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      <TotalOtherCompensation>181306</TotalOtherCompensation>
      <NumberIndividualsGT100K>16</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <NumberOfContractorsGT100K>0</NumberOfContractorsGT100K>
      <FederatedCampaigns>411</FederatedCampaigns>
      <AllOtherContributions>35992</AllOtherContributions>
      <TotalContributions>36403</TotalContributions>
      <ProgramServiceRevenue>
        <Description>SCCAAA</Description>
        <TotalRevenueColumn>841057</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>841057</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
        <Description>Private Pay</Description>
        <TotalRevenueColumn>2171695</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2171695</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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        <TotalRevenueColumn>7774025</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7774025</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
        <Description>Medicaid</Description>
        <TotalRevenueColumn>8134012</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8134012</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
        <Description>Commercial Insurance</Description>
        <TotalRevenueColumn>2038810</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2038810</RelatedOrExemptFunctionIncome>
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      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>322829</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>322829</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>21282428</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>74600</TotalRevenueColumn>
        <ExclusionAmount>74600</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>1330413</Securities>
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      <LessCostOthBasisSalesExpenses>
        <Securities>1385959</Securities>
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      <GainOrLoss>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-55546</TotalRevenueColumn>
        <ExclusionAmount>-55546</ExclusionAmount>
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      <NetIncomeFromFundraisingEvents>
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      <NetIncomeFromGaming>
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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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      </ForeignGrants>
      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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        <ProgramServices>1570776</ProgramServices>
        <ManagementAndGeneral>817443</ManagementAndGeneral>
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      <OtherSalariesAndWages>
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      <PensionPlanContributions>
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        <ProgramServices>284676</ProgramServices>
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      <OtherEmployeeBenefits>
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      <PayrollTaxes>
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      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>57497</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>61000</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>34240</ManagementAndGeneral>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      <Advertising>
        <Total>172482</Total>
        <ManagementAndGeneral>172482</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>892545</Total>
        <ProgramServices>221273</ProgramServices>
        <ManagementAndGeneral>671272</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>487463</Total>
        <ManagementAndGeneral>487463</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>402279</Total>
        <ProgramServices>380790</ProgramServices>
        <ManagementAndGeneral>21489</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>54022</Total>
        <ManagementAndGeneral>54022</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>300</Total>
        <ManagementAndGeneral>300</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>206878</Total>
        <ManagementAndGeneral>206878</ManagementAndGeneral>
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      <Insurance>
        <Total>126577</Total>
        <ManagementAndGeneral>126577</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Recruitment</Description>
        <Total>59014</Total>
        <ManagementAndGeneral>59014</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Provision For Losses on A/R</Description>
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        <ProgramServices>49916</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
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        <ManagementAndGeneral>45378</ManagementAndGeneral>
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      <OtherExpenses>
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        <ManagementAndGeneral>1318</ManagementAndGeneral>
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      <AllOtherExpenses>
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      </AllOtherExpenses>
      <TotalFunctionalExpenses>
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        <ProgramServices>15873782</ProgramServices>
        <ManagementAndGeneral>5979077</ManagementAndGeneral>
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      <SavingsAndTempCashInvestments>
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      <ReceivablesFromOfficersEtc>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
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      <LandBuildingsEquipmentBasis>1422575</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsProgramRelated>
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        <EOY>660000</EOY>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalLiabNetAssetsFundBalances>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
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      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
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        <CurrentTaxYear>36403</CurrentTaxYear>
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        <CurrentTaxYearMinus2Years>17938215</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20016881</CurrentTaxYearMinus1Year>
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      <GrossReceiptsFromNonUBI>
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      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
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      <ValueOfSvcsFcltsFurnishdByGovt>
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      <AmtsRecdFromDisqualPersons>
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      <AmtsFromSubstContributors>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
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      <GrassrootsNontaxableAmount>
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      </GrassrootsNontaxableAmount>
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      <LobbyingNontaxableAmount2>
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        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
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      <TotalLobbyingExpenditures2>
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        <CurrentYearMinus2>30000</CurrentYearMinus2>
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        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
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        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
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    </IRS990ScheduleD>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The Organization's governing documents, conflict of interest policy and financial statements are available upon request. Information is maintained by the management of the Organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The Chairperson of the Board of Directors reviews the President/CEO's performance and approves any compensation changes. If the Chairperson deems it necessary, he or she will also seek input from the Executive Committee of the Board of Directors. Other top management's performance is reviewed by the President/CEO, who also approves any compensation changes for other top management.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Annually, all members of the Board of Directors are required to read the conflict of interest policy statement, disclose any conflicts of interest, and sign.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Organization's audit firm prepares IRS Form 990 from information provided by the Organization. A draft copy is reviewed and approved by management. The draft copy is then forwarded to the Finance Committee for their review and input, if any. The draft is then presented to the complete Board of Directors for their review and input, if any. The final copy is then filed with the Internal Revenue Service.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>The Board of Directors consists of community volunteers, who interact with each other in the normal course of business (i.e. banker, lawyer, accountant, etc.) unrelated to the activities of the Organization.</Explanation>
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