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      <OtherRevenueTotalAmt>1283</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12546850</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12496742</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>36740</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6594387</TotalAmt>
        <ProgramServicesAmt>5970840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>623547</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>45835</TotalAmt>
        <ProgramServicesAmt>41501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4334</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1186795</TotalAmt>
        <ProgramServicesAmt>1074575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112220</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>504471</TotalAmt>
        <ProgramServicesAmt>456770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47701</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>18241</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18241</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>54000</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54000</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>32857</TotalAmt>
        <ProgramServicesAmt>27135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5722</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>286939</TotalAmt>
        <ProgramServicesAmt>38124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248815</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>310856</TotalAmt>
        <ProgramServicesAmt>280158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30698</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>23510</TotalAmt>
        <ProgramServicesAmt>15905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7605</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>202250</TotalAmt>
        <ProgramServicesAmt>182025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20225</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>444687</TotalAmt>
        <ProgramServicesAmt>400218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44469</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>35929</TotalAmt>
        <ProgramServicesAmt>32336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3593</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NON-MEDICAL SUPPLIES</Desc>
        <TotalAmt>873887</TotalAmt>
        <ProgramServicesAmt>779640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94247</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>822359</TotalAmt>
        <ProgramServicesAmt>681109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141250</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>521268</TotalAmt>
        <ProgramServicesAmt>519506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1762</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES &amp; TAXES</Desc>
        <TotalAmt>297778</TotalAmt>
        <ProgramServicesAmt>268117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29661</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>250080</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>250080</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>12506129</TotalAmt>
        <ProgramServicesAmt>10767959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1738170</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>242960</BOYAmt>
        <EOYAmt>526626</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1182339</BOYAmt>
        <EOYAmt>1351460</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>25740</BOYAmt>
        <EOYAmt>37938</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15000148</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10784825</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3936884</BOYAmt>
        <EOYAmt>4215323</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2289231</BOYAmt>
        <EOYAmt>1997264</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>7677154</BOYAmt>
        <EOYAmt>8128611</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>566567</BOYAmt>
        <EOYAmt>595718</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9337754</BOYAmt>
        <EOYAmt>9719338</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>9904321</BOYAmt>
        <EOYAmt>10315056</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-2227167</BOYAmt>
        <EOYAmt>-2186445</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-2227167</BOYAmt>
        <EOYAmt>-2186445</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7677154</BOYAmt>
        <EOYAmt>8128611</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>40721</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="15000272">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>37126</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34830</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17242</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22271</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13368</CurrentTaxYearAmt>
        <TotalAmt>124837</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>11877327</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11092619</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11384071</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11839333</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12496742</CurrentTaxYearAmt>
        <TotalAmt>58690092</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11914453</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11127449</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11401313</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11861604</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12510110</CurrentTaxYearAmt>
        <TotalAmt>58814929</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>58814929</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>54458</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56541</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29341</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28840</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35960</CurrentTaxYearAmt>
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      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>54458</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56541</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29341</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28840</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35960</CurrentTaxYearAmt>
        <TotalAmt>205140</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1787</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1027</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1980</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>659</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>780</CurrentTaxYearAmt>
        <TotalAmt>6233</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <TotalAmt>59026302</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99640</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99600</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00350</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00380</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: MISCELLANEOUS REVENUES 2011: 1787. 2012: 1027. 2013: 1980. 2014: 659. 2015: 780.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="00000003">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>1409</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>1409</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II-B Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="00000004" softwareId="15000272">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>250000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>250000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8727327</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6783121</DepreciationAmt>
        <BookValueAmt>1944206</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5271676</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3345599</DepreciationAmt>
        <BookValueAmt>1926077</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>751145</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>656105</DepreciationAmt>
        <BookValueAmt>95040</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4215323</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES - SHORT TERM</Desc>
        <BookValueAmt>68931</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESIDENT ACCOUNTS HELD IN TRUST</Desc>
        <BookValueAmt>29603</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - LONG TERM</Desc>
        <BookValueAmt>11823</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - SHORT TERM</Desc>
        <BookValueAmt>256000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS - LONG TERM</Desc>
        <BookValueAmt>847586</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES - LONG TERM</Desc>
        <BookValueAmt>783321</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1997264</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES - SHORT TERM</Desc>
        <Amt>3048042</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES - LONG TERM</Desc>
        <Amt>2724942</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT ACCOUNTS HELD IN TRUST</Desc>
        <Amt>29603</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY LIABILITY</Desc>
        <Amt>456107</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS COMPENSATION - LONG TERM</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS COMPENSATION - SHORT TERM</Desc>
        <Amt>225644</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE - LONG TERM</Desc>
        <Amt>2810000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE - SHORT TERM</Desc>
        <Amt>425000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>9719338</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000005">
      <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>232787</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>22933</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12602</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>268322</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCCANN MD</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>562157</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>7392</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>196</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>36451</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24280</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>630476</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM ANOLIK</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>423270</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>135</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>58964</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24902</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>507271</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN GOLDSTEIN</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>825325</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>73757</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>879451</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16332</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1794865</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEONARD SHUTE</PersonNm>
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        <OtherCompensationRltdOrgsAmt>32844</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>19776</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13091</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>254237</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHY GRIMES</PersonNm>
        <BaseCompensationFilingOrgAmt>139337</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5130</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>144467</TotalCompensationFilingOrgAmt>
      </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="00000006" softwareId="15000272">
      <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 250080. 0. 250080. 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>
      <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>