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        <PersonNm>Karen Dusci-Famoso</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Nally</PersonNm>
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        <OtherCompensationAmt>16807</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Heath</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Sparks</PersonNm>
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        <OtherCompensationAmt>7875</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rick Scherich</PersonNm>
        <TitleTxt>Corporate Controller</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Felici</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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          <BusinessName>
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        <ContractorAddress>
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            <State>PA</State>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Medical Information Technology Inc</BusinessNameLine1>
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        <ContractorAddress>
          <USAddress>
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            <State>MA</State>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Beyond Marketing</PersonNm>
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          <USAddress>
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            <City>Wheeling</City>
            <State>WV</State>
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        <ServicesDesc>Advertising</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Steptoe &amp; Johnson PLLC</BusinessNameLine1>
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          <USAddress>
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            <City>Bridgeport</City>
            <State>WV</State>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>121166</ProgramServicesAmt>
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        <ProgramServicesAmt>683390</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>726997</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1498967</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Equipment Rental</Desc>
        <TotalAmt>1080599</TotalAmt>
        <ProgramServicesAmt>1080576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>14118064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2986560</ManagementAndGeneralAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>5810</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>52843075</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>10531</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>119617</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>11630756</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9227169</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2403587</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>564416</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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