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        <ProgramServicesAmt>49085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1523</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1411598</TotalAmt>
        <ProgramServicesAmt>1369131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42467</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>526525</TotalAmt>
        <ProgramServicesAmt>510685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15840</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>20237</TotalAmt>
        <ProgramServicesAmt>18213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2024</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>5410</TotalAmt>
        <ProgramServicesAmt>4869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>541</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>23672</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23672</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>293356</TotalAmt>
        <ProgramServicesAmt>170388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122968</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>314371</TotalAmt>
        <ProgramServicesAmt>297976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16395</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>15967</TotalAmt>
        <ProgramServicesAmt>9948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6019</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>177175</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177175</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>392084</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>392084</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>46058</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46058</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>NON-MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>816759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154434</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>800944</TotalAmt>
        <ProgramServicesAmt>701235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99709</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>603396</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES &amp; TAXES</Desc>
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        <ProgramServicesAmt>766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>266022</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>11228065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1770576</ManagementAndGeneralAmt>
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        <BOYAmt>526626</BOYAmt>
        <EOYAmt>334981</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1351460</BOYAmt>
        <EOYAmt>2093066</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>37938</BOYAmt>
        <EOYAmt>45049</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15225166</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11176909</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4215323</BOYAmt>
        <EOYAmt>4048257</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>1987708</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8509061</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>595718</BOYAmt>
        <EOYAmt>631761</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>9719338</BOYAmt>
        <EOYAmt>10257860</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>10315056</BOYAmt>
        <EOYAmt>10889621</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-2186445</BOYAmt>
        <EOYAmt>-2380560</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-2186445</BOYAmt>
        <EOYAmt>-2380560</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8128611</BOYAmt>
        <EOYAmt>8509061</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-194117</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="16000371">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
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      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>34830</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17242</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22271</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13368</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12620</CurrentTaxYearAmt>
        <TotalAmt>100331</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>11092619</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11384071</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11839333</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12496742</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12742527</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>11401313</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11861604</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12510110</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12755147</CurrentTaxYearAmt>
        <TotalAmt>59655623</TotalAmt>
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      <PublicSupportTotal509Amt>59655623</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>56541</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35960</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49377</CurrentTaxYearAmt>
        <TotalAmt>200059</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>56541</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35960</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49377</CurrentTaxYearAmt>
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      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1027</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1980</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>659</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>780</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>51</CurrentTaxYearAmt>
        <TotalAmt>4497</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <TotalAmt>59860179</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99660</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99640</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00330</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00350</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: MISCELLANEOUS REVENUES 2012: 1027. 2013: 1980. 2014: 659. 2015: 780. 2016: 51.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="16000371">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>250000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>250000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8727327</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6918762</DepreciationAmt>
        <BookValueAmt>1808565</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5496694</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3582366</DepreciationAmt>
        <BookValueAmt>1914328</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>751145</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>675781</DepreciationAmt>
        <BookValueAmt>75364</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4048257</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES - SHORT TERM</Desc>
        <BookValueAmt>25460</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESIDENT ACCOUNTS HELD IN TRUST</Desc>
        <BookValueAmt>37480</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - LONG TERM</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - SHORT TERM</Desc>
        <BookValueAmt>279379</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS - LONG TERM</Desc>
        <BookValueAmt>805300</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES - LONG TERM</Desc>
        <BookValueAmt>840089</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1987708</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES - SHORT TERM</Desc>
        <Amt>4188080</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES - LONG TERM</Desc>
        <Amt>2537216</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT ACCOUNTS HELD IN TRUST</Desc>
        <Amt>37480</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY LIABILITY</Desc>
        <Amt>481000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS COMPENSATION - SHORT TERM</Desc>
        <Amt>204084</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE - LONG TERM</Desc>
        <Amt>2365000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE - SHORT TERM</Desc>
        <Amt>445000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10257860</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000004">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM HALL MD</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>236379</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>55</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>22881</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>9052</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>268367</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCCANN MD</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>573450</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>523</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>36399</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24580</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>634952</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM ANOLIK</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>424528</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>438</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>57599</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17960</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>500525</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN GOLDSTEIN</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>954740</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>71968</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>584899</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16618</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1628225</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHY GRIMES</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>7259</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150437</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEONARD SHUTE</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>188461</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>32844</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>19724</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13260</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>254289</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000005" softwareId="16000371">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS 194966. 0. 194966. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SEE ATTACHED</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>SEE ATTACHED</AddressLine1Txt>
          <CityNm>SEE ATTACHED</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>000000000</ZIPCd>
        </USAddress>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SEE ATTACHED</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>SEE ATTACHED</AddressLine1Txt>
          <CityNm>SEE ATTACHED</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>000000000</ZIPCd>
        </USAddress>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SEE ATTACHED</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>SEE ATTACHED</AddressLine1Txt>
          <CityNm>SEE ATTACHED</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>000000000</ZIPCd>
        </USAddress>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>