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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>ROBBY RUSSEL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>LINDSEY RHODEN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARIN WATERS PHD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF PIGG</PersonNm>
        <TitleTxt>SECRETARY-TREASURER/COO</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE STRADLEY PHD</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD J FALK MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFERY HECK MD</PersonNm>
        <TitleTxt>CEO (FORMER)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN LEVIN</PersonNm>
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        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13493</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL J FRAYNE</PersonNm>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERNEST FAGAN</PersonNm>
        <TitleTxt>CHAIR DEPARTMENT OF FAMILY MEMBER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22709</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH BUYS MD</PersonNm>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE DIXON MD</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN DAVIDSON</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>22199</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA CARROLL</PersonNm>
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        <OtherCompensationAmt>11809</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM GIST</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7705</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL COULSON MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34415</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>82</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RYSE CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5 S TUPELO DR</AddressLine1Txt>
            <CityNm>HORSE SHOE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28742</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CUMBERLAND GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30339</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MISSION HOSPITALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>509 BILTMORE AVENUE</AddressLine1Txt>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28801</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MISSION HLTH COMM MULTISPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 550</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37202</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LS3P ASSOCIATES LTD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 601577</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28260</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9338385</GovernmentGrantsAmt>
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      <TotalContributionsAmt>12958349</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>64440830</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64440830</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>27502264</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27502264</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTINUING PROFESSIONA</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>697361</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>697361</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>2518888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2518888</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>95159343</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>323069</TotalRevenueColumnAmt>
        <ExclusionAmt>323069</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>194558</RealAmt>
      </GrossRentsGrp>
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      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>194558</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>194558</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>736663</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
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        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>736663</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>736663</TotalRevenueColumnAmt>
        <ExclusionAmt>736663</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1254290</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>1542743</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>56672923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2641202</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1102185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90011</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6403882</ProgramServicesAmt>
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        <ProgramServicesAmt>4046516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330462</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>312933</ProgramServicesAmt>
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        <ProgramServicesAmt>289898</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>59340</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>150759</ProgramServicesAmt>
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        <ProgramServicesAmt>282273</ProgramServicesAmt>
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        <ProgramServicesAmt>3463075</ProgramServicesAmt>
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        <ProgramServicesAmt>1409805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115203</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2328622</ProgramServicesAmt>
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        <ProgramServicesAmt>960565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78493</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>658337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53797</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3699520</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302310</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>886455</ProgramServicesAmt>
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        <ProgramServicesAmt>91410252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7022537</ManagementAndGeneralAmt>
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        <EOYAmt>7150</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>13388159</EOYAmt>
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        <EOYAmt>6616544</EOYAmt>
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        <EOYAmt>5210664</EOYAmt>
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        <EOYAmt>567429</EOYAmt>
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        <EOYAmt>2267078</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>42251378</EOYAmt>
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        <EOYAmt>26213235</EOYAmt>
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        <EOYAmt>7286163</EOYAmt>
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        <EOYAmt>103807800</EOYAmt>
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        <EOYAmt>1406242</EOYAmt>
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        <EOYAmt>19429420</EOYAmt>
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        <EOYAmt>1753444</EOYAmt>
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        <EOYAmt>28634555</EOYAmt>
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        <EOYAmt>61487185</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3237403</BOYAmt>
        <EOYAmt>13686060</EOYAmt>
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        <EOYAmt>75173245</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>95009943</BOYAmt>
        <EOYAmt>103807800</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>10939193</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>-39289</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>242991</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>BENJAMIN LEVIN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181893</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13493</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195386</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE PERFORMANCE OF THE CEO ANNUALLY AND APPROVES COMPENSATION FOR THE CEO. CEO COMPENSATION IS DETERMINED THROUGH REVIEW OF INTERNAL PAY GRADES AND COMPARISONS TO MARKET SURVEY DATA IN RELATION TO CEO PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 WILL BE REVIEWED BY THE OFFICERS AND THE BOARD PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE PERFORMANCE OF THE CEO ANNUALLY AND APPROVES COMPENSATION FOR THE CEO. CEO COMPENSATION IS DETERMINED THROUGH REVIEW OF INTERNAL PAY GRADES AND COMPARISONS TO MARKET SURVEY DATA . OTHER OFFICERS COMPENSATION IS DETERMINED BY THE CEO AND DIRECTOR OF TALENT MANAGEMENT. THE CFO AND DIRECTOR OF TALENT MANAGEMENT DETERMINE KEY EMPLOYEE SALARIES THROUGH REVIEW OF INTERNAL PAY GRADES AND MARKET COMPARISONS. COMPENSATION IS APPROVED BY THESE PARTIES COLLECTIVELY. THE BOARD AND FINANCE COMMITTEE APPROVE AN OPERATING BUDGET ANNUALLY WHICH INCLUDES SALARY EXPENSE FOR THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE IN PERPERTUALLY RESTRICTED -39,289.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERSIGHT AND SELECTION PROCESS IS UNCHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
