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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>72114</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5692731</GovernmentGrantsAmt>
      <TotalContributionsAmt>5692731</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>8354989</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>8354989</TotalProgramServiceRevenueAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueTotalAmt>436313</OtherRevenueTotalAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>75054</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>139897</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>75350</ProgramServicesAmt>
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      <OccupancyGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>4073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2673</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
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        <ProgramServicesAmt>424540</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
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      <OtherExpensesGrp>
        <Desc>FURNITURE AND FIXTURES</Desc>
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      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>111095</EOYAmt>
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        <EOYAmt>1192633</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <BOYAmt>7865140</BOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7865140</BOYAmt>
        <EOYAmt>8746751</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9126529</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>881611</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>6196648</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5848997</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5451703</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5374679</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5692731</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>335556</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>335556</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>335556</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>335556</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>6184553</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>5710235</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6028287</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>30242538</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>887</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7902</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>648</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2852</CurrentTaxYearAmt>
        <TotalAmt>13779</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>89883</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>91148</CurrentTaxYearMinus1YearAmt>
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      <TotalSupportAmt>31146572</TotalSupportAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>119210</OtherCostOrOtherBasisAmt>
        <BookValueAmt>119210</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1857897</DepreciationAmt>
        <BookValueAmt>517121</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>689937</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>456492</DepreciationAmt>
        <BookValueAmt>233445</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1221749</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1128996</DepreciationAmt>
        <BookValueAmt>92753</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>948382</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>645617</DepreciationAmt>
        <BookValueAmt>302765</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1265294</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14331130</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>335556</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>335556</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13995574</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>499325</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>499325</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14494899</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13449519</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>335556</DonatedServicesUseFcltsAmt>
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      <ExpensesSubtotalAmt>13113963</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>499325</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13613288</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF BAD DEBT EXPENSE FOR 990 499,325.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF BAD DEBTS EXPENSE FOR 990 499,325.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>143638</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10055</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13362</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167055</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD BEZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>251075</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10043</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9936</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271054</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED REGUALARLY AND HANDLED ACCORDINGLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED PERIODICALLY BASED ON COMPARABILITY DATA BY BOARD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FROM 990, PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XII, LINCE 2C NO CHANGE FROM PRIOR YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>