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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PHILIP GAUDETTE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROLAND LUPIEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY BERTHELOT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALENTINE IAMARTINO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROMEO BLACKMAR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE MANNING</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>227642</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39580</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT DEVERNA</PersonNm>
        <TitleTxt>VP, FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>165005</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56567</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH JANE DEABSIS</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>361916</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>84221</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VENUGOPAL THANGADA</PersonNm>
        <TitleTxt>ASSIST MED DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>314413</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27230</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN MACKENZIE</PersonNm>
        <TitleTxt>APRN NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>175265</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14770</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARLENE DOLAT</PersonNm>
        <TitleTxt>APRN NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112893</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49653</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMER ASHOUR</PersonNm>
        <TitleTxt>APRN NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>158142</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64069</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WIOLETTA HRYSZAN</PersonNm>
        <TitleTxt>APRN NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>149196</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32342</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YURI TROSHIN</PersonNm>
        <TitleTxt>APRN NURSE</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>139617</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63598</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1804089</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>432030</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <AllOtherContributionsAmt>72873</AllOtherContributionsAmt>
      <TotalContributionsAmt>18309808</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1568778</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1568778</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD-PARTY PAYORS AND OTHER</Desc>
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        <TotalRevenueColumnAmt>750581</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>750581</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTUAL FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>212753</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>212753</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>189319</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>152127</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>152127</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8635</TotalRevenueColumnAmt>
        <ExclusionAmt>8635</ExclusionAmt>
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        <Desc>REIMBURSMENTS FROM AFFILIATE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>448818</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>448818</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>67964</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21708783</TotalRevenueColumnAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <FundraisingAmt>8933</FundraisingAmt>
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        <FundraisingAmt>1254</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>36289</TotalAmt>
        <ManagementAndGeneralAmt>36289</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>92620</TotalAmt>
        <ManagementAndGeneralAmt>92620</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>12666</TotalAmt>
        <ManagementAndGeneralAmt>12666</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>64076</TotalAmt>
        <ProgramServicesAmt>50836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12274</ManagementAndGeneralAmt>
        <FundraisingAmt>966</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2157219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>377983</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>138146</TotalAmt>
        <ProgramServicesAmt>126819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10445</ManagementAndGeneralAmt>
        <FundraisingAmt>882</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>62790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37184</ManagementAndGeneralAmt>
        <FundraisingAmt>121</FundraisingAmt>
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        <ProgramServicesAmt>31595</ProgramServicesAmt>
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        <ProgramServicesAmt>555709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114619</ManagementAndGeneralAmt>
        <FundraisingAmt>29830</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>2551</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>3884869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-3884869</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1076060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>168119</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>20041546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>464683</ManagementAndGeneralAmt>
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        <EOYAmt>1903245</EOYAmt>
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        <EOYAmt>184044</EOYAmt>
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        <EOYAmt>949497</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>403851</EOYAmt>
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        <EOYAmt>215352</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>1153276</EOYAmt>
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        <EOYAmt>1575931</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>6385196</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1152430</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>553341</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>516068</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>55474</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2277313</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>4048593</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>93790</BOYAmt>
        <EOYAmt>59290</EOYAmt>
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        <EOYAmt>4107883</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6385196</EOYAmt>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>13048646</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13225495</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13657191</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14830177</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18309808</CurrentTaxYearAmt>
        <TotalAmt>73071317</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>13225495</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13657191</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14830177</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18309808</CurrentTaxYearAmt>
        <TotalAmt>73071317</TotalAmt>
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      <PublicSupportTotal170Amt>73071317</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5151</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1120</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>530</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>656</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8635</CurrentTaxYearAmt>
        <TotalAmt>16092</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>295977</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>336682</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>420138</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>516782</CurrentTaxYearAmt>
        <TotalAmt>1846956</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>15929958</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.97570</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT FEES - 2018 AMOUNT: $ 213,719. 2019 AMOUNT: $ 221,708. 2020 AMOUNT: $ 270,925. 2021 AMOUNT: $ 207,169. 2022 AMOUNT: $ 448,818. MISCELLANEOUS - 2018 AMOUNT: $ 62,511. 2019 AMOUNT: $ 74,269. 2020 AMOUNT: $ 65,757. 2021 AMOUNT: $ 212,969. 2022 AMOUNT: $ 67,964. FUNDRAISING - 2018 AMOUNT: $ 1,147.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
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