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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACY REMARK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA LUNG</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>78771</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18299</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODI SANTILLO</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>87577</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9845</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH FRENCH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>117747</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15591</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGENE VOROS</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>83446</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16856</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH HAYFORD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>164523</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28581</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE ARMSTRONG</PersonNm>
        <TitleTxt>APRN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116285</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIFFANY FARNSWORTH</PersonNm>
        <TitleTxt>APRN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115448</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29126</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>763797</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>136548</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>216584</FederatedCampaignsAmt>
      <FundraisingAmt>111563</FundraisingAmt>
      <GovernmentGrantsAmt>1014309</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>368336</AllOtherContributionsAmt>
      <NoncashContributionsAmt>18005</NoncashContributionsAmt>
      <TotalContributionsAmt>1710792</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3311421</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3311421</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>STARK MHAR</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1461048</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1461048</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PSYCHOEDUCATIONAL &amp; SU</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>715659</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>715659</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE FEE INCOME</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>605591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>605591</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTATION INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>553584</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>553584</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>218998</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>218998</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>6866301</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>106685</TotalRevenueColumnAmt>
        <ExclusionAmt>106685</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>37097</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>37097</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>37097</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37097</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>67263</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>111563</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>56341</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>10922</TotalRevenueColumnAmt>
        <ExclusionAmt>10922</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>142087</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>142087</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3041</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3041</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FINGERPRINTING/ BACKGR</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>417</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>417</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>145545</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8877342</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7048943</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>117607</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>456205</TotalAmt>
        <ManagementAndGeneralAmt>456205</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5402565</TotalAmt>
        <ProgramServicesAmt>5154490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159876</ManagementAndGeneralAmt>
        <FundraisingAmt>88199</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>97393</TotalAmt>
        <ProgramServicesAmt>89523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6432</ManagementAndGeneralAmt>
        <FundraisingAmt>1438</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>838721</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1155</ManagementAndGeneralAmt>
        <FundraisingAmt>13474</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>448285</ProgramServicesAmt>
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        <FundraisingAmt>7813</FundraisingAmt>
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        <ProgramServicesAmt>20288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32063</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>13787</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>30500</TotalAmt>
        <ManagementAndGeneralAmt>30500</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>2369</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>138795</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>14822</ManagementAndGeneralAmt>
        <FundraisingAmt>1335</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>75379</ProgramServicesAmt>
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        <FundraisingAmt>10589</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>475465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>228026</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>55897</TotalAmt>
        <ProgramServicesAmt>50724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3982</ManagementAndGeneralAmt>
        <FundraisingAmt>1191</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>85223</TotalAmt>
        <ProgramServicesAmt>58404</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26717</ManagementAndGeneralAmt>
        <FundraisingAmt>102</FundraisingAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>9</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5253</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>112447</ProgramServicesAmt>
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        <ProgramServicesAmt>92115</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>6579</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DATA PROCESSING FEES</Desc>
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        <ProgramServicesAmt>28146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26168</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>11261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21955</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>8065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17627</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>24344</TotalAmt>
        <ProgramServicesAmt>8919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15425</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>7674173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1386098</ManagementAndGeneralAmt>
        <FundraisingAmt>124791</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>243647</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>2125547</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>93778</BOYAmt>
        <EOYAmt>37761</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>2975349</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2053471</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>937802</BOYAmt>
        <EOYAmt>921878</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1455406</BOYAmt>
        <EOYAmt>1334845</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>300476</BOYAmt>
        <EOYAmt>346569</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>477894</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>4711278</BOYAmt>
        <EOYAmt>5488141</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>993126</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>229368</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>410084</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>478069</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2110647</EOYAmt>
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        <EOYAmt>3352529</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>24965</EOYAmt>
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        <EOYAmt>3377494</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>5488141</EOYAmt>
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      <DonatedServicesAndUseFcltsAmt>25000</DonatedServicesAndUseFcltsAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>283920</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4198055</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1341809</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1710792</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>8121562</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7714861</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7430877</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6866301</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>8405482</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11912916</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8772686</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8577093</CurrentTaxYearAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>39486</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>63722</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94862</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>143782</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>38476</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>39486</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>63722</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94862</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>143782</CurrentTaxYearAmt>
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      <NetIncomeFromOtherUBIGrp>
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        <CurrentTaxYearAmt>10922</CurrentTaxYearAmt>
        <TotalAmt>19469</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>5415</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>152148</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>396802</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>60436</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>145543</CurrentTaxYearAmt>
        <TotalAmt>760344</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>8597116</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12381987</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8927984</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8877340</CurrentTaxYearAmt>
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