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      <Desc>INTENSIVE AND SPECIALTY SERVICESTHIS PROGRAM PROVIDES RESIDENTIAL REHABILITATION, RESIDENTIAL CRISIS AND ASSERTIVE COMMUNITY TREATMENT. RESIDENTIAL REHABILITATION PROVIDES GENERAL AND INTENSIVE LEVEL HOUSING FOR UP TO 212 CONSUMERS. THE MISSION OF THE PROGRAM IS TO ASSIST PEOPLE REALIZE THEIR OWN GOAL OF LIVING AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRAINING, SUPERVISION AND ASSISTANCE IN THE SKILLS OF COMMUNITY LIVING. THE PROGRAM USES EVIDENCE-BASED PRACTICE MODELS SUCH AS DBT (DIALECTICAL BEHAVIORAL THERAPY), ITCOD (INTEGRATED TREATMENT OF CO-OCCURRING DISORDERS) AND IMR (ILLNESS MANAGEMENT AND RECOVERY) TO HELP CONSUMERS MOVE TO LESS INTENSIVE LEVELS OF RESIDENTIAL REHAB SUPPORTS. STAFFING AT THE DIFFERENT SITES RANGES FROM DROP-IN TO TWENTY-FOUR HOURS PER DAY. IN FY20 WE HAD 5 CONSUMERS MOVE TO A LOWER LEVEL OF SERVICE AND 13 CONSUMERS MOVE OUT ON THEIR OWN WITH SUPPORTED LIVING SUPPORTS. THIS REPRESENTS 8.5% OF THE 212 ADULT BEDS THAT WE SERVE. WE ADDED AN ADDITIONAL 12 BEDS TO OUR RESIDENTIAL PROGRAM IN FY20 FOR INTENSIVE SERVICES FOR TRANSITION AGED YOUTH.RESIDENTIAL CRISIS PROVIDES A COMMUNITY-BASED RESIDENTIAL ALTERNATIVE TO INPATIENT HOSPITALIZATION WITH INTENSIVE 24 HOURS PER DAY STAFF SUPERVISION TO HELP PEOPLE IN PSYCHIATRIC CRISIS BECOME STABILIZED AND RETURN TO NORMAL LIFE ROUTINES AS QUICKLY AS POSSIBLE. WE SERVED 250 CONSUMERS WITH THREE HOUSES IN FY20 FOR A 70% OCCUPANCY RATE (THIS IS A DECREASE FROM THE NORM DUE TO PANDEMIC PROTOCOLS FOR THE SAFETY OF OUR CLIENTS). APPROXIMATELY 56% OR MORE THAN HALF OF THE COMMUNITY REFERRALS CAME FROM HOSPITALS. A STAY IN THIS PROGRAM COSTS THE STATE ONE THIRD OF AN INPATIENT HOSPITAL VISIT AND RESEARCH SHOWS THIS MODEL TO BE EQUALLY EFFECTIVE. DURING THE COVID-19 PANDEMIC WE CONTINUED TO TAKE IN HOSPITAL AND COMMUNITY REFERRALS FOR THOSE IN NEED OF OUR ASSISTANCE.THE ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM IS AN INTENSIVE EVIDENCE BASED TREATMENT MODEL WHICH COMBINES OUTPATIENT MENTAL HEALTH AND PSYCHIATRIC REHABILITATION SERVICES OUT IN THE COMMUNITY. IT PROVIDES ASSERTIVE OUTREACH, TREATMENT AND SUPPORT TO ADULTS WHO HAVE NOT BEEN SUCCESSFUL IN MORE TRADITIONAL FORMS OF OUTPATIENT TREATMENT. SERVICE PROVISION IS MOBILE AND PROVIDED IN THE INDIVIDUAL'S NATURAL ENVIRONMENT (I.E. HOME, STREET, SHELTERS, ETC.). THIS IS CONSIDERED THE HIGHEST LEVEL OF CARE PROVIDED TO CLIENTS IN A COMMUNITYBASED SETTING. THE TEAM IS COMPRISED OF THERAPISTS, ADDICTION SPECIALISTS, VOCATIONAL SPECIALISTS, PEER COUNSELOR, PSYCHIATRIST AND NURSES AND CAN SERVE UP TO 200 CONSUMERS. THIS YEAR WE HOUSED 11 HOMELESS CLIENTS, REDUCED BILLING TO MEDICAID BY 46.9% FOR OUR CLIENTS AND ADMITTED 52 CLIENTS FOR SERVICES. WE CONTINUED TO SERVE THIS POPULATION THROUGHOUT THE COVID-19 PANDEMIC.</Desc>
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        <Desc>COMMUNITY SERVICES COMMUNITY SERVICES ENCOMPASS OUR VOCATIONAL, TRANSITION AGED YOUTH, DAY AND SUPPORTED LIVING PROGRAMS.VOCATIONAL SERVICES INCLUDE VOCATIONAL ASSESSMENT AND PLANNING, SUPPORTED EMPLOYMENT JOB SEARCH AND COACHING SERVICES, WORK ADJUSTMENT TRAINING, JOB PLACEMENT AND EMPLOYEE SUPPORT SERVICES. THE PROGRAM HELPED A TOTAL OF 694 CONSUMERS LOOK FOR, FIND AND MAINTAIN EMPLOYMENT IN FY20. THIS REPRESENTS AN EMPLOYMENT RATE OF 60.4% WHICH IS MORE THAN THREE TIMES THE NATIONAL AVERAGE OF 20.4% EMPLOYMENT FOR PEOPLE WITH DISABILITIES. THE AVERAGE LENGTH OF TIME AT A JOB WAS 128 WEEKS DURING FY20. THE AVERAGE WAGE EARNED BY OUR WORKING CONSUMERS INCREASED TO $15.34/HOUR FROM $14.63/HOUR. IN TOTAL OUR CONSUMERS EARNED APPROXIMATELY $4.5 MILLION IN FY 20.TRANSITION AGE YOUTH SERVICES ARE ALSO PROVIDED UNDER THE UMBRELLA OF THE VOCATIONAL PROGRAMS. THE CAREER TRANSITION PROGRAM PROVIDES A UNIQUE COMBINATION OF MENTAL HEALTH, CAREER/VOCATIONAL AND EDUCATIONAL RESOURCES TO ASSIST STUDENTS AND THEIR FAMILIES AND YOUNG ADULTS IN IDENTIFYING AND OBTAINING NECESSARY RESOURCES TO ASSIST IN A SUCCESSFUL TRANSITION FROM SCHOOL TO WORK OR POST-SECONDARY ACADEMIC ENVIRONMENTS. THE CAREER ACADEMIC PSYCHIATRIC-REHABILITATION SERVICES PROVIDES A COMBINATION OF SUPPORTED EDUCATION AND SUPPORTED EMPLOYMENT SERVICES TO YOUNG ADULTS AGE 18-25 POST HIGH SCHOOL TO ASSIST THEM IN ACHIEVING THEIR EMPLOYMENT AND ACADEMIC GOALS. THESE TEAMS SERVED 154 CONSUMERS AND ALSO MAINTAINED A 57.1% RATE OF EMPLOYMENT IN FY 20. OUT OF THE 88 YOUTH EMPLOYED, 79 OF THEM MAINTAINED THEIR JOBS FOR 90+ DAYS.DAY PROGRAMS (FOUNDATIONS) PROVIDE OUTPATIENT REHABILITATION TRAINING, SEMINARS AND SOCIAL/RECREATIONAL ACTIVITIES TO ASSIST PEOPLE IN DEVELOPING INDEPENDENT LIVING SKILLS AND COMMUNITY INTEGRATION SKILLS. ANYONE IN ANY OF THE PSYCHIATRIC REHABILITATION PROGRAMS IS ELIGIBLE TO PARTICIPATE IN THE DAY PROGRAMS. MOST SKILL DEVELOPMENT AND RECOVERY ACTIVITIES ARE PROVIDED IN A GROUP SETTING AND CONSUMERS HAVE SIGNIFICANT INPUT INTO CLASSES AND ACTIVITIES.SUPPORTED LIVING SERVICES PROVIDE COUNSELING AND INDEPENDENT LIVING SKILLS TRAINING TO PEOPLE LIVING IN THEIR OWN HOMES IN THE COMMUNITY. THE PROGRAM IS ORGANIZED TO ASSIST PEOPLE TO LIVE AS INDEPENDENTLY AS POSSIBLE THROUGH COUNSELING, SKILL DEVELOPMENT AND OTHER SUPPORT AND ASSISTANCE ON A DROP IN" BASIS. THIS PROGRAM ALSO PROVIDES EVIDENCE BASED PRACTICES IN DBT, ITCOD AND IMR. IN FY20, OVER 97% HAD STABLE HOUSING DURING THE YEAR.</Desc>
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        <Desc>CLINICAL AND MEDICAL SERVICES OUTPATIENT MENTAL HEALTH CLINICS PROVIDE OUTPATIENT PSYCHIATRIC THERAPY AND MEDICATION SERVICES TO MORE THAN 1,400 INDIVIDUALS IN THE COMMUNITY. THE PROGRAM IS ORGANIZED TO PROVIDE CONTINUITY AND INTEGRATED CARE WITH OTHER PROVIDERS INCLUDING PCP, SPECIALTY, AND OTHER BEHAVIORAL HEALTH SERVICES. IT OFFERS INDIVIDUAL AND GROUP TREATMENT MODALITIES. THE PROGRAM USES EVIDENCE BASE PRACTICE INTERVENTIONS SUCH AS FAMILY PSYCHO-EDUCATION, DIALECTIC BEHAVIORAL THERAPY, AND INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS. IN ADDITION, THE INDIVIDUAL THERAPY, GROUP THERAPY AND MEDICATION SERVICES ARE AVAILABLE TO ANYONE IN THE COMMUNITY IN NEED OF SUCH SERVICES. OVER 90% OF THE PEOPLE SERVED IN THE CLINICS REPORTED AN IMPROVEMENT IN SYMPTOMS IN FY20. INTEGRATED HEALTH SERVICES DEPARTMENT OVERSEES THE HEALTH HOME PROGRAM, A STATE MEDICAID PROGRAM TO IMPROVE THE SOMATIC HEALTH OF PEOPLE WITH SERIOUS MENTAL HEALTH PROBLEMS. HEALTH HOMES TRACKS HEALTH DATA AND TO SUPPORT CLIENTS WITH CHRONIC SOMATIC CONDITIONS SUCH AS DIABETES, HYPERTENSION OR A HIGH BMI BY LINKING THEM TO MEDICAL CARE AND SUPPORTING THEM IN ACTIVITIES THAT PROMOTE WELLNESS. 75% OF CLIENTS RECEIVED ONE A1C AND APPROXIMATELY 48% RECEIVED TWO A1C TESTS DURING FY20. CLIENTS TESTING WITHIN NORMAL RANGES FOR LDL LEVELS INCREASED FROM 54 OR 22% OF 250 CLIENTS SERVED TO 195 OR 78% OF CLIENTS SERVED. THE INTEGRATED HEALTH SERVICES DEPARTMENT ALSO FOCUSED ON TOBACCO CESSATION ACROSS THE ENTIRE AGENCY. 58 CLIENTS UTILIZED NICOTINE REPLACEMENT THERAPIES TO REDUCE OR STOP SMOKING. 3 HAVE REPORTED QUITTING FULLY AND 19 HAVE REPORTED REDUCING THE AMOUNT THEY SMOKE.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9690</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCES MACDONALD</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132673</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8917</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GWENDOLYN ZECHA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>116890</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13322</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAITLIN ELSENBECK</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121448</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>516</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER KNOLL</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>52672</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6950</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIANA BLACK</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES WASHINGTON</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK ROBINS</PersonNm>
        <TitleTxt>COMMITTEE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE COSTOPOULOS</PersonNm>
        <TitleTxt>COMMITTEE CHAIR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CELIA YOUNG</PersonNm>
        <TitleTxt>COMMITTEE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA URLAND MONZI</PersonNm>
        <TitleTxt>COMMITTEE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUNE NOLAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE RITTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA WOOD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER COGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SOMA GANESH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TAMI MARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NHORA BARRERA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEY FREEMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERKAN ERDEM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JON KIA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENICA CASSIDY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA EDWARDS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA KAY-ROTH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1400881</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>80061</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IJAZ KHAN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2132 EDGEWATER PARKWAY</AddressLine1Txt>
            <CityNm>SILVER SPRING</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>191150</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CREDIBLE BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 34456</AddressLine1Txt>
            <CityNm>BETHESDA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20817</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SOFTWARE</ServicesDesc>
        <CompensationAmt>122212</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLIFTONLARSONALLEN LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 829664</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19182</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING</ServicesDesc>
        <CompensationAmt>106446</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>20714</FundraisingAmt>
      <GovernmentGrantsAmt>3141526</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1264436</AllOtherContributionsAmt>
      <NoncashContributionsAmt>46829</NoncashContributionsAmt>
      <TotalContributionsAmt>4426676</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INTENSIVE &amp; SPECIALTY SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>14068183</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14068183</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMUNITY SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4685826</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4685826</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC &amp; MEDICAL SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>2651896</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2651896</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>21405905</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>85883</TotalRevenueColumnAmt>
        <ExclusionAmt>85883</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>336364</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>247666</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>88698</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>88698</TotalRevenueColumnAmt>
        <ExclusionAmt>88698</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1257687</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1245872</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>11815</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>11815</TotalRevenueColumnAmt>
        <ExclusionAmt>11815</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>25108</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>20714</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>46315</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-21207</TotalRevenueColumnAmt>
        <ExclusionAmt>-21207</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
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        <Desc>HUD PROPERTY MANAGEMENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>83397</TotalRevenueColumnAmt>
        <ExclusionAmt>83397</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EXTERNAL TRAINING &amp; STUDIO SALES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>31761</TotalRevenueColumnAmt>
        <ExclusionAmt>31761</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>31172</TotalRevenueColumnAmt>
        <ExclusionAmt>31172</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26144100</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21405905</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>311519</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>405084</TotalAmt>
        <ProgramServicesAmt>405084</ProgramServicesAmt>
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        <TotalAmt>656415</TotalAmt>
        <ProgramServicesAmt>258649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>378747</ManagementAndGeneralAmt>
        <FundraisingAmt>19019</FundraisingAmt>
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        <TotalAmt>16201944</TotalAmt>
        <ProgramServicesAmt>14156998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1835462</ManagementAndGeneralAmt>
        <FundraisingAmt>209484</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>191954</TotalAmt>
        <ProgramServicesAmt>188747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2037</ManagementAndGeneralAmt>
        <FundraisingAmt>1170</FundraisingAmt>
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        <TotalAmt>1685128</TotalAmt>
        <ProgramServicesAmt>1411008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263755</ManagementAndGeneralAmt>
        <FundraisingAmt>10365</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1454574</TotalAmt>
        <ProgramServicesAmt>1238105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197460</ManagementAndGeneralAmt>
        <FundraisingAmt>19009</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>39381</TotalAmt>
        <ManagementAndGeneralAmt>39381</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>66640</TotalAmt>
        <ManagementAndGeneralAmt>66640</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>171640</TotalAmt>
        <ProgramServicesAmt>119015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13175</ManagementAndGeneralAmt>
        <FundraisingAmt>39450</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>9733</TotalAmt>
        <ProgramServicesAmt>529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1983</ManagementAndGeneralAmt>
        <FundraisingAmt>7221</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>225908</TotalAmt>
        <ProgramServicesAmt>146483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75079</ManagementAndGeneralAmt>
        <FundraisingAmt>4346</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>283456</TotalAmt>
        <ProgramServicesAmt>172394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111062</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2095173</TotalAmt>
        <ProgramServicesAmt>1714089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>377646</ManagementAndGeneralAmt>
        <FundraisingAmt>3438</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>311505</TotalAmt>
        <ProgramServicesAmt>295024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15786</ManagementAndGeneralAmt>
        <FundraisingAmt>695</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>9451</TotalAmt>
        <ProgramServicesAmt>7303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2148</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>666653</TotalAmt>
        <ProgramServicesAmt>394779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>269962</ManagementAndGeneralAmt>
        <FundraisingAmt>1912</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>192863</TotalAmt>
        <ProgramServicesAmt>83581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109282</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE AND FEES</Desc>
        <TotalAmt>368280</TotalAmt>
        <ProgramServicesAmt>30741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>333145</ManagementAndGeneralAmt>
        <FundraisingAmt>4394</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONSUMER NEEDS</Desc>
        <TotalAmt>214140</TotalAmt>
        <ProgramServicesAmt>207360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6754</ManagementAndGeneralAmt>
        <FundraisingAmt>26</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT RECOVERY</Desc>
        <TotalAmt>58086</TotalAmt>
        <ProgramServicesAmt>58086</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATED GOODS</Desc>
        <TotalAmt>46830</TotalAmt>
        <ProgramServicesAmt>46830</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>108817</TotalAmt>
        <ProgramServicesAmt>26977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81840</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>25463655</TotalAmt>
        <ProgramServicesAmt>20961782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4181344</ManagementAndGeneralAmt>
        <FundraisingAmt>320529</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1236674</BOYAmt>
        <EOYAmt>3861639</EOYAmt>
      </CashNonInterestBearingGrp>
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        <EOYAmt>301104</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2350008</BOYAmt>
        <EOYAmt>2842647</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>43415</EOYAmt>
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        <BOYAmt>327766</BOYAmt>
        <EOYAmt>481853</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>23685425</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7911859</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16123222</BOYAmt>
        <EOYAmt>15773566</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1613260</BOYAmt>
        <EOYAmt>1659008</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1464422</BOYAmt>
        <EOYAmt>1607165</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>23172726</BOYAmt>
        <EOYAmt>26570397</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1146784</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>24608</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>3909685</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1709241</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>3840964</EOYAmt>
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        <EOYAmt>1115039</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>8979939</BOYAmt>
        <EOYAmt>11746321</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>13483189</BOYAmt>
        <EOYAmt>13489565</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>709598</BOYAmt>
        <EOYAmt>1334511</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14192787</BOYAmt>
        <EOYAmt>14824076</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23172726</BOYAmt>
        <EOYAmt>26570397</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>680445</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-49156</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>780205</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2603030</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1394547</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1100693</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4426676</CurrentTaxYearAmt>
        <TotalAmt>10305151</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>780205</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2603030</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1394547</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1100693</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4426676</CurrentTaxYearAmt>
        <TotalAmt>10305151</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>661949</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>9643202</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>92197</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>205253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>276782</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>441553</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>422247</CurrentTaxYearAmt>
        <TotalAmt>1438032</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>70677</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>504640</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>228061</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>228645</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>146330</CurrentTaxYearAmt>
        <TotalAmt>1178353</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12921536</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>107360668</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.74630</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.75220</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2015 AMOUNT: $ 70,677. 2016 AMOUNT: $ 396,929. INSURANCE PROCEED ACCREDITATION - 2017 AMOUNT: $ 101,323. 2019 AMOUNT: $ 31,172. EXTERNAL TRAINING STUDIO SALES - 2017 AMOUNT: $ 31,349. 2019 AMOUNT: $ 31,761. HUD PROPERTY MANAGEMENT FEES - 2016 AMOUNT: $ 20,782. 2017 AMOUNT: $ 20,782. 2018 AMOUNT: $ 228,645. 2019 AMOUNT: $ 83,397. ACT - SHELTER SERVICES - 2016 AMOUNT: $ 66,291. OTHER REVENUE - 2016 AMOUNT: $ 20,638. 2017 AMOUNT: $ 74,607.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>222580</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>5100</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>227680</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>212544</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>10036</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>222580</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>191235</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>21309</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>212544</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>168550</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>22685</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>191235</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>176289</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-7739</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>168550</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.87840</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.12160</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1910201</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1910201</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>19917482</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6797501</DepreciationAmt>
        <BookValueAmt>13119981</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>889824</DepreciationAmt>
        <BookValueAmt>351642</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>616276</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>391742</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>15773566</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED LEASE INCENTIVE</Desc>
        <BookValueAmt>878575</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS AND OTHER ASSETS</Desc>
        <BookValueAmt>728590</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE</Desc>
        <Amt>326033</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
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        <Amt>12728</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PARTICIPATION LIABILITY</Desc>
        <Amt>674195</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED LEASE INCENTIVE</Desc>
        <Amt>8000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED INTEREST</Desc>
        <Amt>94083</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1115039</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-49156</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>143425</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>94269</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26438081</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-293981</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-293981</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>26144100</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25901061</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>143425</DonatedServicesUseFcltsAmt>
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      <ExpensesNotReportedAmt>437406</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>25463655</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>25463655</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT CORPUS OF $200,000 MUST BE MAINTAINED IN PERPETUITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION. INCOME DETERMINED TO BE UNRELATED BUSINESS INCOME IS TAXABLE. MANAGEMENT IS OF THE OPINION THAT NO LIABILITY WILL RESULT FROM THESE ACTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSE 46,315. RENTAL EXPENSE 247,666.</ExplanationTxt>
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        <Event1Nm>GALA</Event1Nm>
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        <CharitableContriEvent1Amt>20714</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>24117</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>20012</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>10486</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>10228</EntertainmentEvent1Amt>
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        <Event2Nm>OTHER</Event2Nm>
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        <CharitableContriEvent2Amt>0</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>991</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>1257</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>45822</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>20714</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>25108</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>20012</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>10486</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>10228</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>5589</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>46315</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-21207</NetIncomeSummaryAmt>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>RESIDENTIAL ALLOWANCE</GrantTypeTxt>
        <RecipientCnt>218</RecipientCnt>
        <CashGrantAmt>405084</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>270039</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8211</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>4978</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>RUTH MURRAY</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246040</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5028</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>9639</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>CARI CHO</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5016</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7794</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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        <ContributionCnt>113</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>UNIT VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTIONS AND NOT THE NUMBER OF ITEMS.</ExplanationTxt>
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    </IRS990ScheduleM>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS COMPOSED OF COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD RELEVANT TO MATTERS UNDER THE COMMITTEES PURVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 AND ALL RELATED SCHEDULES ARE REVIEWED BY THE CHIEF EXCECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND THE FINANCE COMMITTEE FOR ACCURACY AND COMPLETENESS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT COVERS ALL PERSONS IN A POSITION OF AUTHORIY OVER THE ORGANIZATION, INCLUDING OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES. THE OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. SUCH INTERESTS INCLUDE A LIST OF FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS AND OTHER TRANSACTIONS OR AFFILIATIONS WITH BUSINESSES OR OTHER ORGANIZATIONS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A MARKET SURVEY OF SIMILAR POSITIONS IN SIMILAR INDUSTRIES IS PERFORMED. FINAL COMPENSATION AMOUNTS ARE APPROVED BY THE BOARD AND DISCUSSIONS AND APPROVALS ARE DOCUMENTED IN THE BOARD MINUTES. THIS WAS LAST PERFORMED IN 2016 WITH AN EXTERNAL CONSULTANT FOR A FULL MARKET COMPARISON OF ALL POSITIONS. IN 2017 THE BOARD REVIEWED MHCA ANNUAL CEO AND TOP MANAGEMENT SURVEY AND THE US BUREAU OF LABOR STATISTICS INFORMATION FROM 2018 TO THE CURRENT YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE ON OUR COMMON DRIVE TO EMPLOYEES 24/7. THEY ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>