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        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MARTIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DWAYNE PARKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANTIAGO PEREGRINO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE PRICH</PersonNm>
        <TitleTxt>ASSISTANT SE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MONICA REYES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE STOLSMARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PASTOR CRAIG TATUM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY ZLOMAK</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3660808</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>360376</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>107</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CMU-MEDICAL EDUCATION PARTNERS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 HOUGHTON AVE</AddressLine1Txt>
            <CityNm>SAGINAW</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROVIDERS</ServicesDesc>
        <CompensationAmt>444814</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PYRAMID PAVING CO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 N JEFFERSON</AddressLine1Txt>
            <CityNm>BAY CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48708</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>316935</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ACTALENT SCIENTIFIC LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7301 PARKWAY DR</AddressLine1Txt>
            <CityNm>HANOVER</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21076</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>312470</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CLEAN TEAM INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 513</AddressLine1Txt>
            <CityNm>TOLDEO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43697</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING</ServicesDesc>
        <CompensationAmt>268115</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SERENUS JOHNSON CONSTRUCTION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5178 KASEMEYER RD</AddressLine1Txt>
            <CityNm>BAY CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48706</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HVAC UPGRADES</ServicesDesc>
        <CompensationAmt>206012</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>41700</FundraisingAmt>
      <GovernmentGrantsAmt>15187728</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1606863</AllOtherContributionsAmt>
      <NoncashContributionsAmt>509879</NoncashContributionsAmt>
      <TotalContributionsAmt>16836291</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEES FOR SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>63683221</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63683221</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>63683221</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>150250</TotalRevenueColumnAmt>
        <ExclusionAmt>150250</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>57803</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>50252</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>7551</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>7551</TotalRevenueColumnAmt>
        <ExclusionAmt>7551</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <ContriRptFundraisingEventAmt>41700</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>13345</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-13345</TotalRevenueColumnAmt>
        <ExclusionAmt>-13345</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>21664</TotalRevenueColumnAmt>
        <ExclusionAmt>21664</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>21664</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>80685632</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63683221</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>166120</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2734910</TotalAmt>
        <ProgramServicesAmt>593319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2141591</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>33115615</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1306241</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3840083</TotalAmt>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
        <TotalAmt>95265</TotalAmt>
        <ManagementAndGeneralAmt>95265</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>95503</TotalAmt>
        <ProgramServicesAmt>19090</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>36795</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>1015427</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1848208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>212735</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>487719</TotalAmt>
        <ProgramServicesAmt>316195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170739</ManagementAndGeneralAmt>
        <FundraisingAmt>785</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>64635</TotalAmt>
        <ProgramServicesAmt>41496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21889</ManagementAndGeneralAmt>
        <FundraisingAmt>1250</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>111375</TotalAmt>
        <ProgramServicesAmt>23625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87750</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1184471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>215660</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>132095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129636</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MINOR EQUIPMENT</Desc>
        <TotalAmt>1497787</TotalAmt>
        <ProgramServicesAmt>872390</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE/IMPROVEMENTS</Desc>
        <TotalAmt>932201</TotalAmt>
        <ProgramServicesAmt>703942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>228259</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>175222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>140543</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTINUING EDUCATION</Desc>
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        <ProgramServicesAmt>216932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51033</ManagementAndGeneralAmt>
        <FundraisingAmt>1795</FundraisingAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>61389886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12965190</ManagementAndGeneralAmt>
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        <EOYAmt>16270335</EOYAmt>
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        <EOYAmt>4241465</EOYAmt>
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        <EOYAmt>23999560</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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        <Desc>THIRD PARTY COST SETTLEMENTS</Desc>
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