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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Antonio Gaglio</PersonNm>
        <TitleTxt>CFO/Interim CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>340000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Oldham</PersonNm>
        <TitleTxt>Ch Staff to Jan</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>73269</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12338</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Justin Coffey</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>319808</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35898</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Poa</PersonNm>
        <TitleTxt>Ch Inpt Serv</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>344710</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36785</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jonathan Stevens</PersonNm>
        <TitleTxt>Ch Child/ Adol</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>352470</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36812</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Avni Cirpili</PersonNm>
        <TitleTxt>CNO to Oct 18</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>220600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13765</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Bennett</PersonNm>
        <TitleTxt>CNO fr Oct 18</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>123959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13023</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tina M Baugh</PersonNm>
        <TitleTxt>Director of IT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191035</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30057</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephanie A Cunningham</PersonNm>
        <TitleTxt>VP Business Dev</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184650</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32169</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nancy Palyo</PersonNm>
        <TitleTxt>AVP, Patient Care</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>180111</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14707</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrea Preisinger</PersonNm>
        <TitleTxt>VP, Human Resource</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169950</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22314</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Juanice Colwell</PersonNm>
        <TitleTxt>Dir of Pharmacy</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163954</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22592</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>C Edward Coffey</PersonNm>
        <TitleTxt>CEO (former)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>230404</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>276484</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37336</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2894920</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>276484</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>343954</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>50</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Baylor College of Medicine</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 Baylor Plaza</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77030</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Clinic Faculty</ServicesDesc>
        <CompensationAmt>9648102</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cerner Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2800 Rockcreek Parkway</AddressLine1Txt>
            <CityNm>Kansa City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64117</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Health info services</ServicesDesc>
        <CompensationAmt>972772</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cumberland Consult Group</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2550 Meridian Blvd 200</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
        <CompensationAmt>818941</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Bracewell LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>711 Louisiana St Ste 2300</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77002</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Legal Service</ServicesDesc>
        <CompensationAmt>344281</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Kirksey</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6909 Portwest Drive</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77024</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Architecture</ServicesDesc>
        <CompensationAmt>340056</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>37</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>9249039</RelatedOrganizationsAmt>
      <TotalContributionsAmt>9249039</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient services</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>52307198</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52307198</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>52307198</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3473</TotalRevenueColumnAmt>
        <ExclusionAmt>3473</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5846</TotalRevenueColumnAmt>
        <ExclusionAmt>5846</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>5846</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>61565556</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52307198</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>9319</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1070718</TotalAmt>
        <ProgramServicesAmt>1070718</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1188818</TotalAmt>
        <ProgramServicesAmt>848567</ProgramServicesAmt>
        <ManagementAndGeneralAmt>340251</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>24746849</TotalAmt>
        <ProgramServicesAmt>21763300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2983549</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>571924</TotalAmt>
        <ProgramServicesAmt>482093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89831</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4059688</TotalAmt>
        <ProgramServicesAmt>3695297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>364391</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1940660</TotalAmt>
        <ProgramServicesAmt>1710865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229795</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>272412</TotalAmt>
        <ManagementAndGeneralAmt>272412</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>13521324</TotalAmt>
        <ProgramServicesAmt>11800496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1720828</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>230879</TotalAmt>
        <ManagementAndGeneralAmt>230879</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2679633</TotalAmt>
        <ProgramServicesAmt>2390376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289257</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>805921</TotalAmt>
        <ProgramServicesAmt>557201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248720</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
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        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1741767</TotalAmt>
        <ProgramServicesAmt>1672905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68862</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>284725</TotalAmt>
        <ProgramServicesAmt>75543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209182</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>182683</TotalAmt>
        <ProgramServicesAmt>140202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42481</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>747479</TotalAmt>
        <ProgramServicesAmt>717278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30201</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
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        <TotalAmt>3468505</TotalAmt>
        <ProgramServicesAmt>3328969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139536</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>424545</TotalAmt>
        <ProgramServicesAmt>407392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17153</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Pharmacy</Desc>
        <TotalAmt>627782</TotalAmt>
        <ProgramServicesAmt>627782</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Uncollectible amount</Desc>
        <TotalAmt>482604</TotalAmt>
        <ProgramServicesAmt>482604</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recruitment</Desc>
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        <ProgramServicesAmt>3879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>223465</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Patient activities</Desc>
        <TotalAmt>190760</TotalAmt>
        <ProgramServicesAmt>174458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16302</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>228606</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27049</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>52178531</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7544144</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>82830</EOYAmt>
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        <EOYAmt>687515</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1855588</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>234103</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>489177</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>83074482</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>29081594</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>53992888</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4211828</BOYAmt>
        <EOYAmt>4962254</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>62002336</BOYAmt>
        <EOYAmt>62304355</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4271754</BOYAmt>
        <EOYAmt>3790632</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>16557252</BOYAmt>
        <EOYAmt>15745134</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1253310</BOYAmt>
        <EOYAmt>944580</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>22082316</BOYAmt>
        <EOYAmt>20480346</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Facility: The Menninger Clinic - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Menninger surveyed patients in order to obtain input regarding barriers with obtaining care and needs specific to the patient populations served by Menninger. Input was also solicited regarding changes Menninger should make to improve health of the inpatients served by the organization. A total of 43 surveys were gathered. In addition, Menninger obtained input from 13 key stakeholders representing public health, mental health providers, universities, other hospitals providing psychiatric care, local government, and state and national organizations focused on mental health. Stakeholders were identified for input specific to inpatient or outpatient services.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: The Menninger Clinic - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to the Implementation Strategy found at www.menningerclinic.org/about/community-engagement</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: The Menninger Clinic - Part V, Section B, Line 15e</FormAndLineReferenceDesc>
        <ExplanationTxt>An individual who has been classified as "financially indigent" and who requests inpatient or outpatient psychiatric care at The Menninger Clinic shall be processed in accordance with the charity care policy and are not charged for their provided care. Contact information for non profits is provided verbally - it is not written in the policy.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: The Menninger Clinic - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>In an effort to notify members of the community about the availability of financial assistance, the Clinic also publicizes the policy by providing information on the availability of financial assistance for medically necessary care with the following community agencies:a) Texas Childrens Pediatric Associates (TCPA) Project Medical Home practicesb) The Gathering Placec) Meadows Mental Health Policy Instituted) Baylor College of Medicinee) National Alliance for Mental Illness - Houstonf) Mental Health America of Greater Houstong) Depression Bipolar Support Alliance Houston</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Any covered services provided to individuals covered under the financial assistance policy will be at no cost to the patient/guarantor. As such, no extra-ordinary collection actions will occur on emergency or medically necessary services to individuals covered under the financial assistance policy.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V - Explanation of Number of Facility Type</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization only has one facility.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual community needs assessment reports from local agencies, leadership and participation in trade organizations, internal customer service and satisfaction data and market analysis through business development department.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Information is discussed before/during the admission process.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Local, regional, and national patients suffering from mental illness who qualify according to the admission criteria. There are no geographic or demographic limitations for our service area.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Building Activities</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Continuing education programs in the local, regional, and national market and clinical presentations; active membership and/or leadership in trade organizations.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affilated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H, Part V, Line 4Facility: Menninger ClinicThe Clinic is providing disclosure pursuant to Rev. Proc. 2015-21 because completion of the Clinic's 2018 CHNA was delayed beyond the end of the Clinic's 2018 tax year, which ended June 30, 2019. The Clinic's leadership experienced turnover during that period of time, and there was misunderstanding as to the date by which all requirements of the CHNA, under Sec. 501(r), were to have been completed. The delay in completion was not willful or egregious and the correction of the matter, the completion of all requirements for the 2018 CHNA and Implementation Strategy, was done as promptly as possible. Discovery of the delay was made in March of 2020 during the preparation of the 2018 Form 990. The 2018 CHNA was completed as of November 15, 2019, and the related Implementation Strategy was adopted and made widely available to the public on April 16, 2020. Management for the Clinic has since updated its workplan to ensure that its next required CHNA and Implementation Strategy, for the 2021 tax year, are completed in accordance with the requirements of Sec. 501(r). Additionally, the Clinic's audited financial statements, starting with the year ending June 30, 2020 will contain a note describing the date of the most recently completed CHNA as an additional step to ensure compliance.A very important consideration is that, although the completion &amp; posting of the CHNA report was delayed, the Clinic continuously worked to implement several initiatives to directly address the community needs identified both in the 2016 and 2019 assessment reports. Cost of care and Lack of insuranceThe Clinic created a partial hospitalization program (PHP) for Child/Adolescents to expand access to individuals/families with lower income levels by decreasing the cost of care. The Clinic expanded financial assistance to outpatient programs resulting in a significant increase in access for underserved individuals in the greater Houston community. Patients eligible for financial assistance receive care completely free of charge. The clinic provided an average of $3 million per year in financial assistance.The Clinic expanded access to care for the most vulnerable youth in poor performing Houston areas schools. Through the BridgeUp program at Menninger program, high-risk youth were referred to Menninger for care at no cost to the families. The Clinics BridgeUp program provided the funding. The program also provided funding to support social-emotional learning to over 12,000 students in Houston area underserved and at-risk schools in the 2019 grant year.Shortage of mental health professionalsThe Clinic provides and fully funds the education for medical residents, psychologists, social workers and nurses. In the past 3 years we have provided education, resident rotations and fellowships and internships to approximately 500 individuals. A number of these individuals are hired by the Clinic once training is complete, many more remain in the Houston area and this directly addresses the shortage of mental health professionals.Stigma preventing people from accessing servicesThe Gathering Place is a program that directly serves adults who have been diagnosed with a mental illness by providing education, support for community integration and decreasing stigma. The program is fully funded by Menninger at no cost to the members. During the period from 2016 to 2019, the Clinic expanded program funding over 10% from $576,700 in 2018 to $639,200 in 2019.The Clinic also sponsors an annual luncheon each year, including 2016-2019 with the aim of reducing stigma and raising awareness of mental health treatment. The average attendance at the luncheon has been approximately 570 people, including community leaders and families. To maximize interest and attendance, the luncheon hosts a well-known professional athlete or celebrity who shares a personal experience dealing with mental health and helps promote mental health treatment to help address the stigma.Schedule H, Part V, Line 22Other Billing Determination of Individuals Without InsuranceFacility: Menninger ClinicPatients eligible for financial assistance are not charged for their care their full care is free.</ExplanationTxt>
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        <ExplanationTxt>OTHER PROGRAM SERVICES 4: The Comprehensive Psychiatric Assessment Service Program (CPAS)at The Menninger Clinic works closely with adults and their families who are dealing with challenging psychiatric issues or crisis, particularly patients who have not responded to previous attempts at treatment and medication. The CPAS also works with patients who require a comprehensive assessment or second opinion. Our patients in the program for stabilization struggle with a variety of issues, including depression, anxiety, mania and cognitive issues.The program offers two distinct services:(1) stabilization for acute symptoms and discharge planning and (2) comprehensive assessment, diagnosis and recommendations for next steps. OTHER PROGRAM SERVICES 5: The Adolescent Treatment program treats adolescents ages 12-17 who have complex psychiatric disorders co-occurring disorders, that is, a psychiatric disorder coupled with substance abuse or dependence. The programs interdisciplinary treatment team stabilizes acute symptoms to help identify core issues and determine next steps in treatment. The team offers in-depth assessments when an adolescent's diagnosis is unclear or a second opinion is needed. The team administers extensive psychological testing, and neuropsychological testing is also available. OTHER PROGRAM SERVICES 6: Pathfinder is a Community Integration program designed to provide therapeutic support to clients with a history of mental illness. Clients receive individual, family and group therapies to create a highly individualized approach to treatment. Additionally, clients are offered a choice of either living with additional therapeutic support in the Pathfinder apartment or in the more independent and self-directed day program. OTHER PROGRAM SERVICES 7: Menninger 360, a service that offers a private psychiatric assertive community treatment team in Texas. The team is a mobile mental health group of professionals who help clients work toward independence while developing and practicing skills to manage their mental health concerns and achieve their goals. OTHER PROGRAM SERVICES 8: Addictions Services: At Menninger, roughly 65 percent of patients have an addiction or substance abuse issue in addition to their primary psychiatric diagnoses. For these patients, the treatment teams and their addictions counselors integrate treatment for the co-occurring disorders simultaneously rather than treating the disorders sequentially. Our master's-prepared addictions counselors are an integral part of each program's interdisciplinary treatment team. They help develop individualized treatment plans and counsel adolescents and adults with co-occurring disorders, following patients from assessment through discharge planning for substance-related, gambling, sexual, spending, technology and other addictions. OTHER PROGRAM SERVICES 9: Eating Disorders Services: Our Eating Disorders Services are designed to support Menninger patients who have a co-existing eating disorder or whose eating-disorder behaviors have resurfaced during inpatient treatment for major depression, anxiety or other mental illness OTHER PROGRAM SERVICES 10: Wellness: At The Menninger Clinic, our focus is on treating patients psychiatric illnesses. Exercise is an important aspect of treatment, as it's been proven to reduce stress, improve sleep habits and influence self-esteem. To encourage patients to engage in exercise, Menninger offers a Wellness Center with an array of features that offers something for everyone. The Wellness Program also offers lectures on healthy eating, stress management, cardiac care and other topics related to mental and physical health. OTHER PROGRAM SERVICES 11: Outpatient Assessments &amp; Therapy: A four and one-half-day (4.5-day) outpatient assessment is available for anyone seeking a greater understanding of their symptoms and current issues in their personal or work life. The outpatient assessments team takes a look at the questions posed by you and the medical, genetic, psychological and social issues that may affect your current situation, health and well-being.We offer a range of outpatient therapy services for children, adolescents, adults, couples and families at The Menninger Clinic, including: Individual, group, marital and family psychotherapy, Dialectical behavior therapy, Cognitive behavioral therapy, Psychological testing, Substance abuse assessment, counseling and education, and Vocational assessment and education plus career counseling. OTHER PROGRAM SERVICES 12: The Gathering Place: In the fall of 2010, The Gathering Place, a psychosocial clubhouse, joined the array of Menninger programs. It is located about one mile from The Menninger Clinic. The Gathering Place provides free psychosocial rehabilitative services to more than 300 clubhouse members with severe and persistent mental illness. The most prevalent diagnoses among our members are schizophrenia, schizoaffective disorder, bipolar disorder and depression. The program provides support to its adult members through: Vocational skills training, Employment assistance, A wellness program, and Recreational and social activities OTHER PROGRAM SERVICES 13: Professional Assessments: An inpatient Professional Assessment at Menninger is a diagnostic service designed to assess individuals struggling with issues including: Drug or alcohol addiction, Psychiatric and co-occurring disorders, Sexual boundary violations, Disruptive behavior in the workplace, and Career stress and burnout. The Clinic also made a grant to its related organization, The Menninger Clinic Foundation. OTHER PROGRAM SERVICES 14: BridgeUp at Menninger aims to promote innovative collaborations among multi-sector community organizations to produce measurable improvement in the mental health status of communities, with a particular focus on vulnerable adolescents in Greater Houston schools, through the funding of one-year grants.</ExplanationTxt>
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        <ExplanationTxt>The Menninger Clinic Membership Foundation and Baylor College of Medicine are the only Members of the Clinic.</ExplanationTxt>
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        <ExplanationTxt>The Menninger Clinic Membership Foundation appoints 6 members of the board of the Clinic. Baylor College of Medicine appoints 3 members of the board of the Clinic. The remaining 6 members of the board are selected by a nominating committee of a cross section of board members.</ExplanationTxt>
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        <ExplanationTxt>The board of The Menninger Clinic Inc. (of Kansas) and the Trustees of the Baylor College of Medicine are corporate members who have the authority to approve members of the board of The Menninger Clinic. In the event there is a substantial change in business operations/purpose they also must approve this change.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and CFO review the Form 990 prior to providing a copy to the entire board and filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual disclosure by members of the board of directors of any potential conflict of interest is required. Review of accounting transactions and contractual agreements for potential instances of conflict of interest is conducted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The Human Resources department collects compensation data for similar positions in similar type organizations in the market area. In addition, independent consultants have reviewed corporate officer compensation and determined such compensation to be fair. This information is reported to the board of directors, who makes the final determination of compensation for officers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>See above process described in the response for 15a which is also followed for these individuals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in value of derivative agreement = $61108</ExplanationTxt>
      </SupplementalInformationDetail>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
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