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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENT MAST</PersonNm>
        <TitleTxt>CAO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY V WALLACE</PersonNm>
        <TitleTxt>ADVANCED PRACTICE PROVIDER</TitleTxt>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER PAUL KOGUT</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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      <OtherExpensesGrp>
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        <EOYAmt>229221</EOYAmt>
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        <CurrentTaxYearMinus3YearsAmt>5231945</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8167142</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7937628</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6388474</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>8167142</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7937628</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6388474</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>3637</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>853</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>78711</CurrentTaxYearAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <BookValueAmt>1323108</BookValueAmt>
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      <RevenueSubtotalAmt>12243160</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PERIODIC REPORTS TO FUNDERS: QUARTERLY, SEMI-ANNUALLY AND ANNUALLY. SITE VISITS AND AUDITS BY FEDERAL FUNDERS.</ExplanationTxt>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>DR PATRICIA T COOK</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>687</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>306687</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER PAUL KOGUT</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>7634</DeferredCompensationFlngOrgAmt>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MEALS AND OTHER ITEMS</Desc>
        <ContributionCnt>72</ContributionCnt>
        <NoncashContributionsRptF990Amt>57137</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO REVIEWS THE TAX RETURN AND PRESENTS IT TO THE FINANCE AND AUDIT COMMITTEE. ONCE THEY ACCEPT IT, THE 990 IS THEN AVAILABLE TO THE ENITRE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TWO INDEPENDENT BOARD MEMBERS CONDUCT THE ANNUAL REVIEW AND THEN THE ENTIRE BOARD FORMALLY ACCEPTS THE COMPENSATION RECOMMENDATION IN THE MINUTES OF THE BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS AVAILABLE ONLINE FOR REVIEW AND ANYONE REQUESTING A COPY OF OUR AUDIT CAN CALL AND WE WILL MAIL IT OR THEY ARE FREE TO STOP BY AND PICK IT UP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
