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        <CurrentTaxYearMinus2YearsAmt>567918</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>297344</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>361650</CurrentTaxYearAmt>
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        <TotalAmt>0</TotalAmt>
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        <TotalAmt>0</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>24430274</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26121191</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30087094</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28749833</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29443399</CurrentTaxYearAmt>
        <TotalAmt>138831791</TotalAmt>
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      <PublicSupportCY509Pct>0.9730</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.9696</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02</InvestmentIncomePYPct>
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        <ContributorNum>RESTRICTED</ContributorNum>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>2033</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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      <TotalLobbyingExpendituresAmt>2033</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 1f - The organization pays dues to NHPCO, ILHPCO, and Will County CED. The portion of dues paid to these organizations that are allocable to lobbying are $2,033.</ExplanationTxt>
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        <BookValueAmt>12624836</BookValueAmt>
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        <BookValueAmt>1263391</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>300615</OtherCostOrOtherBasisAmt>
        <BookValueAmt>300615</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>14688047</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>265076</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Third-party settlements</Desc>
        <Amt>500000</Amt>
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      <TotalLiabilityAmt>765076</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>25655819</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-4143098</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>-4143098</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29798917</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>29798917</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>28070662</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>28070662</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the State of Illinois for the past three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2022 and 2021.</ExplanationTxt>
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        <CharitableContriEvent1Amt>55196</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>8963</GrossRevenueEvent1Amt>
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        <FoodAndBeverageEvent1Amt>12218</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>528</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1040</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Golf outing</Event2Nm>
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        <CharitableContriEvent2Amt>31754</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>9231</GrossRevenueEvent2Amt>
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        <FoodAndBeverageEvent2Amt>3483</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>7356</EntertainmentEvent2Amt>
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        <FoodAndBeverageOtherEventsAmt>420</FoodAndBeverageOtherEventsAmt>
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        <OthDirectExpnssOtherEventsAmt>1166</OthDirectExpnssOtherEventsAmt>
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        <NonCashPrizesTotalEventsAmt>3872</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>7068</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>16121</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>14219</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3602</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>44882</DirectExpenseSummaryEventsAmt>
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        <TotalCompensationFilingOrgAmt>192095</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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          <BusinessNameLine1Txt>Dr Muhamad Krad</BusinessNameLine1Txt>
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        <TitleTxt>Medical Director</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Julie D Mulhollan</BusinessNameLine1Txt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>396</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>3953</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>23860</NontaxableBenefitsFilingOrgAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a DELEGATE BROAD AUTHORITY TO A COMMITTEE</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee, to the extent permitted by law and the bylaws, has and exercises the authority of the Board of Directors in the governance of the organization between meetings of the Board of Directors. The Executive Committee has the power to transact any and all business in the interim between meetings when acting is urgent and quorum cannot be obtained, except for those powers reserved to the full Board of Directors as described in the bylaws. The Executive Committee consists of the Chair, the Vice Chair, Secretary, Treasurer, and Chief Executive Officer (non-voting). A report of any action and confirmation of said action shall take place at the next Board meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF Other officers or key employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO reviews the compensation for other officers and key employees of the organization annually. The process utilizes a compensation survey. This process last occurred in 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared and reviewed by a public accounting firm. Then, the return is reviewed by Chief Executive Officer and Chief Financial Officer. Once this has been done, the completed form 990 is shared with the full board of directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICIES ARE REVIEWED ANNUALLY and SIGNED BY EVERY BOARD MEMBER AT THE START OF EACH NEW OR RENEWAL TERM. ADDITIONALLY, ALL STAFF AT THE DIRECTOR LEVEL AND ABOVE SIGN CONFLICT OF INTEREST POLICIES. BEFORE EACH BOARD MEETING, THE PRESIDENT OF THE BOARD OF DIRECTORS INQUIRES OF ALL BOARD MEMBERS PRESENT AS TO WHETHER THEY HAVE ANY CONFLICTS OF INTEREST TO DISCLOSE. If necessary, THE BOARD OF DIRECTORS Determines RESTRICTIONS to be imposed on persons with a conflict, such as PROHIBITING them from PARTICIPATING IN DISCUSSIONS and voting on DECISIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive committee of the board of directors meets annually to review the compensation for the CEO. The process utilizes a compensation survey and documentation supporting the executive committee's conclusions and is kept by the President of the Board. This process last occurred in February 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC section 6104(D). They are also available upon request and at our office for inspection.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
