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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SANCHEZ</PersonNm>
        <TitleTxt>PAST SECRETA</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTIE LEE</PersonNm>
        <TitleTxt>PAST TREASUR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN DECKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KEELEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR ROBERT PALAZZOLO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORMAN BRADLEY III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2659368</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TERRAFORM SOLAR XVII MANAGER LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7550 WISCONSIN AVE 9TH FLOOR</AddressLine1Txt>
            <CityNm>BETHESDA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20814</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOLAR POWER</ServicesDesc>
        <CompensationAmt>250850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPSTEIN CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>990 E 17TH STREET SUITE 106</AddressLine1Txt>
            <CityNm>TUCSON</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85719</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>201764</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FASPSYCH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8687 E VIA DE VENTURA</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TELEMEDICINE</ServicesDesc>
        <CompensationAmt>117916</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5385487</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>292470</AllOtherContributionsAmt>
      <NoncashContributionsAmt>58958</NoncashContributionsAmt>
      <TotalContributionsAmt>5677957</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>39482419</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>39482419</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AHCCCS PPS REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2015600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2015600</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1228458</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1228458</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COPPER CAFE SALES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>225680</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>225680</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>86863</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>86863</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>83452</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>83452</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>43122472</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>112335</TotalRevenueColumnAmt>
        <ExclusionAmt>112335</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>289161</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>289161</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>289161</TotalRevenueColumnAmt>
        <ExclusionAmt>289161</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER MISCELLANEOUS INCOME</Desc>
        <BusinessCd>448000</BusinessCd>
        <TotalRevenueColumnAmt>211437</TotalRevenueColumnAmt>
        <ExclusionAmt>211437</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>211437</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>49413362</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43122472</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>612933</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1231418</TotalAmt>
        <ProgramServicesAmt>1048577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182841</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>28898450</TotalAmt>
        <ProgramServicesAmt>24607561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4290889</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>595509</TotalAmt>
        <ProgramServicesAmt>507076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88433</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2601834</TotalAmt>
        <ProgramServicesAmt>2215509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>386325</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2154957</TotalAmt>
        <ProgramServicesAmt>1834985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>319972</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>21858</TotalAmt>
        <ProgramServicesAmt>18212</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3646</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>108645</TotalAmt>
        <ProgramServicesAmt>90521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18124</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1280501</TotalAmt>
        <ProgramServicesAmt>1066893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213608</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>216411</TotalAmt>
        <ProgramServicesAmt>107341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108251</ManagementAndGeneralAmt>
        <FundraisingAmt>819</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3342131</TotalAmt>
        <ProgramServicesAmt>3255827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86304</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1441075</TotalAmt>
        <ProgramServicesAmt>832094</ProgramServicesAmt>
        <ManagementAndGeneralAmt>608981</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2426168</TotalAmt>
        <ProgramServicesAmt>2183115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>243053</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>235260</TotalAmt>
        <ProgramServicesAmt>171759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63501</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>94500</TotalAmt>
        <ProgramServicesAmt>68993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25507</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>742802</TotalAmt>
        <ProgramServicesAmt>611263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131539</ManagementAndGeneralAmt>
      </InterestGrp>
      <InsuranceGrp>
        <TotalAmt>207917</TotalAmt>
        <ProgramServicesAmt>103128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104002</ManagementAndGeneralAmt>
        <FundraisingAmt>787</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <TotalAmt>2662580</TotalAmt>
        <ProgramServicesAmt>2093827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>568753</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSES</Desc>
        <TotalAmt>1290442</TotalAmt>
        <ProgramServicesAmt>640074</ProgramServicesAmt>
        <ManagementAndGeneralAmt>645486</ManagementAndGeneralAmt>
        <FundraisingAmt>4882</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE AND FEES</Desc>
        <TotalAmt>119281</TotalAmt>
        <ProgramServicesAmt>59164</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59666</ManagementAndGeneralAmt>
        <FundraisingAmt>451</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTINUING EDUCATION</Desc>
        <TotalAmt>96648</TotalAmt>
        <ProgramServicesAmt>47938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48344</ManagementAndGeneralAmt>
        <FundraisingAmt>366</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>74855</TotalAmt>
        <ProgramServicesAmt>37129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37443</ManagementAndGeneralAmt>
        <FundraisingAmt>283</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>49843242</TotalAmt>
        <ProgramServicesAmt>41600986</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8234668</ManagementAndGeneralAmt>
        <FundraisingAmt>7588</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>158386</BOYAmt>
        <EOYAmt>487393</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9450134</BOYAmt>
        <EOYAmt>8295684</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>549732</BOYAmt>
        <EOYAmt>330339</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>10755713</BOYAmt>
        <EOYAmt>9309647</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>375455</BOYAmt>
        <EOYAmt>404662</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>635169</BOYAmt>
        <EOYAmt>970037</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50347756</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>32305336</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>661373</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>791688</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>80453</EOYAmt>
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        <EOYAmt>30326</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>53666938</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3386337</EOYAmt>
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        <EOYAmt>18773263</EOYAmt>
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        <EOYAmt>812956</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>21345705</BOYAmt>
        <EOYAmt>22972556</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>31124262</BOYAmt>
        <EOYAmt>30694382</EOYAmt>
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        <EOYAmt>30694382</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>52469967</BOYAmt>
        <EOYAmt>53666938</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-429880</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>8011245</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>5489336</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>291681</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>63269</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>210437</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.94610</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>OTHER INCOME 1,069,792</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>4466166</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>1011723</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>1981373</DepreciationAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>2371563</DepreciationAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES - 457 (F) PLAN</Desc>
        <Amt>439702</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES - 457(B) PLAN</Desc>
        <Amt>221671</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>151583</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>812956</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>49413362</TotalRevEtcAuditedFinclStmtAmt>
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