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        <PersonNm>ZUANIA NUNEZ ALDRICH</PersonNm>
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        <PersonNm>ROSALYN RAMOS FLORES</PersonNm>
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        <PersonNm>LILIANA GUZMAN BICCHI</PersonNm>
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        <PersonNm>IRIS GRAU PABON</PersonNm>
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        <PersonNm>MANFREDO VEGA RODRIGUEZ</PersonNm>
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        <PersonNm>JOSE VICENS SALGADO</PersonNm>
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        <PersonNm>LISSETTE PEREZ VEGA</PersonNm>
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        <PersonNm>IRIS ARZUAGA GONZALEZ</PersonNm>
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        <PersonNm>VERONICA COLON FALCON</PersonNm>
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        <PersonNm>NELSON MATOS LUCIANO</PersonNm>
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        <PersonNm>IDA ARROYO PAGAN</PersonNm>
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        <PersonNm>NYURKA ROSADO APONTE</PersonNm>
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        <PersonNm>JOSELY LOPEZ NIEVES</PersonNm>
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        <PersonNm>GUILLERMO BOSQUES MORALES</PersonNm>
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        <PersonNm>RONALD GONZALEZ REYES</PersonNm>
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        <PersonNm>CRISTINA CASTELLANOS PORTELA</PersonNm>
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        <PersonNm>JESSICA COLON BONES</PersonNm>
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        <PersonNm>LIZ RODRIGUEZ LOYOLA</PersonNm>
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        <PersonNm>ANIBAL CARABALLO CINTRON</PersonNm>
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        <PersonNm>YANELIS MUNOZ CORREA</PersonNm>
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        <PersonNm>LIZA TAPIA TAPIA</PersonNm>
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        <PersonNm>PEDRO CARRION MORANT</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA RIVERA RAMOS</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>107025</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IRMARIE MARRERO MARRERO</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103754</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE GONZALEZ GUTIERREZ</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103703</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Adelma Cintron Diaz</PersonNm>
        <TitleTxt>Presidenta Representante de Usuarios Las Piedras</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ada L Cotto Cartagena</PersonNm>
        <TitleTxt>Secretary/Users Representative Aguas Buenas</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Teofila Rios Ortiz</PersonNm>
        <TitleTxt>Finance Area Representative</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eduardo Munoz Oquendo</PersonNm>
        <TitleTxt>Users Representative San Lorenzo</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Maria T Fred Mercado</PersonNm>
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        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carmen Veguilla Montanez</PersonNm>
        <TitleTxt>Representante de Usuarios Caguas</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Olga Maldonado</PersonNm>
        <TitleTxt>Representante Voluntaria Aibonito</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nyvea Sepulveda</PersonNm>
        <TitleTxt>Representante Voluntaria Yabucoa</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Leonor Mercedes Guzman</PersonNm>
        <TitleTxt>Vice President Representante Voluntaria</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nydia Ramos Martinez</PersonNm>
        <TitleTxt>Representante Voluntario Cidra</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>7403802</TotalReportableCompFromOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GUARDSNARK LLC DBA ALLIED UNIVERSAL SECURITY SERVICES LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>GUAYNABO</CityNm>
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            <ZIPCd>00966</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTH JANITORIAL SERVICES INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>103 AVENIDA CONQUISTADORES</AddressLine1Txt>
            <CityNm>CATANO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00962</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTANCE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PLATINUM EMERGENCY GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>371 AVE DE DIEGO</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00924</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CS AND SF MEDICAL SERVICE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>AVE KENNEDY INT</AddressLine1Txt>
            <CityNm>MAUNABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00707</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DANIEL CRUZ GALARZA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>HIMA PLAZA I STE 414 500 AVE DEGETA</AddressLine1Txt>
            <CityNm>CAGUAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00725</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>7265712</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>8450274</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>29943354</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29943354</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9240096</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9240096</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621420</BusinessCd>
        <TotalRevenueColumnAmt>20071073</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20071073</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>LAWSUIT PR HEALTH DEPARTMENT</Desc>
        <BusinessCd>621410</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>12418845</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <TotalOthProgramServiceRevGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>464173</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossRentsGrp>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>30730</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>30730</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30730</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>30000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30000</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>80648545</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72198271</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <ProgramServicesAmt>16172957</ProgramServicesAmt>
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        <ProgramServicesAmt>325627</ProgramServicesAmt>
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        <ProgramServicesAmt>2745185</ProgramServicesAmt>
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        <ProgramServicesAmt>2626857</ProgramServicesAmt>
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        <ProgramServicesAmt>228</ProgramServicesAmt>
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        <ProgramServicesAmt>164581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136580</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>48664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166968</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>83828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1075868</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>107306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81897</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>81734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86517</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>104780</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1760764</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>488956</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6932456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19653</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>1940178</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>22442220</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>321024</TotalAmt>
        <ProgramServicesAmt>164598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156426</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>222972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282948</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>53128804</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13726187</ManagementAndGeneralAmt>
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        <EOYAmt>72666784</EOYAmt>
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        <EOYAmt>31297055</EOYAmt>
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        <EOYAmt>389844</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>16075525</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>802257</EOYAmt>
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        <EOYAmt>421677</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>53731810</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>38392243</EOYAmt>
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        <EOYAmt>8004442</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>168049827</EOYAmt>
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        <EOYAmt>496673</EOYAmt>
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        <EOYAmt>2331641</EOYAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Board members are required to sign on annual basis conflict of interest certification and to report any know conflict of interest.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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