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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lawrence Ricci MD</PersonNm>
        <TitleTxt>Program Director</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>168888</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23793</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Haines MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>154347</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22350</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Walter DO</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>164132</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1020672</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>121319</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Dirigo Management</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1 City Center 1</AddressLine1>
            <City>Portland</City>
            <State>ME</State>
            <ZIPCode>04101</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Property Management</ServicesDesc>
        <CompensationAmt>494787</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Boulos Property Management</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1 Canal Plaza</AddressLine1>
            <City>Portland</City>
            <State>ME</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Property Management</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Soft Trac</BusinessNameLine1>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>361 Route 1</AddressLine1>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
        <Desc>Fees for Services</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>46890544</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>539796</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Training Revenue</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>178792</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Charity Care Adj.</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>-261305</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>47347827</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>66032</TotalRevenueColumnAmt>
        <ExclusionAmt>66032</ExclusionAmt>
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        <SecuritiesAmt>348711</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>348711</SecuritiesAmt>
        <OtherAmt>5767</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>354478</TotalRevenueColumnAmt>
        <ExclusionAmt>354478</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>51138</FundraisingGrossIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>5123</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>51041536</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>425633</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>641983</ProgramServicesAmt>
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        <FundraisingAmt>1898</FundraisingAmt>
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        <TotalAmt>92454</TotalAmt>
        <ManagementAndGeneralAmt>92454</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>80151</TotalAmt>
        <ManagementAndGeneralAmt>80151</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>983761</ProgramServicesAmt>
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      <OccupancyGrp>
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      <TravelGrp>
        <TotalAmt>1021173</TotalAmt>
        <ProgramServicesAmt>968328</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48871</ManagementAndGeneralAmt>
        <FundraisingAmt>3974</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>489625</TotalAmt>
        <ProgramServicesAmt>404460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85165</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>856591</TotalAmt>
        <ProgramServicesAmt>738157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111918</ManagementAndGeneralAmt>
        <FundraisingAmt>6516</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>3375618</TotalAmt>
        <ProgramServicesAmt>3136825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>203991</ManagementAndGeneralAmt>
        <FundraisingAmt>34802</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies/Nutrit</Desc>
        <TotalAmt>1066453</TotalAmt>
        <ProgramServicesAmt>1066364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Service Provider Tax</Desc>
        <TotalAmt>966427</TotalAmt>
        <ProgramServicesAmt>966427</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Staff Enhancement</Desc>
        <TotalAmt>420790</TotalAmt>
        <ProgramServicesAmt>275864</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142065</ManagementAndGeneralAmt>
        <FundraisingAmt>2861</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
        <TotalAmt>380031</TotalAmt>
        <ProgramServicesAmt>388465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57601</ManagementAndGeneralAmt>
        <FundraisingAmt>-66035</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>183797</TotalAmt>
        <ManagementAndGeneralAmt>183797</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3704266</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>4152934</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>6179988</BOYAmt>
        <EOYAmt>4675663</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>489512</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>23165957</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11285070</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>11713167</BOYAmt>
        <EOYAmt>11880887</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>119037</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>123541</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>433515</BOYAmt>
        <EOYAmt>605322</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>25751162</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>8155294</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>208235</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>7982832</EOYAmt>
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        <EOYAmt>364702</EOYAmt>
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        <EOYAmt>317103</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>17028166</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>8675612</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>18773</EOYAmt>
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        <BOYAmt>35388</BOYAmt>
        <EOYAmt>28611</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>8722996</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25323890</BOYAmt>
        <EOYAmt>25751162</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>972431</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1905836</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3912086</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4011076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2267647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3268076</CurrentTaxYearAmt>
        <TotalAmt>16974947</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>4011076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2267647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3268076</CurrentTaxYearAmt>
        <TotalAmt>16974947</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>83642</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>65820</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>70234</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>66032</CurrentTaxYearAmt>
        <TotalAmt>403253</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>240320</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>1063282</TotalAmt>
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      <Form990ScheduleAPartIVGrp>
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        <ExplanationTxt>Bad Debt Recovery 2010 Amount: $822,962 2012 Amount: $240,320</ExplanationTxt>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>2398</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>A portion of the dues paid to an organization were attributable to lobbying expenses.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1598950</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1598950</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>8585043</DepreciationAmt>
        <BookValueAmt>8638706</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>467120</DepreciationAmt>
        <BookValueAmt>236267</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2232907</DepreciationAmt>
        <BookValueAmt>659665</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>747299</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Program Settlements Payable</Desc>
        <Amt>317103</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>317103</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>52993387</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueNotReportedAmt>1951851</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>51041536</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>51041536</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>50115120</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>46015</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>46015</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>50069105</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>50069105</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Net Assets for funded status of Pension Plan 1,905,836. Fundraising Events 46,015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Events 46,015.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <PersonNm>Daniel Bonner</PersonNm>
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        <PersonNm>David Walter DO</PersonNm>
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      <TaxExemptBondsIssuesGrp>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <CUSIPNum>560425L40</CUSIPNum>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>MHHEFA Revenue Bond Series 2010B</BusinessNameLine1>
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      <TaxExemptBondsProceedsGrp>
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      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>Brendan Bonner</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Son of Vice President and COO Daniel Bonner</RelationshipDescriptionTxt>
        <TransactionAmt>23025</TransactionAmt>
        <TransactionDesc>Wages earned as an employee</TransactionDesc>
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        <MethodOfDeterminingRevenuesTxt>Stock Market Price</MethodOfDeterminingRevenuesTxt>
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        <Desc>Medical Equip</Desc>
        <ContributionCnt>14</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Fair Market Value</MethodOfDeterminingRevenuesTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 was assembled by the Finance Department of Spurwink Services. The information on the form was shared, discussed and revised by appropriate members of the Senior Administrative Team prior to the review of Spurwink Services' President. Form 990 was presented and reviewed in detail by the Finance/Audit Committee of the Board of Directors. Questions on the submission were discussed and necessary changes were made. The reviewed document was sent to each member of the Board of Directors for final review prior to filing with the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of a disclosure form is distributed to members of the Board of Directors and Officers present at the Annual Meeting. Members of the Board and Officers are asked to complete the Conflict of Interest Document and return the completed form prior to the end of the meeting. All people who were not in attendance at the Annual Meeting are mailed a copy of the form and are asked to complete and return it.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually the Treasurer of Spurwink Services gathers data from other agencies on the compensation of officers. The data is collected from wage surveys and prior year IRS Form 990's from agencies of like size and mission. The information is shared with the Board of Directors. The Board sets the wage for the President of Spurwink Services and recommends to the President the wages for the Vice President of Operations, Treasurer, and CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Spurwink Services provides copies of its Form 990, governing documents, conflict of interest policy and financial statements upon request. The governing documents are filed with the Maine Secretary of State. Financial statements are public documents through our business with the Maine Departments of Health and Human Service, Education and Corrections.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Net Assets for funded status of Pension Plan 1,905,836.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>