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      <TotalLiabilitiesGrp>
        <BOYAmt>9435336</BOYAmt>
        <EOYAmt>9912587</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-353674</BOYAmt>
        <EOYAmt>719507</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-353674</BOYAmt>
        <EOYAmt>719507</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9081662</BOYAmt>
        <EOYAmt>10632094</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1323179</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-249998</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>9283222</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10198470</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>272784</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>19754476</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>48963570</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>46245463</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>41806957</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54167070</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>55473488</CurrentTaxYearAmt>
        <TotalAmt>246656548</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>58246792</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56443933</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>42079741</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54167070</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>55473488</CurrentTaxYearAmt>
        <TotalAmt>266411024</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>266411024</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>58246792</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56443933</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>42079741</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54167070</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>55473488</CurrentTaxYearAmt>
        <TotalAmt>266411024</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>97000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>45035</DepreciationAmt>
        <BookValueAmt>51965</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>51965</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>Healthcare Prog</Desc>
        <BookValueAmt>1527488</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>1527488</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to HRA</Desc>
        <Amt>428250</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>2105000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2533250</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gabriele Sofos</PersonNm>
        <TitleTxt>Executive Dir</TitleTxt>
        <BaseCompensationFilingOrgAmt>197998</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47342</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>245340</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nick Glatzer</PersonNm>
        <TitleTxt>Dir of Finance</TitleTxt>
        <BaseCompensationFilingOrgAmt>105000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47342</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152342</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A committee, established by the governing body of the organization, with theresponsibilities to oversee the organizations financial reporting process, monitorchoice of accounting policies and principles, monitor internal control processes,oversee hiring and performance of any external auditors, reviews the overalladequacy and presentation of the Federal Tax Return Form 990 and any other state andlocal tax filings prior to their filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OFINTEREST POLICY ON AN ANNUAL BASIS. THEY COMPLETE AND SIGN A DISCLOSUREQUESTIONNAIRE, REPRESENTING THAT THEY HAVE REVIEWED THE POLICY AND HAVE REPORTED ANYPOTENTIAL CONFLICTS THAT EXIST. DISCLOSED CONFLICTS ARE REVIEWED BY THE BOARD OFDIRECTORS AND, FOLLOWING A REVIEW OF THE MATTER, THE BOARD MAKES A FINALDETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the Corporations Executive Director, senior management, are established by the Executive Committee of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the Corporations key employees are established by the Executive Committee of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Corporation makes its governing documents, conflict of interest policies, andfinancial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>