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      <OtherExpensesGrp>
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        <ProgramServicesAmt>29904</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>34622</ProgramServicesAmt>
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        <ProgramServicesAmt>3387576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>900762</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>1279</EOYAmt>
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        <EOYAmt>680417</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>693397</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>367238</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>326159</EOYAmt>
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        <BOYAmt>1290004</BOYAmt>
        <EOYAmt>1445278</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>43100</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>5185</BOYAmt>
        <EOYAmt>155359</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>168731</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>367190</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>1078088</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1290004</BOYAmt>
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      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-92465</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>120966</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>1</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>999243</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>790478</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>900729</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1194743</CurrentTaxYearAmt>
        <TotalAmt>4808963</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>923770</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>999243</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>790478</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>900729</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1194743</CurrentTaxYearAmt>
        <TotalAmt>4808963</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>4808963</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>342</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>560</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>950</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3487835</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3348924</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3092416</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3874000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3001130</CurrentTaxYearAmt>
        <TotalAmt>16804305</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>21614218</TotalSupportAmt>
      <PublicSupportCY170Pct>0.22250</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.21170</PublicSupportPY170Pct>
      <PrivateFoundation170Ind>X</PrivateFoundation170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
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        <DepreciationAmt>143355</DepreciationAmt>
        <BookValueAmt>287422</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>223883</DepreciationAmt>
        <BookValueAmt>38737</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>326159</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Payroll</Desc>
        <Amt>112791</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Payroll Taxes Payable</Desc>
        <Amt>37521</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AATOD Holding Account</Desc>
        <Amt>18419</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>168731</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4195873</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>4195873</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4195873</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4288338</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4288338</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4288338</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="990J">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Margaret B Rizzo</PersonNm>
        <TitleTxt>Executive DirectorCEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>155587</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155587</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jayendra M Patel</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>201594</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201594</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director, Assistant Director, and accountant review 990 return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Management Committee reviews all policies and procedures annually for compliance with laws and regulations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Records and policies are open to review by the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding adjustment</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
