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        <ProgramServicesAmt>283456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31320</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>27139</TotalAmt>
        <ProgramServicesAmt>18223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8916</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>247775</TotalAmt>
        <ProgramServicesAmt>222998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24777</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>460843</TotalAmt>
        <ProgramServicesAmt>414759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46084</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>33672</TotalAmt>
        <ProgramServicesAmt>30304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3368</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NON-MEDICAL SUPPLIES</Desc>
        <TotalAmt>825605</TotalAmt>
        <ProgramServicesAmt>752767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72838</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>567542</TotalAmt>
        <ProgramServicesAmt>414458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153084</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>496853</TotalAmt>
        <ProgramServicesAmt>485619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11234</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>106456</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106456</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>257766</TotalAmt>
        <ProgramServicesAmt>232135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25631</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>10954476</TotalAmt>
        <ProgramServicesAmt>9479853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1474623</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>321072</BOYAmt>
        <EOYAmt>364607</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1427538</BOYAmt>
        <EOYAmt>1083880</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>25495</BOYAmt>
        <EOYAmt>15387</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>14395547</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10270844</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4354373</BOYAmt>
        <EOYAmt>4124703</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1631160</BOYAmt>
        <EOYAmt>2023884</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>7759638</BOYAmt>
        <EOYAmt>7612461</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>606424</BOYAmt>
        <EOYAmt>589821</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9974247</BOYAmt>
        <EOYAmt>9365515</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10580671</BOYAmt>
        <EOYAmt>9955336</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-2821033</BOYAmt>
        <EOYAmt>-2342875</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-2821033</BOYAmt>
        <EOYAmt>-2342875</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7759638</BOYAmt>
        <EOYAmt>7612461</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>478158</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="13000178">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>44091</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29797</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>37126</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34830</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17242</CurrentTaxYearAmt>
        <TotalAmt>163086</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>11421423</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11475348</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11877327</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11092619</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11384071</CurrentTaxYearAmt>
        <TotalAmt>57250788</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11465514</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11505145</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11914453</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11127449</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11401313</CurrentTaxYearAmt>
        <TotalAmt>57413874</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>57413874</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>64906</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>53342</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54458</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56541</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29341</CurrentTaxYearAmt>
        <TotalAmt>258588</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>64906</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>53342</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54458</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56541</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29341</CurrentTaxYearAmt>
        <TotalAmt>258588</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>33946</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4710</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1787</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1027</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1980</CurrentTaxYearAmt>
        <TotalAmt>43450</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <TotalAmt>57715912</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99480</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99270</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00450</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00650</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Pt III Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: MISCELLANEOUS REVENUES</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Pt III Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>2009: 33946.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Pt III Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>2010: 4710.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Pt III Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>2011: 1787.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Pt III Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>2012: 1027.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Pt III Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>2013: 1980.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="00000003">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>725</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>725</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II-B Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="00000004" softwareId="13000178">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>250000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>250000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8727327</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6343581</DepreciationAmt>
        <BookValueAmt>2383746</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4672565</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3314446</DepreciationAmt>
        <BookValueAmt>1358119</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>745655</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>612817</DepreciationAmt>
        <BookValueAmt>132838</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4124703</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES - SHORT TERM</Desc>
        <BookValueAmt>28623</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESIDENT ACCOUNTS HELD IN TRUST</Desc>
        <BookValueAmt>19195</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - LONG TERM</Desc>
        <BookValueAmt>517141</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - SHORT TERM</Desc>
        <BookValueAmt>261000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS - LONG TERM</Desc>
        <BookValueAmt>666243</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES - LONG TERM</Desc>
        <BookValueAmt>531682</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2023884</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES - SHORT TERM</Desc>
        <Amt>2129772</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT ACCOUNTS HELD IN TRUST</Desc>
        <Amt>19195</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY LIABILITY</Desc>
        <Amt>373305</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS COMPENSATION - LONG TERM</Desc>
        <Amt>2570291</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS COMPENSATION - SHORT TERM</Desc>
        <Amt>262952</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE - LONG TERM</Desc>
        <Amt>3635000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE - SHORT TERM</Desc>
        <Amt>375000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>9365515</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>11432634</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>11432634</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>11432634</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10954476</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>10954476</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>10954476</TotalExpensesPerForm990Amt>
    </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>235965</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>22999</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8871</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>267835</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCCANN MD</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>551450</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>41392</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>48</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>36667</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>1219</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>630776</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEONARD SHUTE</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>461162</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>590607</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>155801</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22670</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1230240</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>558263</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN GOLDSTEIN</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>889314</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>56872</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>258967</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>4039</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1209192</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000006" softwareId="13000178">
      <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 19</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>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES &amp; TAXES 257766. 232135. 25631. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000007" softwareId="13000178">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>SEE ATTACHED</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>SEE ATTACHED</AddressLine1>
          <City>SEE ATTACHED</City>
          <State>NY</State>
          <ZIPCode>000000000</ZIPCode>
        </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>