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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL RAPAPORT</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR RICHARD GROSSBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOEY ARNOLD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG SNYDER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NEIL EVERETT</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA CINCH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY HOROSZKO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNAN RITCHIE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
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      <RentalIncomeOrLossGrp>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-15827</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>701297</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>NON-MEDICAL TRANSPORTATION</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>178510</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>RECREATIONAL ACTIVITIES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>61428</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>125546</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>125546</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>61997989</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>930</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>641768</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>632762</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>40046565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3661911</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>308262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36652</ManagementAndGeneralAmt>
        <FundraisingAmt>684</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4734119</TotalAmt>
        <ProgramServicesAmt>4299892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>424686</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>3080661</TotalAmt>
        <ProgramServicesAmt>2747845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>326719</ManagementAndGeneralAmt>
        <FundraisingAmt>6097</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>27398</TotalAmt>
        <ManagementAndGeneralAmt>27398</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>153600</TotalAmt>
        <ManagementAndGeneralAmt>153600</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1690090</TotalAmt>
        <ProgramServicesAmt>671835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>952013</ManagementAndGeneralAmt>
        <FundraisingAmt>66242</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>53862</TotalAmt>
        <ProgramServicesAmt>124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45622</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2725952</ProgramServicesAmt>
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        <FundraisingAmt>4088</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>5475731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>413120</ManagementAndGeneralAmt>
        <FundraisingAmt>15602</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>364420</TotalAmt>
        <ProgramServicesAmt>296764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56085</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>129485</TotalAmt>
        <ProgramServicesAmt>129485</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1190787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59462</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>408869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84892</ManagementAndGeneralAmt>
        <FundraisingAmt>8882</FundraisingAmt>
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      <OtherExpensesGrp>
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        <FundraisingAmt>7232</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DOCUMENT STORAGE</Desc>
        <TotalAmt>84214</TotalAmt>
        <ProgramServicesAmt>33778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39797</ManagementAndGeneralAmt>
        <FundraisingAmt>10639</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>CABLEVISION/SATELLITE</Desc>
        <TotalAmt>34618</TotalAmt>
        <ProgramServicesAmt>13885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16359</ManagementAndGeneralAmt>
        <FundraisingAmt>4374</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>8249</TotalAmt>
        <ProgramServicesAmt>3307</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3900</ManagementAndGeneralAmt>
        <FundraisingAmt>1042</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>83125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97939</ManagementAndGeneralAmt>
        <FundraisingAmt>26183</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>58497798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7200244</ManagementAndGeneralAmt>
        <FundraisingAmt>277270</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>10675868</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>4967195</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>23138</EOYAmt>
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        <EOYAmt>753970</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>10914719</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>13799682</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>2457141</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>43591713</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>6022778</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>455962</EOYAmt>
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        <EOYAmt>1802852</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1393693</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>2613077</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>11948665</BOYAmt>
        <EOYAmt>12288362</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>31303351</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>31303351</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>44156731</BOYAmt>
        <EOYAmt>43591713</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-863519</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-41196</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>HATTIE LARLHAM CENTER FOR CHILDREN IS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. HATTIE LARLHAM CENTER FOR CHILDREN, DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL, THEREFORE, HATTIE LARLHAM CENTER FOR CHILDREN IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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      <EndingBalanceAmt>393479</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
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        <BookValueAmt>3408705</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>25919236</DepreciationAmt>
        <BookValueAmt>4039645</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>178242</DepreciationAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>3849166</DepreciationAmt>
        <BookValueAmt>2985036</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1574150</DepreciationAmt>
        <BookValueAmt>212278</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherSecuritiesGrp>
        <Desc>INVESTMENT PORTFOLIO</Desc>
        <BookValueAmt>13799682</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>13799682</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>13998</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>196016</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE OPERATING LEASE ASSETS</Desc>
        <BookValueAmt>2152258</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FAIR VALUE OF INTEREST RATE SWAPS</Desc>
        <BookValueAmt>36272</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FINANCE LEASE ASSETS</Desc>
        <BookValueAmt>58597</BookValueAmt>
      </OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>FRANCHISE FEES</Desc>
        <Amt>375540</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AFFILIATES</Desc>
        <Amt>2388</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>2235149</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2613077</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACTS AS A CUSTODIAN OF FUNDS FOR SOME OF THE INDIVIDUALS THE ORGANIZATION SERVES IN THE RESIDENTIAL PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS SINCE THE ORGANIZATION IS EXEMPT FROM SUCH TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CFO &amp; CONTROLLER. IT IS THEN PRESENTED TO THE ORGANIZATION'S AUDIT &amp; FINANCE COMMITTEE BY THE TAX ACCOUNTANT/PREPARER AND CFO FOR COMMITTEE REVIEW AND APPROVAL. AFTER COMMITTEE APPROVAL, THE BOARD OF DIRECTORS THEN RECEIVES A COPY OF FORM 990 TO REVIEW/COMMENT ON PRIOR TO THE TAX RETURN BEING FILED WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES TRAINING ON ETHICAL CONDUCT BY THE DIRECTOR OF CORPORATE COMPLIANCE DURING THEIR ORIENTATION TO THE BOARD AND ON AN ANNUAL BASIS. HATTIE LARLHAM DISTRIBUTES TO THE BOARD OF DIRECTORS AT THE ANNUAL MEETING AND DURING ORIENTATION THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER HAS AN OBLIGATION TO MAKE FULL DISCLOSURE OF CONFLICTS OF INTEREST EACH YEAR THEY RECEIVE THE CONFLICT OF INTEREST POLICY AND A DECLARATION STATEMENT TO READ AND SIGN. IF A CONFLICT OF INTEREST IS REPORTED, THE DISCLOSURE IS PLACED ON THE AGENDA OF A BOARD MEETING WHERE A MOTION IS MADE TO ACKNOWLEDGE THE DISCLOSURE AND VOTE TO DETERMINE IF THE SERVICES ARE APPROPRIATE TO THE NEEDS OF THE ORGANIZATION. HATTIE LARLHAM HAS SPECIFIC POLICIES IN REGARDS TO GIFTS AND GRATUITIES AND EMPLOYMENT OF RELATIVES. THE EXECUTIVE STAFF OF HL AGENCIES MUST ALSO REPORT ANY CONFLICT OF INTEREST TO THE CEO IN REGARDS TO GIFTS, GRATUITIES, AND RELATIVES EMPLOYED AT HL UNDER AN EXECUTIVES SPAN OF CONTROL. IF A CONFLICT OF INTEREST IS REPORTED TO THE CEO, HE/SHE WILL FOLLOW THE SAME POLICY AS IT APPLIES TO THE BOARD OF DIRECTORS UNDER THE CONFLICT OF INTEREST POLICY. HL HAS A CORPORATE COMPLIANCE COMMITTEEWHICH MEETS MONTHLY TO MONITOR ALL CORPORATE COMPLIANCE ACTIVITIES. A CORPORATE COMPLIANCE EVALUATION IS COMPLETED ON AN ANNUAL BASIS BY THE DIRECTOR OF CORPORATE COMPLIANCE, A VICE PRESIDENT OF ONE OF THE HL AGENCIES, AND THE QUALITY IMPROVEMENT COORDINATOR TO DETERMINE WHICH ACTIVITIES NEED TO BE ADDRESSED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF DETERMINING THE COMPENSATION FOR THE ORGANIZATION'S CEO, VICE PRESIDENTS, TOP MANAGEMENT AND KEY EMPLOYEES INCLUDES AN ANNUAL MEETING OF THE GOVERNANCE / COMPENSATION COMMITTEE WITH THE CEO WHERE THE COMMITTEE IS PRESENTED WITH SALARY RECOMMENDATIONS COMPARED TO PRIOR YEAR COMPENSATION AND COMPENSATION SURVEYS/STUDYS WHICH WOULD THEN LEAD TO AN APPROVAL BY THE COMMITTEE OF THE COMPENSATION TO BE PAID. THE LAST COMPENSATION STUDY WAS COMPLETED IN 2021 BY AN OUTSIDE CONSULTANT.</ExplanationTxt>
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        <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -41,196.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT OF THE AUDIT AS WELL AS SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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