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        <TitleTxt>ASSISTANT DENTAL DIRECTOR</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>156115</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRITTNEY KITTRELL</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106839</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5687</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA SHNEYDERMAN</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>137548</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5547</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOUSIF TAYEH</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136450</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7512</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK JOSEPH WALSH</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118163</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24800</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEATRICE MARIE CARDONA WEESE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18457</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2204839</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>216674</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>19</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMACY HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24042 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
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        <ServicesDesc>MANAGEMENT CONSULTANT</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>3364</FundraisingAmt>
      <GovernmentGrantsAmt>5053814</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>276796</AllOtherContributionsAmt>
      <TotalContributionsAmt>5333974</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES - MEDICAL</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4883007</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4883007</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES - DENTAL</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3649761</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3649761</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID - CPC REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>685146</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>685146</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES - VISION</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>200751</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>200751</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>182448</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>182448</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9601113</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>260194</TotalRevenueColumnAmt>
        <ExclusionAmt>260194</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>12293</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>12293</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>12293</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12293</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>63225</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>3364</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>15921</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>47304</TotalRevenueColumnAmt>
        <ExclusionAmt>47304</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4520</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4520</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4520</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15259398</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9617926</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>307498</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1594073</TotalAmt>
        <ProgramServicesAmt>1270476</ProgramServicesAmt>
        <ManagementAndGeneralAmt>323597</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>5660206</TotalAmt>
        <ProgramServicesAmt>4443845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1216361</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>142996</TotalAmt>
        <ProgramServicesAmt>112640</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>899066</TotalAmt>
        <ProgramServicesAmt>683784</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>519660</TotalAmt>
        <ProgramServicesAmt>409346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110314</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>12065</TotalAmt>
        <ProgramServicesAmt>2381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9684</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>34750</TotalAmt>
        <ProgramServicesAmt>6857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27893</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>508258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100693</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>141598</TotalAmt>
        <ProgramServicesAmt>19242</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122356</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>249646</TotalAmt>
        <ProgramServicesAmt>81701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167945</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>203445</TotalAmt>
        <ProgramServicesAmt>8029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195416</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>400852</TotalAmt>
        <ProgramServicesAmt>306509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94343</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>10216</TotalAmt>
        <ProgramServicesAmt>5950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4266</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>22128</TotalAmt>
        <ProgramServicesAmt>2820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19308</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>44962</TotalAmt>
        <ManagementAndGeneralAmt>44962</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>820633</TotalAmt>
        <ProgramServicesAmt>628198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192435</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>92734</TotalAmt>
        <ProgramServicesAmt>80805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11929</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>702325</TotalAmt>
        <ProgramServicesAmt>138578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>563747</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>432364</TotalAmt>
        <ProgramServicesAmt>381360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51004</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT AND MAINTENAN</Desc>
        <TotalAmt>167602</TotalAmt>
        <ProgramServicesAmt>93245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74357</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>340B EXPENSES</Desc>
        <TotalAmt>142606</TotalAmt>
        <ProgramServicesAmt>142606</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>12902878</TotalAmt>
        <ProgramServicesAmt>9326630</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3576248</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>7866</BOYAmt>
        <EOYAmt>45317</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>10397586</BOYAmt>
        <EOYAmt>9389422</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>911754</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1074322</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>174222</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>98848</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>24696743</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7551609</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>13635534</BOYAmt>
        <EOYAmt>17145134</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>11707</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>36832</BOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>2731</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>25800923</BOYAmt>
        <EOYAmt>28850726</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1936196</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2004760</BOYAmt>
        <EOYAmt>1911357</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3155654</BOYAmt>
        <EOYAmt>3847553</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>22524946</BOYAmt>
        <EOYAmt>24879333</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>120323</BOYAmt>
        <EOYAmt>123840</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>22645269</BOYAmt>
        <EOYAmt>25003173</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25800923</BOYAmt>
        <EOYAmt>28850726</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2356520</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1384</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>5881444</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7249398</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6260074</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5333974</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>7249398</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6260074</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5333974</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>6925</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>49972</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>272487</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>120738</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>5559</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4520</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.96820</PublicSupportPY170Pct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2019 AMOUNT: $ 28,384. 2020 AMOUNT: $ 120,738. 2021 AMOUNT: $ 19,866. 2022 AMOUNT: $ 5,559. 2023 AMOUNT: $ 4,520.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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        <EndYearBalanceAmt>10323</EndYearBalanceAmt>
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        <AdministrativeExpensesAmt>152</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11680</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <AdministrativeExpensesAmt>144</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>10432</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8293</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1544</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>133</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>9704</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1063172</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1063172</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15974586</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4936526</DepreciationAmt>
        <BookValueAmt>11038060</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2615083</DepreciationAmt>
        <BookValueAmt>1139722</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3904180</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3904180</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17145134</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15134097</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1384</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>15921</OtherRevenueAmt>
      <RevenueNotReportedAmt>17305</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15116792</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>142606</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>142606</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15259398</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12776193</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>15921</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>15921</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12760272</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>142606</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>142606</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12902878</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>EARNED INCOME FROM THE ENDOWMENT FUND WILL BE USED TO PROVIDE MEDICAL AND DENTAL CARE FOR THE UNDERSERVED RESIDENTS OF LORAIN, OHIO AND SURROUNDING COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FASB ASC 740-10-25 THAT REQUIRES THE DISCLOSURE OF UNCERTAIN TAX POSITIONS. THERE HAVE BEEN NO INTEREST OR PENALTIES RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS RELATING TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS, AND AS OF THE DATE OF THIS REPORT, THE ORGANIZATION'S MANAGEMENT IS NOT AWARE OF ANY ISSUES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 15,921.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>340B EXPENSES, RECORDED AS NET 142,606.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 15,921.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>340B EXPENSES, RECORDED AS NET 142,606.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>SPECIAL EVENT</Event1Nm>
        <GrossReceiptsEvent1Amt>66589</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>3364</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>63225</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>1127</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>625</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>11558</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2611</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>66589</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>3364</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>63225</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1127</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>625</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>11558</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2611</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>15921</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>47304</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>STEPHANIE WIERSMA</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>331115</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11335</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16728</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359178</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA HEMKER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>181159</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>7495</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>205178</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY S CHRISTIAN</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8525</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16728</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>231083</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH A KUNCHIK</PersonNm>
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        <BaseCompensationFilingOrgAmt>193089</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>7606</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN KERN</PersonNm>
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        <BaseCompensationFilingOrgAmt>160717</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>6417</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETHANY LYNN DOROGHAZI</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162355</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WAS REVIEWED AND APPROVED BY MEMBERS OF THE GOVERNING BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE AWARE OF THE CONFLICT OF INTEREST POLICY AND NOTIFY MANAGEMENT AND THE BOARD OF DIRECTORS IF THEY ARE IN VIOLATION OF THIS POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND CERTAIN UPPER LEVEL MANAGERS. THEY ASSESS THE REASONABLENESS OF THIS COMPENSATION THROUGH A REVIEW OF WAGE COMPARABILITY STUDIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>