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        <BookValueAmt>1075766</BookValueAmt>
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        <DepreciationAmt>209194</DepreciationAmt>
        <BookValueAmt>2160498</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>489423</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>480933</DepreciationAmt>
        <BookValueAmt>8490</BookValueAmt>
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        <DepreciationAmt>145837</DepreciationAmt>
        <BookValueAmt>267</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherAssetsOrgGrp>
        <Desc>NOTE RECEIVABLE LARKIN COMMUNITY HOSPITAL</Desc>
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        <Desc>SECURITY DEPOSIT</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>NOTE RECEIVABLE CMA</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LOAN TO EMPLOYEES</Desc>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
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        <Desc>Invesment Swish Gaming Inc</Desc>
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        <Desc>LOAN JOSEPH PIPERATO</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>LOAN JOSELIN ROSARIO</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>UNDEPOSITS FUNDS</Desc>
        <BookValueAmt>58241</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CONTRACTOR ADVANCE</Desc>
        <BookValueAmt>13938</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>PAYROLL ADVANCE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Notes payable</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Master Card</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>AMERICAN EXPRESS</Desc>
        <Amt>11323</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Comprehensive Mecical Cener Inc</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Rolando Leiva CPA PA</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Advance Vendors</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>nOTE PAYABLE gARNISHEMENT sANDRA</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Note Payable League Against Aids</Desc>
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      <TotalRevEtcAuditedFinclStmtAmt>36109049</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>36109049</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>36109049</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>32460993</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>32460993</TotalExpensesPerForm990Amt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Efrain Garcia</PersonNm>
        <TitleTxt>EMPLOYEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>314995</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>314995</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Piperato</PersonNm>
        <TitleTxt>EMPLOYEE</TitleTxt>
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        <TotalCompensationFilingOrgAmt>572768</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vanessa I Silebi Shaham MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>380120</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Armando Alvarez Gonzalez</PersonNm>
        <TitleTxt>EMPLOYEE</TitleTxt>
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        <TotalCompensationFilingOrgAmt>187878</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jorge carballo</PersonNm>
        <TitleTxt>EMPLOYEE</TitleTxt>
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        <TotalCompensationFilingOrgAmt>226821</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jack Michel</PersonNm>
        <TitleTxt>EMPLOYEE</TitleTxt>
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        <TotalCompensationFilingOrgAmt>300000</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS USED BY THE GOVERNING BOARD TO REVIEW FORM 990 PRIOR TO ITS SUBMISSION TO IRS. THE BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE FINAL DRAFT OF FORM 990 FOR THEIR REVIEW. AFTER 5 DAYS THEY ARE ASKED TO COMMENT OR REQUEST ADDITIONAL INFORMATION IN NEEDED. ONCE THE DRAFT IS ACCEPTABLE TO ALL BOARD MEMBERS IT IS SIGNED BY THE PRESIDENT AND FILED WITH THE INTERNAL REVENUE SERVICE. NO SPECIAL OR REGULAR MEETING OF THE BOARD OF DIRECTORS IS REQUIRED FOR APPROVAL OF THE DRAFT.</ExplanationTxt>
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  </ReturnData>
</Return>