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      <GovernmentGrantsAmt>2756447</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>23865</AllOtherContributionsAmt>
      <TotalContributionsAmt>2987616</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>298013</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>298013</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DENTAL FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>323192</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>323192</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WX &amp; OTHER SERVICES</Desc>
        <BusinessCd>811000</BusinessCd>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>621205</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3177</TotalRevenueColumnAmt>
        <ExclusionAmt>3177</ExclusionAmt>
      </InvestmentIncomeGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Refunds and other</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>12834</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12834</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>12834</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3624832</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>634039</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3177</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1109918</TotalAmt>
        <ProgramServicesAmt>1109918</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>189087</TotalAmt>
        <ProgramServicesAmt>26049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157365</ManagementAndGeneralAmt>
        <FundraisingAmt>5673</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1160716</TotalAmt>
        <ProgramServicesAmt>1159480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-452</ManagementAndGeneralAmt>
        <FundraisingAmt>1688</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>22484</TotalAmt>
        <ProgramServicesAmt>19735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2626</ManagementAndGeneralAmt>
        <FundraisingAmt>123</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>15342</TotalAmt>
        <ProgramServicesAmt>13466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1792</ManagementAndGeneralAmt>
        <FundraisingAmt>84</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>96902</TotalAmt>
        <ProgramServicesAmt>85053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11317</ManagementAndGeneralAmt>
        <FundraisingAmt>532</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>22000</TotalAmt>
        <ManagementAndGeneralAmt>22000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>243884</TotalAmt>
        <ProgramServicesAmt>232335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11549</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>61111</TotalAmt>
        <ProgramServicesAmt>49531</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11580</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>106098</TotalAmt>
        <ProgramServicesAmt>31260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74838</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>44856</TotalAmt>
        <ProgramServicesAmt>44856</ProgramServicesAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>2489</TotalAmt>
        <ManagementAndGeneralAmt>2489</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>128847</TotalAmt>
        <ProgramServicesAmt>47727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81120</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>81235</TotalAmt>
        <ProgramServicesAmt>38617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42618</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
        <TotalAmt>30875</TotalAmt>
        <ProgramServicesAmt>14740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14294</ManagementAndGeneralAmt>
        <FundraisingAmt>1841</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Program material</Desc>
        <TotalAmt>187361</TotalAmt>
        <ProgramServicesAmt>185981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1380</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Training and related</Desc>
        <TotalAmt>13497</TotalAmt>
        <ProgramServicesAmt>12092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1405</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3516702</TotalAmt>
        <ProgramServicesAmt>3070840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>435921</ManagementAndGeneralAmt>
        <FundraisingAmt>9941</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2005477</BOYAmt>
        <EOYAmt>2079306</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>378925</BOYAmt>
        <EOYAmt>251472</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>23223</BOYAmt>
        <EOYAmt>53765</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>24103</BOYAmt>
        <EOYAmt>8772</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2110844</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1518202</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>624437</BOYAmt>
        <EOYAmt>592642</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>14785</BOYAmt>
        <EOYAmt>9857</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3070950</BOYAmt>
        <EOYAmt>2995814</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>111785</BOYAmt>
        <EOYAmt>128717</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>732279</BOYAmt>
        <EOYAmt>583137</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>77256</BOYAmt>
        <EOYAmt>31312</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>15138</BOYAmt>
        <EOYAmt>10027</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>936458</BOYAmt>
        <EOYAmt>753193</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2064790</BOYAmt>
        <EOYAmt>2165471</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>69702</BOYAmt>
        <EOYAmt>77150</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2134492</BOYAmt>
        <EOYAmt>2242621</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3070950</BOYAmt>
        <EOYAmt>2995814</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>108130</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3041023</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5042213</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6332451</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5860502</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2987616</CurrentTaxYearAmt>
        <TotalAmt>23263805</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3041023</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5042213</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6332451</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5860502</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2987616</CurrentTaxYearAmt>
        <TotalAmt>23263805</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>321651</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>22942154</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4087</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1853</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1947</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15490</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3177</CurrentTaxYearAmt>
        <TotalAmt>26554</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>6084</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10674</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12833</CurrentTaxYearAmt>
        <TotalAmt>29591</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>23319950</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98380</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98570</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1236236</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>834562</DepreciationAmt>
        <BookValueAmt>401674</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>874608</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>683640</DepreciationAmt>
        <BookValueAmt>190968</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>592642</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Capitalized Leases</Desc>
        <Amt>10027</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10027</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3624832</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>3624832</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3624832</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3516702</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3516702</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3516702</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Energy assistance payments and weatherization</GrantTypeTxt>
        <RecipientCnt>2751</RecipientCnt>
        <CashGrantAmt>416390</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Emergency housing assistance</GrantTypeTxt>
        <RecipientCnt>386</RecipientCnt>
        <CashGrantAmt>693529</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>An initial draft of Form 990 is prepared by an independent CPA and presented to management for review. The executive director and fiscal director may propose changes which will be discussed and incorporated into a final draft. Prior to filing, the final draft is made available to the finance committee of the board of directors in connection with the presentation of the annual audit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are required to complete a conflict of interest questionnaire at the time of seating and annually thereafter. Should a matter come before the board involving any party to an identified conflict, the member would be asked to abstain.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive director salaries are determined by a pay plan established and approved by the full Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Salary are determined by a pay plan established and approved by the Board of Directors</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing and other documents generally are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding $ -1</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>