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        <TitleTxt>CEO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES M KIRBY II</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE MARTINEZ MPA</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALFRED J MINA MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRAN PASCHALL MBA DNP RN CEND</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LINDSEY RHODEN</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBBY RUSSELL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE STRADLEY PHD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL STEEN MBA PHR SHRM-CP</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <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>
      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN LEVIN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>25159</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH BUYS</PersonNm>
        <TitleTxt>CHAIR, DEPT OF OBST. AND GYN.</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>350250</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>21406</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN HODGE</PersonNm>
        <TitleTxt>CHAIR, DEPT OF FAMILY MEDICINE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>240798</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26505</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL COULSON</PersonNm>
        <TitleTxt>DIVISION DIR, MATERNAL FETAL MED</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>502224</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>21406</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE CALL</PersonNm>
        <TitleTxt>RESIDENCY PROGDIR, INTERNAL MED</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERNEST FAGAN</PersonNm>
        <TitleTxt>CLIN DIR, SUBST USE DISORDER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30239</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN BUIE</PersonNm>
        <TitleTxt>CHAIR, PSYCHIATRY</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>309616</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN DAVIDSON</PersonNm>
        <TitleTxt>MATERNAL FETAL MED PHYS FACULTY</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>266118</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17949</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2851670</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>155015</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>86</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>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE VAN WINKLE LAW FIRM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 7376</AddressLine1Txt>
            <CityNm>ASHEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>750109</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MISSION HOSPITALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>509 BILTMORE AVENEU</AddressLine1Txt>
            <CityNm>ASHEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PULLIAM WESTRIDGE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1970 HENDERSONVILLE ROAD</AddressLine1Txt>
            <CityNm>ASHEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENTAL SERVICES</ServicesDesc>
        <CompensationAmt>362247</CompensationAmt>
      </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>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>272510</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4000000</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3258754</AllOtherContributionsAmt>
      <TotalContributionsAmt>7258754</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE CONTRACTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>69742220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69742220</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>34461393</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34461393</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTINUING PROFESSIONA</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1681457</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1681457</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1708605</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1708605</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>107593675</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>775791</TotalRevenueColumnAmt>
        <ExclusionAmt>775791</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>204651</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>204651</TotalRevenueColumnAmt>
        <ExclusionAmt>204651</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>24015988</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
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      </LessCostOthBasisSalesExpnssGrp>
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        <SecuritiesAmt>-241134</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-241134</TotalRevenueColumnAmt>
        <ExclusionAmt>-241134</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>115591737</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>107593675</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>739308</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>591048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>579010</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>67805115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>879558</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>257675</ProgramServicesAmt>
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        <ProgramServicesAmt>12249670</ProgramServicesAmt>
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        <ProgramServicesAmt>822741</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>315403</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>353061</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>60437</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>150759</ProgramServicesAmt>
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        <ProgramServicesAmt>218596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22525</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4084344</ProgramServicesAmt>
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        <ProgramServicesAmt>1209655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470451</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2647639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>768127</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1277355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93066</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>690624</TotalAmt>
        <ProgramServicesAmt>675647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14977</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3318269</ProgramServicesAmt>
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        <ProgramServicesAmt>1063072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5489</ManagementAndGeneralAmt>
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        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>4652215</TotalAmt>
        <ProgramServicesAmt>4530859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121356</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>106262966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7853387</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>6450</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7678249</EOYAmt>
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        <EOYAmt>7658868</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>9847461</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>541432</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2267078</BOYAmt>
        <EOYAmt>2294079</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>80547085</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>26835263</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>42251378</BOYAmt>
        <EOYAmt>53711822</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>26213235</BOYAmt>
        <EOYAmt>21691485</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>7286163</BOYAmt>
        <EOYAmt>12587606</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>103807800</BOYAmt>
        <EOYAmt>116017452</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6045449</BOYAmt>
        <EOYAmt>7058467</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1185329</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>29213439</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1753444</BOYAmt>
        <EOYAmt>1752128</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>28634555</BOYAmt>
        <EOYAmt>39209363</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>61487185</BOYAmt>
        <EOYAmt>58074086</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>13686060</BOYAmt>
        <EOYAmt>18734003</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>75173245</BOYAmt>
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        <PersonNm>BENJAMIN LEVIN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>196325</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221484</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <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 A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>KAPLAN CFO SOLUTIONS LLC FOR JEFF PIGG COO - $315,403</ExplanationTxt>
      </SupplementalInformationDetail>
      <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. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</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 -13,103. LOSS ON DISPOSAL OF PROPERTY &amp; EQUIPMENT -29,123.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERSIGHT AND SELECTION PROCESS IS UNCHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>
