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        <ProgramServicesAmt>14933014</ProgramServicesAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
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      <PriorPeriodAdjustmentsAmt>-939857</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>18806059</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17611685</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>6902</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2838</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5473</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4183</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.99976</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsPY170Ind>X</ThirtyThrPctSuprtTestsPY170Ind>
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        <Desc>Due from HRA</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Due from MCO</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to MCO</Desc>
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      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17411298</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16004166</TotExpnsEtcAuditedFinclStmtAmt>
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      <InvestmentExpensesNotIncld2Amt>0</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is submitted to the Board and Management for review prior to the filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Conflict of Interest form is distributed to the employees annually and reviewed by the Board for compliance with the Policy</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The documents are available in the Organizations' office upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
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</Return>