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        <PersonNm>LaWanda Green</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLENE STORR</PersonNm>
        <TitleTxt>ALTERNATE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Masten</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBBIE BOARDMAN</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA TRIPP-ALLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VANESSA RIOS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARNIE ATKINS</PersonNm>
        <TitleTxt>ALTERNATE</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Melissa Myers</PersonNm>
        <TitleTxt>Member at Large</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FAWN MURPHY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>950</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Teresa Ballew</PersonNm>
        <TitleTxt>Chairperson</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDIA BRUNDIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LANA MCCOVEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARRELL SHERMAN</PersonNm>
        <TitleTxt>Alternate</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILLIP WILLIAMS</PersonNm>
        <TitleTxt>ALTERNATE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>true</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Barton Associates Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 417844</AddressLine1Txt>
            <CityNm>Bosten</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022417844</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIBAL HEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14818 N 74th St</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>852602426</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Excel Medical Staffing LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 29647</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752299647</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SUPPLIER</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>20207520</GovernmentGrantsAmt>
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      <TotalContributionsAmt>20221340</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>20795508</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20795508</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other Program Revenie</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>244400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>244400</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>8082946</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8082946</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29122854</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6135</TotalRevenueColumnAmt>
        <ExclusionAmt>6135</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>153171</TotalRevenueColumnAmt>
        <ExclusionAmt>153171</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>153171</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>49503500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29122854</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>159306</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1356859</TotalAmt>
        <ProgramServicesAmt>1027953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328906</ManagementAndGeneralAmt>
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      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>15026240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3726087</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>432517</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2764182</TotalAmt>
        <ProgramServicesAmt>2391004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>373178</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1624652</TotalAmt>
        <ProgramServicesAmt>1405316</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219336</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>113198</TotalAmt>
        <ProgramServicesAmt>20975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92223</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>169871</TotalAmt>
        <ManagementAndGeneralAmt>169871</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8098551</TotalAmt>
        <ProgramServicesAmt>6660819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1437732</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>137663</TotalAmt>
        <ProgramServicesAmt>121914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15749</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1261493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248194</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>135697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1222170</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1159454</TotalAmt>
        <ProgramServicesAmt>514618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>644836</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>351269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232027</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>290820</TotalAmt>
        <ProgramServicesAmt>223628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67192</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ProgramServicesAmt>151912</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77044</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>733045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360887</ManagementAndGeneralAmt>
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        <TotalAmt>433601</TotalAmt>
        <ProgramServicesAmt>233223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200378</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>1924681</TotalAmt>
        <ProgramServicesAmt>1924681</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>1393222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154786</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Other support</Desc>
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        <ManagementAndGeneralAmt>271271</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>60085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98891</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>83375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142567</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>34152986</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10083325</ManagementAndGeneralAmt>
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        <EOYAmt>2657671</EOYAmt>
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        <EOYAmt>49335868</EOYAmt>
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        <EOYAmt>643425</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3168073</EOYAmt>
      </AccountsReceivableGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>142236</EOYAmt>
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        <EOYAmt>238455</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>18421517</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>15256394</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
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        <BOYAmt>214416</BOYAmt>
        <EOYAmt>299196</EOYAmt>
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        <EOYAmt>72495368</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3909776</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>21538949</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>3988316</EOYAmt>
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      <OtherLiabilitiesGrp>
        <EOYAmt>754560</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>31032830</BOYAmt>
        <EOYAmt>30191601</EOYAmt>
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        <ExplanationTxt>ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL REPORTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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