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        <TitleTxt>CHAIR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN ALEXANDER</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
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        <ReportableCompFromOrgAmt>111990</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>14612</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE NIXON</PersonNm>
        <TitleTxt>SR. DIRECTOR OF PHILANTHROPY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>111655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7732</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JARRED WILSON</PersonNm>
        <TitleTxt>SR. DIRECTOR OF PHILANTHROPY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>109874</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16196</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACLYN SANCHEZ</PersonNm>
        <TitleTxt>SR. DIRECTOR OF IT AND SECURITY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>114326</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26536</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL HUMPHREY MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COLE CARUSO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULINE PARRISH</PersonNm>
        <TitleTxt>CFO/COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>211766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22224</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE FRAIM</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>368833</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30957</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA MCDONALD</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>98058</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIRGINIA WOODS</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES/DIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>155296</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29507</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBYN SCHICKLER</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>249911</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA SHREVE</PersonNm>
        <TitleTxt>LEAD CLINICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>124186</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18384</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACY DE-LIN</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116026</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7385</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE STAAL</PersonNm>
        <TitleTxt>LEAD CLINICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115426</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH SHUNKWILER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>309460</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19514</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAGDA LOPEZ-ROSA</PersonNm>
        <TitleTxt>LEAD CLINICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>125390</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17956</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2466534</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>277706</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THERACOM A CAREMARK COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 640105</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANDA INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 748476</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
        <CompensationAmt>578755</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HENRY SCHEIN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 371952</AddressLine1Txt>
            <CityNm>PITTSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15250</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>533094</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASD HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 978526</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
        <CompensationAmt>373879</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GTT AMERICAN LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 842630</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TELEPHONE/INTERNET SERVICE</ServicesDesc>
        <CompensationAmt>302323</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1050223</FundraisingAmt>
      <AllOtherContributionsAmt>7675716</AllOtherContributionsAmt>
      <TotalContributionsAmt>8725939</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>16281888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16281888</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>524792</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>524792</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16806680</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>888732</TotalRevenueColumnAmt>
        <ExclusionAmt>888732</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>12950</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>12950</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>12950</TotalRevenueColumnAmt>
        <ExclusionAmt>12950</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3047460</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3083197</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-35737</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-35737</TotalRevenueColumnAmt>
        <ExclusionAmt>-35737</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>164450</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1050223</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>384345</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-219895</TotalRevenueColumnAmt>
        <ExclusionAmt>-219895</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>120407</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>120407</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>120407</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26299076</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16927087</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>646050</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>736555</TotalAmt>
        <ProgramServicesAmt>224052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272764</ManagementAndGeneralAmt>
        <FundraisingAmt>239739</FundraisingAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>14745359</TotalAmt>
        <ProgramServicesAmt>13074297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>809798</ManagementAndGeneralAmt>
        <FundraisingAmt>861264</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>478504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18213</ManagementAndGeneralAmt>
        <FundraisingAmt>18376</FundraisingAmt>
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        <TotalAmt>1776645</TotalAmt>
        <ProgramServicesAmt>1578240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100952</ManagementAndGeneralAmt>
        <FundraisingAmt>97453</FundraisingAmt>
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        <TotalAmt>1102982</TotalAmt>
        <ProgramServicesAmt>974068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66055</ManagementAndGeneralAmt>
        <FundraisingAmt>62859</FundraisingAmt>
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        <TotalAmt>66358</TotalAmt>
        <ProgramServicesAmt>46403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7528</ManagementAndGeneralAmt>
        <FundraisingAmt>12427</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>49459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8024</ManagementAndGeneralAmt>
        <FundraisingAmt>13245</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>2239</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1970572</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133510</ManagementAndGeneralAmt>
        <FundraisingAmt>265885</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>162670</TotalAmt>
        <ProgramServicesAmt>146503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7373</ManagementAndGeneralAmt>
        <FundraisingAmt>8794</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>142003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18045</ManagementAndGeneralAmt>
        <FundraisingAmt>34502</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>450326</TotalAmt>
        <ProgramServicesAmt>314908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51088</ManagementAndGeneralAmt>
        <FundraisingAmt>84330</FundraisingAmt>
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        <ProgramServicesAmt>1211229</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33661</ManagementAndGeneralAmt>
        <FundraisingAmt>31044</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>441679</TotalAmt>
        <ProgramServicesAmt>387344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23649</ManagementAndGeneralAmt>
        <FundraisingAmt>30686</FundraisingAmt>
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        <ProgramServicesAmt>118958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10711</ManagementAndGeneralAmt>
        <FundraisingAmt>11459</FundraisingAmt>
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        <ProgramServicesAmt>758634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33665</ManagementAndGeneralAmt>
        <FundraisingAmt>42279</FundraisingAmt>
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        <ProgramServicesAmt>517479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10464</ManagementAndGeneralAmt>
        <FundraisingAmt>10271</FundraisingAmt>
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        <Desc>MEDICAL SERVICES</Desc>
        <TotalAmt>3134791</TotalAmt>
        <ProgramServicesAmt>3134791</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>GRANT FUNDED SERVICE AN</Desc>
        <TotalAmt>742240</TotalAmt>
        <ProgramServicesAmt>742240</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SPECIAL INITIATIVE EXPE</Desc>
        <TotalAmt>521282</TotalAmt>
        <ProgramServicesAmt>521282</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>330525</TotalAmt>
        <ProgramServicesAmt>330525</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1041553</TotalAmt>
        <ProgramServicesAmt>889117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82346</ManagementAndGeneralAmt>
        <FundraisingAmt>70090</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>31195396</TotalAmt>
        <ProgramServicesAmt>27610608</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1690085</ManagementAndGeneralAmt>
        <FundraisingAmt>1894703</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>3125140</BOYAmt>
        <EOYAmt>2098568</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2934855</BOYAmt>
        <EOYAmt>1275383</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>804934</BOYAmt>
        <EOYAmt>642039</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>575204</BOYAmt>
        <EOYAmt>541980</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>363649</BOYAmt>
        <EOYAmt>471979</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>22716074</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10472663</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12599722</BOYAmt>
        <EOYAmt>12243411</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>34333916</BOYAmt>
        <EOYAmt>34680895</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1547362</BOYAmt>
        <EOYAmt>1646430</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>328831</BOYAmt>
        <EOYAmt>1566432</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>56613613</BOYAmt>
        <EOYAmt>55167117</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2298016</BOYAmt>
        <EOYAmt>2277050</EOYAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <ExplanationTxt>BOARD DESIGNATED FUNDS: FOLLOWING BEST PRACTICES SET FORTH BY PLANNED PARENTHOOD FEDERATION OF AMERICA, THE BOARD OF DIRECTORS OF THE ORGANIZATION HAS DESIGNATED NET ASSETS WITHOUT DONOR RESTRICTIONS EQUAL TO AT LEAST THREE MONTHS BUDGETED OPERATING NEEDS BE MAINTAINED AT ALL TIMES. BOARD DESIGNATED FUNDS ARE LIMITED TO USE FOR CAPITAL EXPENDITURES, AFFILIATE EXPANSION OPPORTUNITIES OR EMERGENCY NEEDS TO BE DETERMINED BY A VOTE OF AT LEAST THREE QUARTERS OF THE BOARD OF DIRECTORS. BOARD DESIGNATED, NET ASSETS WITHOUT RESTRICTIONS TOTALED $32,826,031 AT JUNE 30, 2023. DONOR RESTRICTIONS ENDOWMENT: DONOR RESTRICTED NET ASSETS REPRESENT ENDOWMENT FUNDS, WHOSE PRINCIPAL MAY NOT BE INVADED, AND ARE COMPRISED OF: SUBJECT TO EXPENDITURE FOR SPECIFIED PURPOSE: OUTREACH, EDUCATION AND MARKETING $ 68,500 PEER EDUCATION 125,000 TOTAL $ 193,500 SUBJECT TO THE PASSAGE OF TIME: BENEFICIAL INTERESTS IN CHARITABLE TRUSTS HELD BY OTHERS $ 613,898 ASSETS HELD UNDER SPLIT INTEREST AGREEMENTS 28,141 TOTAL $ 684,618 ENDOWMENTS SUBJECT TO SPENDING POLICY AND APPROPRIATION: GENERAL USE $ 758,828 ROE FUND 118,352 EDUCATION 22,032 TOTAL $ 899,212 ENDOWMENTS NOT SUBJECT TO SPENDING POLICY AND APPROPRIATION: BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION $ 202,619 BENEFICIAL INTEREST IN PERPETUAL TRUST 1,624,893 TOTAL $ 1,827,512 TOTAL NET ASSETS WITH DONOR RESTRICTIONS $ 3,562,263</ExplanationTxt>
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        <ExplanationTxt>MANAGEMENT HAS EVALUATED THE EFFECT OF AN ACCOUNTING STANDARD RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN INCOME TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER THE FEDERAL INCOME TAX RETURNS WERE FILED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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