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      <Form990PartVIISectionAGrp>
        <PersonNm>SHERYL APONTE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINA GADOMSKI</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8303</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABBEY NICOLE HOBART</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15062</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA KANE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>15577</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA SHNEYDERMAN</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>115817</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KURTIS DORNAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromOrgAmt>121063</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12743</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK JOSEPH WALSH</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131271</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25218</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRETT TOWARD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>231910</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18800</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY CHRISTIAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>240546</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18275</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2788256</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>283323</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>5409608</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3595617</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES - PHARMACY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1695026</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID - CPC REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>415533</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>340B INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>204548</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>122608</RelatedOrExemptFuncIncomeAmt>
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      <GrossRentsGrp>
        <RealAmt>9220</RealAmt>
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      <LessRentalExpensesGrp>
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      <RentalIncomeOrLossGrp>
        <RealAmt>9220</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>9220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9220</RelatedOrExemptFuncIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>44887</TotalRevenueColumnAmt>
        <ExclusionAmt>44887</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>13444</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>13444</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>549146</TotalAmt>
        <ProgramServicesAmt>448571</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>13133</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>38000</TotalAmt>
        <ProgramServicesAmt>13676</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>193375</TotalAmt>
        <ProgramServicesAmt>47384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145991</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>283496</TotalAmt>
        <ProgramServicesAmt>126798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156698</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299649</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>490145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226187</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>5957</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4210</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>16382</TotalAmt>
        <ProgramServicesAmt>4536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11846</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>40004</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>88039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10787</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>134393</ProgramServicesAmt>
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        <EOYAmt>88795</EOYAmt>
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        <EOYAmt>16784832</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>29635017</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <EndYearBalanceAmt>11707</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <AdministrativeExpensesAmt>172</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>10323</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10432</BeginningYearBalanceAmt>
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        <AdministrativeExpensesAmt>152</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11680</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9704</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>872</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>144</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>10432</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>1078973</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>19921339</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5674098</DepreciationAmt>
        <BookValueAmt>14247241</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4302411</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2905806</DepreciationAmt>
        <BookValueAmt>1396605</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>62013</OtherCostOrOtherBasisAmt>
        <BookValueAmt>62013</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16784832</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>16469867</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1229</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>24999</OtherRevenueAmt>
      <RevenueNotReportedAmt>26228</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16443639</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>134393</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>134393</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16578032</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15112140</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>24999</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>24999</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15087141</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>134393</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>134393</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15221534</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>EARNED INCOME FROM THE ENDOWMENT FUND WILL BE USED TO PROVIDE MEDICAL AND DENTAL CARE FOR THE UNDERSERVED RESIDENTS OF LORAIN, OHIO AND SURROUNDING COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FASB ASC 740-10-25 THAT REQUIRES THE DISCLOSURE OF UNCERTAIN TAX POSITIONS. THERE HAVE BEEN NO INTEREST OR PENALTIES RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS RELATING TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS, AND AS OF THE DATE OF THIS REPORT, THE ORGANIZATION'S MANAGEMENT IS NOT AWARE OF ANY ISSUES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 24,999.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>340B EXPENSES, RECORDED AS NET 134,393.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 24,999.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>340B EXPENSES, RECORDED AS NET 134,393.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
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        <Event1Nm>SPECIAL EVENT</Event1Nm>
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        <GrossRevenueEvent1Amt>69886</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>24999</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>69886</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>69886</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>24999</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>24999</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>44887</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE WIERSMA</PersonNm>
        <TitleTxt>PRESIDENT / CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>383999</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>250710</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA HEMKER</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18241</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211761</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH A KUNCHIK</PersonNm>
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        <TotalCompensationFilingOrgAmt>164823</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY CHAFFIN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK JOSEPH WALSH</PersonNm>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WAS REVIEWED AND APPROVED BY MEMBERS OF THE GOVERNING BOARD PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE AWARE OF THE CONFLICT OF INTEREST POLICY AND NOTIFY MANAGEMENT AND THE BOARD OF DIRECTORS IF THEY ARE IN VIOLATION OF THIS POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND CERTAIN UPPER LEVEL MANAGERS. THEY ASSESS THE REASONABLENESS OF THIS COMPENSATION THROUGH A REVIEW OF WAGE COMPARABILITY STUDIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>