIN AIRE HEATING &amp; AIR CONDITIONING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>700 MARKET STREET</AddressLine1Txt>
            <CityNm>WHEELING</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26003</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECO-TECH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1635 KINGS CREEK ROAD</AddressLine1Txt>
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            <StateAbbreviationCd>WV</StateAbbreviationCd>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5782396</GovernmentGrantsAmt>
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      <TotalContributionsAmt>5865583</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL THIRD PARTY AND SELF PAY</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>16902721</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>425917</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17328638</TotalProgramServiceRevenueAmt>
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      <FundraisingDirectExpensesAmt>26507</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>20937</TotalRevenueColumnAmt>
        <ExclusionAmt>20937</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>72639</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>72639</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23287797</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17401277</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>20937</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>110870</TotalAmt>
        <ProgramServicesAmt>110870</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>619189</TotalAmt>
        <ProgramServicesAmt>534855</ProgramServicesAmt>
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        <FundraisingAmt>8669</FundraisingAmt>
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        <TotalAmt>12482933</TotalAmt>
        <ProgramServicesAmt>10782758</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1525414</ManagementAndGeneralAmt>
        <FundraisingAmt>174761</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1605874</TotalAmt>
        <ProgramServicesAmt>1387154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196238</ManagementAndGeneralAmt>
        <FundraisingAmt>22482</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>799788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113144</ManagementAndGeneralAmt>
        <FundraisingAmt>12963</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>35999</TotalAmt>
        <ProgramServicesAmt>31096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4399</ManagementAndGeneralAmt>
        <FundraisingAmt>504</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>79326</TotalAmt>
        <ProgramServicesAmt>68521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9694</ManagementAndGeneralAmt>
        <FundraisingAmt>1111</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1165695</TotalAmt>
        <ProgramServicesAmt>1023247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142448</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>27389</TotalAmt>
        <ProgramServicesAmt>23659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3347</ManagementAndGeneralAmt>
        <FundraisingAmt>383</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>148451</TotalAmt>
        <ProgramServicesAmt>128232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18141</ManagementAndGeneralAmt>
        <FundraisingAmt>2078</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>428762</TotalAmt>
        <ProgramServicesAmt>370364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52395</ManagementAndGeneralAmt>
        <FundraisingAmt>6003</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>156143</TotalAmt>
        <ProgramServicesAmt>134876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19081</ManagementAndGeneralAmt>
        <FundraisingAmt>2186</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>93406</TotalAmt>
        <ProgramServicesAmt>81992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11414</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>629371</TotalAmt>
        <ProgramServicesAmt>552462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76909</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>213595</TotalAmt>
        <ProgramServicesAmt>187494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26101</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MATERIALS AND SUPPLIES</Desc>
        <TotalAmt>4072544</TotalAmt>
        <ProgramServicesAmt>3540760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>500904</ManagementAndGeneralAmt>
        <FundraisingAmt>30880</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSES AND SU</Desc>
        <TotalAmt>581380</TotalAmt>
        <ProgramServicesAmt>581380</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>368654</TotalAmt>
        <ProgramServicesAmt>368654</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>253670</TotalAmt>
        <ProgramServicesAmt>219121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30998</ManagementAndGeneralAmt>
        <FundraisingAmt>3551</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>121944</TotalAmt>
        <ProgramServicesAmt>56991</ProgramServicesAmt>
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        <FundraisingAmt>41206</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>24121090</TotalAmt>
        <ProgramServicesAmt>20984274</ProgramServicesAmt>
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        <FundraisingAmt>306777</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1569615</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1207036</BOYAmt>
        <EOYAmt>820819</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>2303677</BOYAmt>
        <EOYAmt>2422711</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>158031</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>73258</BOYAmt>
        <EOYAmt>77490</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>9441894</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3541038</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6292517</BOYAmt>
        <EOYAmt>5900856</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>29915</BOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>11637886</BOYAmt>
        <EOYAmt>10949522</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1750236</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>26277</BOYAmt>
        <EOYAmt>48710</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2945895</BOYAmt>
        <EOYAmt>2800180</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>4599126</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7134693</BOYAmt>
        <EOYAmt>6337052</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>48996</BOYAmt>
        <EOYAmt>13344</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7183689</BOYAmt>
        <EOYAmt>6350396</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11637886</BOYAmt>
        <EOYAmt>10949522</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-833293</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>7120459</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8304962</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8285668</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6466218</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5865583</CurrentTaxYearAmt>
        <TotalAmt>36042890</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>7120459</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8304962</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8285668</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6466218</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5865583</CurrentTaxYearAmt>
        <TotalAmt>36042890</TotalAmt>
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      <PublicSupportTotal170Amt>36042890</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>61510</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>76063</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>86585</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>115868</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>72639</CurrentTaxYearAmt>
        <TotalAmt>412665</TotalAmt>
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      <TotalSupportAmt>36455555</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>73003499</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98870</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98490</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
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        <BookValueAmt>383974</BookValueAmt>
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        <DepreciationAmt>1337510</DepreciationAmt>
        <BookValueAmt>4774468</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>2203528</DepreciationAmt>
        <BookValueAmt>742414</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>5900856</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <OtherRevenueAmt>26507</OtherRevenueAmt>
      <RevenueNotReportedAmt>26507</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>23287797</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>23287797</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24147597</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>26507</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>26507</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24121090</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24121090</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR 2021, 2022, AND 2023 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>ST. PATRICKS DAY FUNDRAISER</Event1Nm>
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        <GrossRevenueEvent1Amt>47444</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>26507</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>47444</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>47444</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>26507</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>26507</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>20937</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS ASSISTANCE TO VETERANS AT RISK OF HOMELESSNESS, MOSTLY RENTAL ASSISTANCE, FUNDED BY THE FEDERAL SUPPORTIVE SERVICES FOR VETERANS FAMILIES PROGRAM</GrantTypeTxt>
        <RecipientCnt>53</RecipientCnt>
        <CashGrantAmt>110870</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLI L FOURNIER</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>255321</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>255321</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER RHODY</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>248994</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248994</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY M DEVOOGD</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>198221</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>198221</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA M MOWRY</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>195551</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195551</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAILEY A LITTLETON</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>195393</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195393</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL MACDONALD</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>168767</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168767</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY COMPENSATION STUDIES ARE CONDUCTED EVERY THREE YEARS FOR ALL POSITIONS WITH BOARD APPROVAL OF PAY RAISES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CEO AND CFO BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES ALL EMPLOYEES, DIRECTORS AND OFFICERS TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY ON WHICH ANY POTENTIAL CONFLICTS OF INTEREST ARE TO BE DISCLOSED. THE COO MONITORS THAT ALL EMPLOYEES HAVE COMPLETED THE FORM AND DOCUMENTS IF A CONFLICT OF INTEREST EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY COMPARISON STUDIES ARE CONDUCTED EVERY THREE YEARS FOR THE ORGANIZATION'S OFFICERS. PERSONNEL COMMITTEE REVIEWS THE STUDIES AND RECOMMENDS PAY SCALE REVISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>