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      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER PATRICIA HEATH</PersonNm>
        <TitleTxt>TRUSTEE AS OF 7/23</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI FERRANTE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY KILCOMMONS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER PATRICIA QUINN CSJ</PersonNm>
        <TitleTxt>TRUSTEE</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>SISTER BETSY SULLIVAN SSJ</PersonNm>
        <TitleTxt>TRUSTEE</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>SISTER LEE HOGAN CSJ</PersonNm>
        <TitleTxt>PRESIDENT UNTIL 6/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER CATHERINE CLIFFORD CSJ</PersonNm>
        <TitleTxt>ASSISTANT PRESIDENT UNTIL 6/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER JUDITH COSTELLO CSJ</PersonNm>
        <TitleTxt>SECOND COUNCILOR UNTIL 6/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER DENISE KELLY CSJ</PersonNm>
        <TitleTxt>FOURTH COUNCILOR UNTIL 6/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1015870</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>169494</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTRIGUE NURSING SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12 DUNADERRY WAY</AddressLine1Txt>
            <CityNm>PAXTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING SERVICES</ServicesDesc>
        <CompensationAmt>682502</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OMNI HEALTHCARE STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>390 MAIN ST SUITE 734</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01608</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING SERVICES</ServicesDesc>
        <CompensationAmt>537319</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STAFFING EXPERTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 419</AddressLine1Txt>
            <CityNm>OXFORD</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01540</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING SERVICES</ServicesDesc>
        <CompensationAmt>389054</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIQUE NURSING STAFFING AGENCY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>31 NAGOG PARK SUITE 205</AddressLine1Txt>
            <CityNm>ACTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01720</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING SERVICES</ServicesDesc>
        <CompensationAmt>355570</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEAMAN DICARLO GENERAL CONTRACTORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>122 BOWDOIN ST</AddressLine1Txt>
            <CityNm>LAWRENCE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01843</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION/RENOVATION PROJECT</ServicesDesc>
        <CompensationAmt>334404</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>65673</FundraisingAmt>
      <RelatedOrganizationsAmt>4600000</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>69360</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>571572</AllOtherContributionsAmt>
      <TotalContributionsAmt>5306605</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>12754749</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12754749</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ST JOSEPH HALL MEAL PROGRAM</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>352092</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>352092</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUES</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>50624</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>50624</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13157465</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8008</TotalRevenueColumnAmt>
        <ExclusionAmt>8008</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>16981</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>16981</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>16981</TotalRevenueColumnAmt>
        <ExclusionAmt>16981</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>18816</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>65673</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>48586</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-29770</TotalRevenueColumnAmt>
        <ExclusionAmt>-29770</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>SPECTRA-AMERICAN TOWER EASEMENT</Desc>
        <BusinessCd>531190</BusinessCd>
        <TotalRevenueColumnAmt>8014</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>8014</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>8014</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18467303</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13157465</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>8014</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-4781</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>296896</TotalAmt>
        <ProgramServicesAmt>55131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>225217</ManagementAndGeneralAmt>
        <FundraisingAmt>16548</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>7703115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>777397</ManagementAndGeneralAmt>
        <FundraisingAmt>168898</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>377772</TotalAmt>
        <ProgramServicesAmt>331333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41892</ManagementAndGeneralAmt>
        <FundraisingAmt>4547</FundraisingAmt>
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        <TotalAmt>1199408</TotalAmt>
        <ProgramServicesAmt>1028988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>155961</ManagementAndGeneralAmt>
        <FundraisingAmt>14459</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>640863</TotalAmt>
        <ProgramServicesAmt>550004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82382</ManagementAndGeneralAmt>
        <FundraisingAmt>8477</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>2222</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75507</TotalAmt>
        <ManagementAndGeneralAmt>75507</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1440</TotalAmt>
        <ManagementAndGeneralAmt>1440</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>225910</TotalAmt>
        <ProgramServicesAmt>191678</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4178</ManagementAndGeneralAmt>
        <FundraisingAmt>30054</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>17054</TotalAmt>
        <ManagementAndGeneralAmt>17054</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>31974</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30218</ManagementAndGeneralAmt>
        <FundraisingAmt>24698</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>128127</TotalAmt>
        <ProgramServicesAmt>23395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99616</ManagementAndGeneralAmt>
        <FundraisingAmt>5116</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>565685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46704</ManagementAndGeneralAmt>
        <FundraisingAmt>1705</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>1648</TotalAmt>
        <ProgramServicesAmt>260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1311</ManagementAndGeneralAmt>
        <FundraisingAmt>77</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>5589</TotalAmt>
        <ProgramServicesAmt>629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4960</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>82677</TotalAmt>
        <ProgramServicesAmt>75824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6612</ManagementAndGeneralAmt>
        <FundraisingAmt>241</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>402968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32649</ManagementAndGeneralAmt>
        <FundraisingAmt>1192</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>138520</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11783</ManagementAndGeneralAmt>
        <FundraisingAmt>430</FundraisingAmt>
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        <Desc>PATIENT CARE EXPENSES</Desc>
        <TotalAmt>3098681</TotalAmt>
        <ProgramServicesAmt>3098681</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>910291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7433</ManagementAndGeneralAmt>
        <FundraisingAmt>372</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>USER FEES</Desc>
        <TotalAmt>705470</TotalAmt>
        <ProgramServicesAmt>705470</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>298724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>174172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227208</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>16286842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1851894</ManagementAndGeneralAmt>
        <FundraisingAmt>279713</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>848897</EOYAmt>
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        <EOYAmt>408067</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1218726</EOYAmt>
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        <EOYAmt>85077</EOYAmt>
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        <EOYAmt>4827048</EOYAmt>
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        <EOYAmt>553134</EOYAmt>
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        <EOYAmt>971168</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8912117</EOYAmt>
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        <EOYAmt>2483039</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>3609507</EOYAmt>
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        <EOYAmt>6438689</EOYAmt>
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        <EOYAmt>2370233</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>103195</EOYAmt>
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        <EOYAmt>2473428</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10381545</BOYAmt>
        <EOYAmt>8912117</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>48854</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>58377</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>2589816</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7013341</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5421332</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5306605</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>12175685</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12700146</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12673766</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13157465</CurrentTaxYearAmt>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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</Return>