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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA MONTOYA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERRY OYEN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WES URSICK</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL ANN VINCENT</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NETSMART TECHNOLOGIES</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ServicesDesc>ERTC</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>STUDIO Y CREATIONS I</PersonNm>
        </ContractorName>
        <ServicesDesc>CONTRACTOR TREE</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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        </ContractorName>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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      </ProgramServiceRevenueGrp>
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      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <RelatedOrExemptFuncIncomeAmt>276484</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>RENTAL INCOME</Desc>
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        <RelatedOrExemptFuncIncomeAmt>86297</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>54413</RelatedOrExemptFuncIncomeAmt>
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      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>19540816</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>556005</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2466238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1002253</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1426909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>496126</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>39739</TotalAmt>
        <ProgramServicesAmt>300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39439</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>43212</TotalAmt>
        <ManagementAndGeneralAmt>43212</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>38979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148201</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>408706</ProgramServicesAmt>
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      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>963916</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>1235912</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>129646</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206145</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>195452</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <CashNonInterestBearingGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA THOMPSON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYAN HYNES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>217125</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>36465</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>253590</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT KEPPLINGER</PersonNm>
        <TitleTxt>DEPUTY CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>139912</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>62858</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32659</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14673</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172571</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>77531</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHET PHELPS</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>194595</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>47026</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>241621</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA BROWN</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>9210</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31340</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1649</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>206340</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>10859</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA GUTIERREZ</PersonNm>
        <TitleTxt>CXO</TitleTxt>
        <BaseCompensationFilingOrgAmt>184614</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12938</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>197552</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER HANKINS</PersonNm>
        <TitleTxt>CBHO</TitleTxt>
        <BaseCompensationFilingOrgAmt>185315</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10632</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>195947</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA HEARST</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>153848</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17482</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>171330</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ESTRELLA CADDALI</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>152235</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12210</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>164445</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE SEARLES</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>151790</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12036</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>163826</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SONDRA WARE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>153792</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>8541</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>162333</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO REVIEW IS CONDUCTED BY THE BOARD OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS DISCLOSE POSSIBLE CONFLICTS OF INTEREST IN WRITING ANNUALLY INCLUDING ANY POSSIBLE CONFLICTS THAT MIGHT ARISE DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE WAGES AND BENEFITS PACKAGE FOR THE CEO AFTER REVIEW OF COMPARABLE DATA. THE FINANCE COMMITTEE REVIEWS THE ANNUAL BUDGET THAT INCLUDES DETAILED PAYROLL AND BENEFITS FOR THE CEO AND OTHER MEMBERS OF MANAGEMENT. THE FULL BOARD REVIEWS AND APPROVES THE ANNUAL BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS IS SAME PROCESS USED FOR THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL INFORMATION IS MADE AVAILABLE TO THE PUBLIC DURING NORMAL BUSINESS HOURS AS LONG AS NO REGULATIONS, INCLUDING HIPAA, ARE NOT VIOLATED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
