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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J BUCKLEY EDD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD DEW</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3103376</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1353745</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCENTURE CONSULTING GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 70629</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
        <CompensationAmt>1987314</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <ProgramServiceRevenueGrp>
        <Desc>SURVEY FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>30209174</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30209174</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATION INCOME</Desc>
        <BusinessCd>513190</BusinessCd>
        <TotalRevenueColumnAmt>2273339</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2273339</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>1272781</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1272781</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>USPEQ SERVICE INCOME</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>941474</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>941474</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SEMINAR &amp; CONFERENCE</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>395469</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>395469</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>174053</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>174053</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>35266290</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2218390</TotalRevenueColumnAmt>
        <ExclusionAmt>2218390</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>13024022</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>13018814</SecuritiesAmt>
        <OtherAmt>2427</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>5208</SecuritiesAmt>
        <OtherAmt>-2427</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2781</TotalRevenueColumnAmt>
        <ExclusionAmt>2781</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCOME FROM EMPLOYEE BENEFIT FUND</Desc>
        <BusinessCd>525100</BusinessCd>
        <TotalRevenueColumnAmt>479693</TotalRevenueColumnAmt>
        <ExclusionAmt>479693</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>479693</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>37967154</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35266290</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2700864</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2410852</TotalAmt>
        <ProgramServicesAmt>344729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2066123</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12785727</TotalAmt>
        <ProgramServicesAmt>10638613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2147114</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>412946</TotalAmt>
        <ProgramServicesAmt>412946</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2351048</TotalAmt>
        <ProgramServicesAmt>1547844</ProgramServicesAmt>
        <ManagementAndGeneralAmt>803204</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>973180</TotalAmt>
        <ProgramServicesAmt>783139</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190041</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>4348</TotalAmt>
        <ManagementAndGeneralAmt>4348</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>239101</TotalAmt>
        <ManagementAndGeneralAmt>239101</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>220843</TotalAmt>
        <ManagementAndGeneralAmt>220843</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <AdvertisingGrp>
        <TotalAmt>137995</TotalAmt>
        <ManagementAndGeneralAmt>137995</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>154997</TotalAmt>
        <ProgramServicesAmt>95966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59031</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>24526</TotalAmt>
        <ProgramServicesAmt>19367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5159</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>5359111</TotalAmt>
        <ProgramServicesAmt>5250904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108207</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>284738</TotalAmt>
        <ProgramServicesAmt>284738</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>669551</TotalAmt>
        <ProgramServicesAmt>325783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>343768</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>8049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>230632</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EXTERNAL CONSULTANTS</Desc>
        <TotalAmt>1553275</TotalAmt>
        <ProgramServicesAmt>1072068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>481207</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
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        <ProgramServicesAmt>484107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229578</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>462230</TotalAmt>
        <ProgramServicesAmt>435149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27081</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRANINING AND STAFF DEV</Desc>
        <TotalAmt>441494</TotalAmt>
        <ProgramServicesAmt>436250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5244</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>922094</TotalAmt>
        <ProgramServicesAmt>661661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260433</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>30360422</TotalAmt>
        <ProgramServicesAmt>22801313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7559109</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>24466728</BOYAmt>
        <EOYAmt>29665005</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9715092</BOYAmt>
        <EOYAmt>12907520</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>442225</BOYAmt>
        <EOYAmt>890944</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>517675</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>11601199</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5202754</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6396333</BOYAmt>
        <EOYAmt>6398445</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>40900263</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>20274847</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>96199643</BOYAmt>
        <EOYAmt>111554699</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2803164</BOYAmt>
        <EOYAmt>3195879</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>7025385</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>3476816</BOYAmt>
        <EOYAmt>3999474</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11115690</BOYAmt>
        <EOYAmt>14220738</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>85083953</BOYAmt>
        <EOYAmt>97333961</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>85083953</BOYAmt>
        <EOYAmt>97333961</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>96199643</BOYAmt>
        <EOYAmt>111554699</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>7606732</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3872745</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>770531</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>31661843</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24250291</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33381138</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33472781</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35266290</CurrentTaxYearAmt>
        <TotalAmt>158032343</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>31661843</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24250291</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33381138</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33472781</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35266290</CurrentTaxYearAmt>
        <TotalAmt>158032343</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>158032343</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>422769</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>527471</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>464115</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1282575</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2218390</CurrentTaxYearAmt>
        <TotalAmt>4915320</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>422769</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>527471</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>464115</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1282575</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2218390</CurrentTaxYearAmt>
        <TotalAmt>4915320</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>226652</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>395822</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>391448</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-601636</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>479693</CurrentTaxYearAmt>
        <TotalAmt>891979</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>32311264</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25173584</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>34236701</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34153720</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37964373</CurrentTaxYearAmt>
        <TotalAmt>163839642</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.96460</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97820</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01920</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, SECTION B, LINE 12 :</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS ON LINE 12 REPRESENT INCOME EARNED ON ASSETS HELD IN TRUST FOR THE ORGANIZATIONS INFORMALLY FINANCED 457 PLANS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1647840</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1647840</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3794056</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1942935</DepreciationAmt>
        <BookValueAmt>1851121</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6159303</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3259819</DepreciationAmt>
        <BookValueAmt>2899484</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6398445</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM CARF CANADA</Desc>
        <BookValueAmt>10130578</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM CARF EUROPE</Desc>
        <BookValueAmt>419893</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PENSION PLAN ASSETS</Desc>
        <BookValueAmt>9694431</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>REFUNDABLE DEPOSITS</Desc>
        <BookValueAmt>29945</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>20274847</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION PLAN LIABILITIES</Desc>
        <Amt>3999474</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3999474</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMISSION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE COMMISSION IS ALSO EXEMPT FROM STATE INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES INTERPRETATION SET A "MORE LIKELY THAN NOT" CRITERION FOR RECOGNIZING THE TAX BENEFITS OF UNCERTAIN TAX POSITIONS; IT ESTABLISHED A MEASUREMENT CRITERIA FOR TAX BENEFITS; AND IT ESTABLISHED CERTAIN NEW DISCLOSURE REQUIREMENTS. THE COMMISSION BELIEVES THAT ITS INCOME TAX FILING POSITIONS AND DEDUCTIONS WILL BE SUSTAINED UPON EXAMINATION AND, ACCORDINGLY, HAVE NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES AT DECEMBER 31, 2023 FOR UNCERTAIN INCOME TAX POSITIONS PURSUANT TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. INCOME TAX RELATED INTEREST AND PENALTIES ARE REPORTED IN GENERAL AND ADMINISTRATIVE EXPENSES WHEN INCURRED. THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ANY INTEREST OR PENALTIES RELATED TO INCOME TAXES. NO INCOME TAX EXAMINATIONS ARE CURRENTLY UNDERWAY OR ANTICIPATED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>5400</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE (INCLUDING ICELAND &amp; GREENLAND)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>2</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>6141</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>113730</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>90294</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>10724</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>2</SubtotalEmployeesCnt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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        <PersonNm>BRIAN BOON</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CINDY L JOHNSON</PersonNm>
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        <PersonNm>DARREN M LEHRFELD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL JOHNSON</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14763</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>369921</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DI SHEN</PersonNm>
        <TitleTxt>CHIEF RESEARCH OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>183788</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25334</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10192</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>117760</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26084</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>363158</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL CONNOLLY</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>212515</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1066</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1461</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220042</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRY CAROLAN</PersonNm>
        <TitleTxt>MANAGING DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>174660</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17175</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>557</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21149</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33771</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247312</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JODI DEDRICK</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFI</TitleTxt>
        <BaseCompensationFilingOrgAmt>137399</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19886</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8801</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>45978</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23936</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>236000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>CARF WRITTEN POLICY AUTHORIZES PAYMENTS OF COSTS FOR ACCOMMODATIONS THAT PROVIDE REASONABLE SUPPORT TO ENABLE DIRECTORS WITH DISABILITIES TO PERFORM THEIR FUNCTIONS AND DUTIES. WHEN DIRECTOR COMPANIONS PROVIDE SUCH SUPPORT, CARF ISSUES PAYMENT FOR ASSOCIATED TRAVEL COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 1, LINE 4B: THE ORGANIZATION IMPLEMENTED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (457(F) PLAN) IN 2010. THE PLAN COVERS THE PRESIDENT/CEO OF THE ORGANIZATION. NET PERIODIC PENSION EXPENSE FOR 2023 WAS $236,898.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REGULAR, FULL-TIME CARF EMPLOYEES ARE ELIGIBLE TO RECEIVE LUMP SUM PAYMENTS IN ADDITION TO THEIR REGULAR, FIXED COMPENSATION, BASED ON INDIVIDUAL ACHIEVEMENT AND CONTRIBUTION TO TEAM AND ORGANIZATIONAL GOALS. IN 2023, THE MAJORITY OF CARF EMPLOYEES, INCLUDING OFFICERS AND HIGHLY COMPENSATED EMPLOYEES, RECEIVED ONE OR MORE NON-FIXED PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INITIAL DRAFT FORM 990 IS PREPARED BY AN INDEPENDENT, EXTERNAL ACCOUNTING FIRM. THE DRAFT IS THEN REVIEWED IN DETAIL BY CARF'S SENIOR MANAGEMENT AND ANY CHANGES/CORRECTIONS ARE REVIEWED WITH THE ACCOUNTING FIRM. THE COMPLETED FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE OF THE CARF BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING. THE AUDIT COMMITTEE IS COMPOSED OF THE BOARD OF DIRECTORS AS A WHOLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CARF HAS WRITTEN CONFLICT OF INTEREST POLICIES INCORPORATED IN ITS EMPLOYEE HANDBOOK, CORPORATE COMPLIANCE MANUAL AND BOARD GOVERNANCE POLICIES. ANNUALLY, BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE PROVIDED WITH A STATEMENT REQUIRING ACKNOWLEDGEMENT OF THE POLICY AND DISCLOSURE OF ANY ACTUAL AND POTENTIAL CONFLICTS. ALL IDENTIFIED CONFLICTS ARE REVIEWED FOR ANY NECESSARY FOLLOW-UP AND/OR APPROPRIATE ACTION. THE CORPORATE COMPLIANCE MANUAL PROVIDES FOR MANDATORY REPORTING BY ANY EMPLOYEE WHO HAS REASONABLE BELIEF THAT A VIOLATION HAS OCCURRED. ALL REPORTED VIOLATIONS ARE INVESTIGATED AND APPROPRIATE ACTIONS ARE TAKEN. ALL CARF EMPLOYEES ARE PROVIDED ACCESS TO THE EMPLOYEE HANDBOOK AND CORPORATE COMPLIANCE MANUAL UPON HIRE, AND ARE REQUIRED TO ACKNOWLEDGE RECEIPT AND AGREE TO ABIDE BY ALL COMPANY POLICIES, INCLUDING THE OBLIGATION TO REPORT POTENTIAL COMPLIANCE VIOLATIONS. EMPLOYEES ARE ALSO PROVIDED ONGOING MANDATORY TRAINING REGARDING CORPORATE COMPLIANCE ON A PERIODIC BASIS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CARF USES AN INDEPENDENT HUMAN RESOURCES CONSULTING FIRM THAT IS AN EXPERT ADVISOR ON COMPENSATION. CARF HAS IMPLEMENTED A JOB EVALUATION/MEASUREMENT METHODOLOGY AND RECEIVES ANNUAL RECOMMENDATIONS BASED ON EXTENSIVE COMPARABILITY DATA. COMPENSATION ACTIONS RELATED TO THE PRESIDENT/CEO ARE EXERCISED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. IN DETERMINING TOTAL COMPENSATION, THE COMMITTEE OBTAINS AND EVALUATES COMPENSATION REFERENCES INCLUDING, BUT NOT LIMITED TO MARKET COMPARATOR DATA AND FUNCTIONALLY COMPARABLE POSITIONS. IN DOING SO, THE COMMITTEE CONSIDERS THE REASONED, WRITTEN OPINION OF AN INDEPENDENT COMPENSATION CONSULTANT. THE DUTIES OF THE EXECUTIVE COMPENSATION COMMITTEE ALSO INCLUDE AN ANNUAL REVIEW OF THE COMPENSATION OF ALL OTHER OFFICERS, WHOSE COMPENSATION IS DETERMINED BY THE PRESIDENT/CEO BASED ON COMPARABILITY DATA AND OTHER FACTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CARF MAKES AVAILABLE FOR PUBLIC INSPECTION ITS CURRENT ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS, UPON ADVANCE WRITTEN REQUEST THAT IDENTIFIES THE DOCUMENTS TO BE INSPECTED, THE NAME OF THE INDIVIDUAL TO CONDUCT THE INSPECTION, THE ENTITY REPRESENTED BY THE INDIVIDUAL, IF ANY, THE PURPOSE OF THE INSPECTION, AND THE REQUESTED INSPECTION DATE. NOTWITHSTANDING THE FOREGOING, CARF SHALL DENY ANY SUCH REQUEST IF IT DETERMINES, IN ITS SOLE DISCRETION, THAT THE INSPECTION IS FOR COMMERCIAL PURPOSES OR CANNOT BE ACCOMMODATED ON THE DATE IDENTIFIED, OR THE DATE IDENTIFIED IS LESS THAN 10 DAYS FROM RECEIPT OF THE REQUEST. ALL INSPECTIONS SHALL OCCUR IN PERSON DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 2 - MGMT &amp; LICENSE FEE PROG SERVICE REVENUES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION (CARF) RECEIVES MANAGEMENT FEE INCOME AND LICENSE FEE INCOME FROM CARF CANADA AND CARF EUROPE, THE RELATED TAX-EXEMPT ORGANIZATIONS WHICH HAVE THE SAME EXEMPT PURPOSE AS CARF. CARF PROVIDES MANAGEMENT SERVICES AND THE USE OF ITS PUBLICATIONS AND OTHER INTANGIBLE ASSETS TO CARF CANADA AND CARF EUROPE IN ORDER TO FURTHER THEIR EXEMPT PURPOSE. CARF CANADA AND CARF EUROPE DO NOT HAVE ANY UNRELATED BUSINESS INCOME. THEREFORE, THIS INCOME IS RELATED TO CARF'S TAX EXEMPT PURPOSE AND IS NOT UNRELATED BUSINESS INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 770,531.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <CityNm>TUCSON</CityNm>
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          <CityNm>EDMONTON</CityNm>
          <CountryCd>CA</CountryCd>
          <ForeignPostalCd>T5J 1A7</ForeignPostalCd>
        </ForeignAddress>
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        <LegalDomicileForeignCountryCd>CA</LegalDomicileForeignCountryCd>
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          <AddressLine1Txt>KIMBELLS LLP POWER HOUSE HARRISON C</AddressLine1Txt>
          <CountryCd>UK</CountryCd>
          <ForeignPostalCd>MK5 8PA</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>ACCREDITATION OF HEALTH AND HUMAN SERVICES PROGRAMS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>UK</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>CARF-CANADA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1022967</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MGT FEE NOT TO EXCEED % OF REV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>CARF-CANADA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>130269</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>LICENSE FEE AT 5% OF REVENUE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>DIRECT COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARF-CANADA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>451106</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DIRECT COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARF-EUROPE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>108434</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MGT FEE NOT TO EXCEED % OF REV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARF-EUROPE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>11110</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>LICENSE FEE AT 5% OF REVENUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARF-EUROPE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>196308</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DIRECT COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARF-EUROPE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>57845</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DIRECT COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF RELATED ORGANIZATION: CARF CANADA INC DIRECT CONTROLLING ENTITY: COMMISSSION ON ACCREDITATION OF REHABILITATION FACILITIES NAME OF RELATED ORGANIZATION: CARF EUROPE INC DIRECT CONTROLLING ENTITY: COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>