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        <PersonNm>MARK HALL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>333356</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41278</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMELIA ELLINGWORTH THRU 9-2022</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>198082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38468</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DERRICK L MURRY THRU 12-2021</PersonNm>
        <TitleTxt>CHIEF BUSINESS DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>249377</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9705</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SCHIANO THRU 12-2021</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>217162</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9330</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG A WILLIAMS</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>210377</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37701</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BILL HINES</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - CAPS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>223196</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39450</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYGOE SHEEHAN</PersonNm>
        <TitleTxt>FAMILY PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>196983</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39338</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANKIE QUARLES</PersonNm>
        <TitleTxt>CHIEF OF OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>298939</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9605</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SEMLEAR</PersonNm>
        <TitleTxt>FAMILY PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>217395</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32095</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHIMA CHIONUMA</PersonNm>
        <TitleTxt>CHIEF OF PEDIATRICS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>241698</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40430</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2386565</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>297400</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>41</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18111 VON KARMAN AVENUE SUITE 800</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING SERVICES</ServicesDesc>
        <CompensationAmt>1080286</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KING &amp; KING ARCHITECTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>358 WEST JEFFERSON STREET</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTUAL SERVICES</ServicesDesc>
        <CompensationAmt>709662</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOWER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>211 W JEFFERSON ST</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING AND REBRANDING SERVICES</ServicesDesc>
        <CompensationAmt>389054</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARSHALL &amp; MAURO PROPERTY MAINTENANCE L</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>376 NORWOOD AVENUE</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>338259</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FREELAND INVESTIGATIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>499 S WARREN ST</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>326431</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10514588</GovernmentGrantsAmt>
      <TotalContributionsAmt>10514588</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID AND MEDICARE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>10565480</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10565480</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD PARTY PAYORS AND SELF-PAY</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1096537</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1096537</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVE INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1054545</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1054545</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>975299</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>975299</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13691861</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>64462</TotalRevenueColumnAmt>
        <ExclusionAmt>64462</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>90151</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>90151</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>90151</TotalRevenueColumnAmt>
        <ExclusionAmt>90151</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>RENTAL FORGIVENESS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>398460</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>398460</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>35933</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23425</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>12508</ExclusionAmt>
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      <OtherRevenueTotalAmt>434393</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24795455</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14113746</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>167121</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1014006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330830</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8229438</ProgramServicesAmt>
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        <ProgramServicesAmt>116353</ProgramServicesAmt>
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        <ProgramServicesAmt>1214382</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>657411</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>148750</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>105065</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1833502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>659506</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>152789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282224</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>82828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25781</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1866458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>425306</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>85676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36423</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>11584</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>723263</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>162117</ManagementAndGeneralAmt>
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        <Desc>PHARMACEUTICALS</Desc>
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        <ProgramServicesAmt>384355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27107</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
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        <ProgramServicesAmt>71615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99819</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>135374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35298</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>16567450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5783668</ManagementAndGeneralAmt>
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        <EOYAmt>2074590</EOYAmt>
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        <EOYAmt>1296240</EOYAmt>
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        <EOYAmt>279906</EOYAmt>
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        <EOYAmt>4791401</EOYAmt>
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        <EOYAmt>132176</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>18630162</EOYAmt>
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        <EOYAmt>319776</EOYAmt>
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        <EOYAmt>1486786</EOYAmt>
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        <EOYAmt>5005108</EOYAmt>
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        <EOYAmt>880196</EOYAmt>
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        <EOYAmt>13625054</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>18630162</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>5602178</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5763185</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7668010</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>13811861</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>24326449</CurrentTaxYearAmt>
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      <SubstantialContributorsAmtGrp>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
