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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131076</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17239</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIAN MATTERN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>193990</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2949</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1480181</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>119662</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3679838</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>150117</AllOtherContributionsAmt>
      <TotalContributionsAmt>3829955</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID FUNDING</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>12073457</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12073457</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT AND THIRD PARTY FEES</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>730551</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>730551</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>546544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>546544</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WORKLIFE &amp; EAP</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>341276</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>341276</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME HOUSING PROJECT</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>54682</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54682</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13746510</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>64444</TotalRevenueColumnAmt>
        <ExclusionAmt>64444</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>378947</SecuritiesAmt>
        <OtherAmt>125000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>153515</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>378947</SecuritiesAmt>
        <OtherAmt>-28515</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>350432</TotalRevenueColumnAmt>
        <ExclusionAmt>350432</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>8153</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>8153</TotalRevenueColumnAmt>
        <ExclusionAmt>8153</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>56231</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56231</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FORGIVENESS OF DEBT</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>40000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>96231</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18095725</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13842741</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>423029</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>743095</TotalAmt>
        <ProgramServicesAmt>335691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>407404</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11676400</TotalAmt>
        <ProgramServicesAmt>10194205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1482195</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2055627</TotalAmt>
        <ProgramServicesAmt>1880932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174695</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>148411</TotalAmt>
        <ProgramServicesAmt>107846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40565</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21660</TotalAmt>
        <ProgramServicesAmt>15740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5920</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>31926</TotalAmt>
        <ManagementAndGeneralAmt>31926</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>497208</TotalAmt>
        <ProgramServicesAmt>495191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2017</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>394184</TotalAmt>
        <ProgramServicesAmt>371924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22260</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>169284</TotalAmt>
        <ProgramServicesAmt>121040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48244</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>579262</TotalAmt>
        <ProgramServicesAmt>504683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74579</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>86924</TotalAmt>
        <ProgramServicesAmt>47859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39065</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10743</TotalAmt>
        <ProgramServicesAmt>5915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4828</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>142110</TotalAmt>
        <ProgramServicesAmt>29742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112368</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>483694</TotalAmt>
        <ProgramServicesAmt>263316</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220378</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>237169</TotalAmt>
        <ProgramServicesAmt>198281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38888</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS/RENTAL/MAINTENA</Desc>
        <TotalAmt>1305524</TotalAmt>
        <ProgramServicesAmt>1123341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182183</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>227215</TotalAmt>
        <ProgramServicesAmt>220219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6996</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>139553</TotalAmt>
        <ProgramServicesAmt>137272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2281</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES</Desc>
        <TotalAmt>88209</TotalAmt>
        <ProgramServicesAmt>64561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23648</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>176407</TotalAmt>
        <ProgramServicesAmt>101923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74484</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19214605</TotalAmt>
        <ProgramServicesAmt>16219681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2994924</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>414501</BOYAmt>
        <EOYAmt>543934</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2321985</BOYAmt>
        <EOYAmt>2740694</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>562258</BOYAmt>
        <EOYAmt>562258</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>17394</BOYAmt>
        <EOYAmt>10695</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>85490</BOYAmt>
        <EOYAmt>77537</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12811856</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6110585</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6826628</BOYAmt>
        <EOYAmt>6701271</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2827125</BOYAmt>
        <EOYAmt>2038716</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>533475</BOYAmt>
        <EOYAmt>533475</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>195974</BOYAmt>
        <EOYAmt>195974</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>145207</BOYAmt>
        <EOYAmt>218985</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13930037</BOYAmt>
        <EOYAmt>13623539</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>547593</BOYAmt>
        <EOYAmt>702805</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>62422</BOYAmt>
        <EOYAmt>62422</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2859659</BOYAmt>
        <EOYAmt>3940782</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1902236</BOYAmt>
        <EOYAmt>1478283</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5371910</BOYAmt>
        <EOYAmt>6184292</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8558127</BOYAmt>
        <EOYAmt>7439247</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8558127</BOYAmt>
        <EOYAmt>7439247</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13930037</BOYAmt>
        <EOYAmt>13623539</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1118880</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>2505017</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3839023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3159884</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3489134</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3829955</CurrentTaxYearAmt>
        <TotalAmt>16823013</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>14304436</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14619157</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13552096</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14535504</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13746510</CurrentTaxYearAmt>
        <TotalAmt>70757703</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>16809453</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18458180</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16711980</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18024638</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17576465</CurrentTaxYearAmt>
        <TotalAmt>87580716</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>87580716</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>47212</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>36710</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>57754</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>77151</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>64444</CurrentTaxYearAmt>
        <TotalAmt>283271</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>47212</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>36710</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>57754</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>77151</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>64444</CurrentTaxYearAmt>
        <TotalAmt>283271</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>113357</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>103940</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2980721</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>775824</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>104384</CurrentTaxYearAmt>
        <TotalAmt>4078226</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>16970022</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18598830</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19750455</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18877613</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17745293</CurrentTaxYearAmt>
        <TotalAmt>91942213</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95260</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95270</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00310</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00280</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 113,357. 2020 AMOUNT: $ 103,940. 2021 AMOUNT: $ 2,980,721. 2022 AMOUNT: $ 775,824. 2023 AMOUNT: $ 104,384.</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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>978999</OtherCostOrOtherBasisAmt>
        <BookValueAmt>978999</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9212731</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4135279</DepreciationAmt>
        <BookValueAmt>5077452</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>241084</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>153186</DepreciationAmt>
        <BookValueAmt>87898</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2236422</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1726859</DepreciationAmt>
        <BookValueAmt>509563</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>142620</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>95261</DepreciationAmt>
        <BookValueAmt>47359</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6701271</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL AND RELATED LIABILITIES</Desc>
        <Amt>1133991</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>2334</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAID PAYABLE</Desc>
        <Amt>121268</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATIONS UNDER FINANCE LEASES</Desc>
        <Amt>147812</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATIONS UNDER OPERATING LEASES</Desc>
        <Amt>72878</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1478283</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18063799</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-31926</OtherRevenueAmt>
      <RevenueNotReportedAmt>-31926</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18095725</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18095725</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19182679</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19182679</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>31926</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>31926</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19214605</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT EXPENSE -31,926.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT EXPENSE 31,926.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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        <PersonNm>DR LUIS VILLAPLANA</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR GARY KRAKER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAWRENCE J MOLITERNO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIAN MATTERN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>193990</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>196939</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARLA GALLAGHER</PersonNm>
        <TitleTxt>SENIOR VP/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>167260</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR THEIR REVIEW AND ANY ADJUSTMENTS OR CORRECTIONS ARE MADE BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST IMMEDIATELY. A NEW CONFLICT OF INTEREST STATEMENT HAS TO BE SIGNED EVERY YEAR AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE OHIO COUNCIL SALARY SURVEY AS A GUIDE FOR SETTING SALARIES. THE CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED AND SALARY INCREASE IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL KEY EMPLOYEES HAVE AN ANNUAL SALARY PERFORMANCE EVALUATION COMPLETED BY THEIR SUPERVISOR AND ALL SALARY INCREASES ARE APPROVED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST BY CONTACTING THE MAIN OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GLENPARK MANOR DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8255 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>311489343</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEAL DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8255 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>341767141</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERIDIAN PLACE DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8255 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>341767066</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>