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        <ProgramServicesAmt>1845048</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SERVICES</Desc>
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        <ProgramServicesAmt>585813</ProgramServicesAmt>
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        <ProgramServicesAmt>166168</ProgramServicesAmt>
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        <EOYAmt>1647962</EOYAmt>
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        <EOYAmt>1702192</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2012223</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>11055704</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11586316</BOYAmt>
        <EOYAmt>11055704</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12843938</BOYAmt>
        <EOYAmt>13067927</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-530612</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>17241848</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20087315</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4321225</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18721514</CurrentTaxYearAmt>
        <TotalAmt>74134474</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>13762572</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17241848</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20087315</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4321225</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18721514</CurrentTaxYearAmt>
        <TotalAmt>74134474</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>46570</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>59569</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>92402</CurrentTaxYearAmt>
        <TotalAmt>243045</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>74377519</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>265156</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99850</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <DepreciationAmt>377987</DepreciationAmt>
        <BookValueAmt>72497</BookValueAmt>
      </EquipmentGrp>
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        <DepreciationAmt>205766</DepreciationAmt>
        <BookValueAmt>5368</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>181693</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>1647962</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1647962</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY, CURRENT PORTION</Desc>
        <Amt>194416</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY, LESS CURRENT PORTION</Desc>
        <Amt>1507776</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1702192</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>19079072</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19079072</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19079072</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19609684</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19609684</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19609684</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT IS NOT AWARE OF ANY TAX POSITIONS THAT WOULD HAVE A SIGNIFICANT IMPACT ON ITS FINANCIAL POSITION. ITS FEDERAL TAX RETURN FOR THE LAST FOUR YEARS REMAIN SUBJECT TO EXAMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW CATES</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>240511</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>240511</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOWARD ROGERS</PersonNm>
        <TitleTxt>FORMER EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>106750</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>106750</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERRY D PERMENTER</PersonNm>
        <TitleTxt>FORMER DIRECTOR OF DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>256127</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>256127</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS COMPONENT OF AARC'S PERSONNEL POLICIES AND ENFORCED AS SUCH. ALL NEW HIRES MUST AGREE TO ABIDE BY THE POLICIES. SUPERVISORS MONITOR OUTSIDE ACTIVITIES AND OFFER CLARIFICATION AND GUIDANCE THAT MAY BE CONSIDERED A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>SOFTWARE PURCHASED: PROGRAM SERVICE EXPENSES 137,439. MANAGEMENT AND GENERAL EXPENSES 14,057. FUNDRAISING EXPENSES 4,685. TOTAL EXPENSES 156,181. MEDICAL AND TESTING SUPPLIES: PROGRAM SERVICE EXPENSES 146,328. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,328. COMMUNICATIONS: PROGRAM SERVICE EXPENSES 91,013. MANAGEMENT AND GENERAL EXPENSES 9,308. FUNDRAISING EXPENSES 3,102. TOTAL EXPENSES 103,423. SUPPLIES: PROGRAM SERVICE EXPENSES 56,016. MANAGEMENT AND GENERAL EXPENSES 5,728. FUNDRAISING EXPENSES 1,910. TOTAL EXPENSES 63,654. CLIENT TRANSPORTATION PROGRAM: PROGRAM SERVICE EXPENSES 40,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,325. JANITORIAL SERVICES: PROGRAM SERVICE EXPENSES 31,461. MANAGEMENT AND GENERAL EXPENSES 3,217. FUNDRAISING EXPENSES 1,073. TOTAL EXPENSES 35,751. EQUIPMENT PURCHASED: PROGRAM SERVICE EXPENSES 23,519. MANAGEMENT AND GENERAL EXPENSES 2,406. FUNDRAISING EXPENSES 800. TOTAL EXPENSES 26,725. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 23,516. MANAGEMENT AND GENERAL EXPENSES 2,406. FUNDRAISING EXPENSES 801. TOTAL EXPENSES 26,723. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 21,697. MANAGEMENT AND GENERAL EXPENSES 2,219. FUNDRAISING EXPENSES 739. TOTAL EXPENSES 24,655. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 19,916. MANAGEMENT AND GENERAL EXPENSES 2,037. FUNDRAISING EXPENSES 679. TOTAL EXPENSES 22,632. PRINTING: PROGRAM SERVICE EXPENSES 11,871. MANAGEMENT AND GENERAL EXPENSES 1,214. FUNDRAISING EXPENSES 404. TOTAL EXPENSES 13,489. SECURITY: PROGRAM SERVICE EXPENSES 11,030. MANAGEMENT AND GENERAL EXPENSES 1,128. FUNDRAISING EXPENSES 377. TOTAL EXPENSES 12,535. POSTAGE AND DELIVERY: PROGRAM SERVICE EXPENSES 7,614. MANAGEMENT AND GENERAL EXPENSES 780. FUNDRAISING EXPENSES 258. TOTAL EXPENSES 8,652. FUNDRAISING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 8,436. TOTAL EXPENSES 8,436. FEES AND LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,263. EDUCATION AND OUTREACH: PROGRAM SERVICE EXPENSES 919. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 919.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR MANAGEMENT REVIEW THE FINANCIAL STATEMENTS AND DISCUSS THEM WITH THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
