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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL MANNING</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH MAY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY MONESTIME-WILLIAMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW POOLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SCHWARTZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JODIE TRELOAR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY WALL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LORRAINE WELLS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEAN TEAGUE</PersonNm>
        <TitleTxt>CEO (EFF. 3/2025)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH FOLCARELLI</PersonNm>
        <TitleTxt>CEO (THRU 12/2024)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLEN MATTERA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>189643</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>1000</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT TURTON</PersonNm>
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        <ReportableCompFromOrgAmt>211059</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANET CONSTANTINO</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE FLYNN</PersonNm>
        <TitleTxt>CHIEF PROGRAM OFFICER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE SMITH</PersonNm>
        <TitleTxt>CLINICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER HAWKEN</PersonNm>
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      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH MOUNTAIN COMPANY INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15 RED ARROW ROAD</AddressLine1Txt>
            <CityNm>VINEYARD HAVEN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02568</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JOSE CHAVES</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1123</AddressLine1Txt>
            <CityNm>WEST TISBURY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02575</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON AND COKER LOCUM TENENS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2655 NORTHWINDS PARKWAY</AddressLine1Txt>
            <CityNm>ALPHARETTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30009</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEONARD MULHERIN &amp; GREENE PC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>625 GROVE STREET</AddressLine1Txt>
            <CityNm>BRAINTREE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02184</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACE MV</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 EDGARTOWN VINEYARD HAVEN ROAD</AddressLine1Txt>
            <CityNm>OAK BLUFFS</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02557</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMPLOYEE TRAINING</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>647618</FundraisingAmt>
      <GovernmentGrantsAmt>4716154</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>9433114</AllOtherContributionsAmt>
      <TotalContributionsAmt>14796886</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1660646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1660646</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD PARTY PAYMENTS AND PRIVATE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1637758</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>484479</TotalRevenueColumnAmt>
        <ExclusionAmt>484479</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>11383377</SecuritiesAmt>
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        <SecuritiesAmt>7969702</SecuritiesAmt>
        <OtherAmt>53306</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>3413675</SecuritiesAmt>
        <OtherAmt>-53306</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3360369</TotalRevenueColumnAmt>
        <ExclusionAmt>3360369</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>246756</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-246756</TotalRevenueColumnAmt>
        <ExclusionAmt>-246756</ExclusionAmt>
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      <CostOfGoodsSoldAmt>1336343</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <Desc>MISC. INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>92584</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>92584</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>3390988</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3598092</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>323197</ManagementAndGeneralAmt>
        <FundraisingAmt>68340</FundraisingAmt>
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        <ProgramServicesAmt>6408460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>818100</ManagementAndGeneralAmt>
        <FundraisingAmt>349325</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>784487</TotalAmt>
        <ProgramServicesAmt>648185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91736</ManagementAndGeneralAmt>
        <FundraisingAmt>44566</FundraisingAmt>
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        <TotalAmt>595509</TotalAmt>
        <ProgramServicesAmt>485046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82303</ManagementAndGeneralAmt>
        <FundraisingAmt>28160</FundraisingAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>140375</TotalAmt>
        <ManagementAndGeneralAmt>94775</ManagementAndGeneralAmt>
        <FundraisingAmt>45600</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>24546</TotalAmt>
        <ProgramServicesAmt>13810</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10736</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>101668</TotalAmt>
        <ManagementAndGeneralAmt>101668</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>46315</TotalAmt>
        <ManagementAndGeneralAmt>46315</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>511099</TotalAmt>
        <ProgramServicesAmt>510999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1074894</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105415</ManagementAndGeneralAmt>
        <FundraisingAmt>22522</FundraisingAmt>
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        <ProgramServicesAmt>82770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20475</ManagementAndGeneralAmt>
        <FundraisingAmt>4674</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>368292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6644</ManagementAndGeneralAmt>
        <FundraisingAmt>1461</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>6409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>415</ManagementAndGeneralAmt>
        <FundraisingAmt>336</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER ADMIN. COSTS</Desc>
        <TotalAmt>351342</TotalAmt>
        <ProgramServicesAmt>302829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17619</ManagementAndGeneralAmt>
        <FundraisingAmt>30894</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPORT</Desc>
        <TotalAmt>320161</TotalAmt>
        <ProgramServicesAmt>276626</ProgramServicesAmt>
        <FundraisingAmt>43535</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION MATERIAL GOOD</Desc>
        <TotalAmt>233686</TotalAmt>
        <ProgramServicesAmt>233686</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEALS</Desc>
        <TotalAmt>141326</TotalAmt>
        <ProgramServicesAmt>134181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4213</ManagementAndGeneralAmt>
        <FundraisingAmt>2932</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>392381</TotalAmt>
        <ProgramServicesAmt>285564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104316</ManagementAndGeneralAmt>
        <FundraisingAmt>2501</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>13304624</TotalAmt>
        <ProgramServicesAmt>10831751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1828027</ManagementAndGeneralAmt>
        <FundraisingAmt>644846</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>346342</BOYAmt>
        <EOYAmt>973025</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4781255</BOYAmt>
        <EOYAmt>2601449</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>7159351</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>905937</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>149114</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>17916800</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2873779</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10245333</BOYAmt>
        <EOYAmt>15043021</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>11736067</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>236518</BOYAmt>
        <EOYAmt>255973</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>32140313</BOYAmt>
        <EOYAmt>38823937</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>785431</BOYAmt>
        <EOYAmt>1905134</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>159186</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1700160</BOYAmt>
        <EOYAmt>1589526</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>238635</BOYAmt>
        <EOYAmt>229273</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3332495</BOYAmt>
        <EOYAmt>3883119</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>21132829</BOYAmt>
        <EOYAmt>21873088</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7674989</BOYAmt>
        <EOYAmt>13067730</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>28807818</BOYAmt>
        <EOYAmt>34940818</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>32140313</BOYAmt>
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        <TransactionDesc>THE ORGANIZATION MAINTAINS ITS PRIMARY OPERATING ACCOUNT AS WELL AS A MONEY MARKET ACCOUNT AT MARTHA'S VINEYARD BANK. IN ADDITION, THE ORGANIZATION HAS A LINE OF CREDIT, MORTGAGE LOAN AND CONSTRUCTION LOAN WITH MARTHA'S VINEYARD BANK. AT JUNE 30, 2025, THE OUTSTANDING BALANCES ON THE LINE OF CREDIT, MORTGAGE LOAN AND CONSTRUCTION LOAN WERE $0, $651,283 AND $997,496, RESPECTIVELY.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION MANAGEMENT AND THE FINANCE COMMITTEE REVIEW A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS. ANY RESULTANT COMMENTS AND CHANGES ARE INCORPORATED INTO THE FORM BY THE INDEPENDENT ACCOUNTANTS. A FINAL VERSION OF THE FORM 990 IS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE WRITTEN CONFLICT OF INTEREST DISCLOSURES ON AN ANNUAL BASIS IN ACCORDANCE WITH THE ORGANIZATION'S WRITTEN CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD ESTABLISHES THE COMPENSATION OF THE CEO AND OTHER OFFICERS. THEY COMPARE COMPENSATION TO SIMILAR ORGANIZATIONS, REVIEW THE COMPENSATION ANNUALLY AND DOCUMENT THE FINDINGS IN THEIR FILES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA THE WEBSITES OF CERTAIN STATE REGULATORY AGENCIES AS WELL AS UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>