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      <TotExpnsEtcAuditedFinclStmtAmt>91444834</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>14065495</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>14065495</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>77379339</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>77379339</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 13,731,082. RENTAL 334,413.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 13,731,082. RENTAL 334,413.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <PersonNm>PAM WOMACK</PersonNm>
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        <DeferredCompensationFlngOrgAmt>28704</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOHSIN ALI</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES GERAUGHTY MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID WILSON</PersonNm>
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        <TotalCompensationFilingOrgAmt>391300</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>MARK WISNIEWSKI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN SPALDING</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY THORNTON</PersonNm>
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        <PersonNm>PEGGY HOFFMAN</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>26807</BonusFilingOrganizationAmount>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE 990 IS PREPARED BY INDEPENDENT ACCOUNTANTS, THE CFO AND THE CONTROLLER DO A DETAILED REVIEW. UPON APPROVAL BY THE CFO AND THE CONTROLLER, THE 990 IS REVIEWED BY THE BOARD DESIGNATED FINANCE COMMITTEE FOR FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A QUESTIONNAIRE DEALING WITH CONFLICT OF INTEREST IS TO BE COMPLETED ANNUALLY BY ALL EMPLOYEES COVERED BY THE SCOPE OF THIS POLICY AS A CONTINUING REMINDER AND CONTROL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HR COLLECTS COMPARABLE DATA FROM SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS IN THE GEOGRAPHIC AREA OF THE ORGANIZATION. HR ALSO CHECKS WITH LOCAL RECRUITING FIRMS FOR WAGE COMPARABILITY OF ADMINISTRATIVE AND CLERICAL POSITIONS. THIS INFORMATION IS USED TO DETERMINE THE COMPENSATION OF NEWLY HIRED OFFICERS, KEY EMPLOYEES AND STAFF. MHC HIRES AN OUTSIDE FIRM TO ANALYZE EXECUTIVE STAFF'S COMPENSATION BI-ANNUALLY. IT IS THEN PRESENTED TO THE BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT AND FORM 990 ARE PUBLIC DOCUMENTS MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>NPS PHARMACY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>275 CUMBERLAND BEND DRIVE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37228</ZIPCd>
        </USAddress>
        <EIN>582018687</EIN>
        <PrimaryActivitiesTxt>ON-SITE PHARMACY</PrimaryActivitiesTxt>
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        <EndOfYearAssetsAmt>5744552</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdDisregardedEntitiesGrp>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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          <BusinessNameLine1Txt>MENTAL HEALTH COOPERATIVE FOUNDATION INC</BusinessNameLine1Txt>
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          <ZIPCd>37228</ZIPCd>
        </USAddress>
        <EIN>263389464</EIN>
        <PrimaryActivitiesTxt>SUPPORT MENTAL HEALTH COOPERATIVE, INC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>MHC UH INC</BusinessNameLine1Txt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MENTAL HEALTH COOPERATIVE INC</BusinessNameLine1Txt>
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      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>
