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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>APRIL HUBBARD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET MORSE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA PERLIC</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE POPELY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SCHINDLER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAYNA JACKSON</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160575</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21370</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG HARGENRADER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>133884</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40838</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD SCHENKELBERG</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>291537</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9686</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICE IDEN</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148485</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21681</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY SANDERS</PersonNm>
        <TitleTxt>PSYCHIATRIC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148876</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21933</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PUSHPALATHA VENKATARAM</PersonNm>
        <TitleTxt>PSYCHIATRIC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148426</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21915</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EBONY ELAM</PersonNm>
        <TitleTxt>PSYCHIATRIC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136328</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31969</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA FLORIAN</PersonNm>
        <TitleTxt>PSYCHIATRIC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111461</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31969</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1279572</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>201361</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMACY HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24042 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHARMACY MANAGEMENT</ServicesDesc>
        <CompensationAmt>428296</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY HOSPITALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 781887</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48278</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL STAFFING</ServicesDesc>
        <CompensationAmt>390540</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHLAND HOSPITALITY GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25 W SKIPPACK PIKE STE 101</AddressLine1Txt>
            <CityNm>AMBER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19002</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITALITY SERVICES</ServicesDesc>
        <CompensationAmt>197597</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INFOCLOUD LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>23205 MERCANTILE ROAD</AddressLine1Txt>
            <CityNm>BEACHWOOD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>I.T. MANAGEMENT</ServicesDesc>
        <CompensationAmt>172841</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FROM BETTER TO BEST</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2403-D BUNKER LN</AddressLine1Txt>
            <CityNm>WILLOUGHBY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44094</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING SERVICES</ServicesDesc>
        <CompensationAmt>134542</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>111927</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>5993149</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>337661</AllOtherContributionsAmt>
      <TotalContributionsAmt>6442737</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE AND MEDICAID</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>8158455</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8158455</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES &amp; REIMBURSEMENTS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2462823</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2462823</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADAMHS BOARD FEE FOR SERVICE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2129147</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2129147</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCHOOL COUNSELING FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1407591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1407591</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14158016</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>370093</TotalRevenueColumnAmt>
        <ExclusionAmt>370093</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>85201</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>85201</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>85201</TotalRevenueColumnAmt>
        <ExclusionAmt>85201</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7939834</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8089243</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-149409</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-149409</TotalRevenueColumnAmt>
        <ExclusionAmt>-149409</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>100485</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>68543</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>31942</TotalRevenueColumnAmt>
        <ExclusionAmt>31942</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>3929619</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>3385832</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>543787</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>543787</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>380077</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>380077</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>AMORT.OF LOAN FORGIVENESS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>66700</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66700</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>31666</TotalRevenueColumnAmt>
        <ExclusionAmt>31666</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>478443</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21960810</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15148580</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>369493</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>529496</TotalAmt>
        <ProgramServicesAmt>418884</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110612</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>15216881</TotalAmt>
        <ProgramServicesAmt>14347379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>659330</ManagementAndGeneralAmt>
        <FundraisingAmt>210172</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>358125</TotalAmt>
        <ProgramServicesAmt>335672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15398</ManagementAndGeneralAmt>
        <FundraisingAmt>7055</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1923898</TotalAmt>
        <ProgramServicesAmt>1519535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>383275</ManagementAndGeneralAmt>
        <FundraisingAmt>21088</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1227303</TotalAmt>
        <ProgramServicesAmt>1128547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81903</ManagementAndGeneralAmt>
        <FundraisingAmt>16853</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>9415</TotalAmt>
        <ProgramServicesAmt>3873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5253</ManagementAndGeneralAmt>
        <FundraisingAmt>289</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>24713</TotalAmt>
        <ProgramServicesAmt>10166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13788</ManagementAndGeneralAmt>
        <FundraisingAmt>759</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1743316</TotalAmt>
        <ProgramServicesAmt>1475363</ProgramServicesAmt>
        <ManagementAndGeneralAmt>264782</ManagementAndGeneralAmt>
        <FundraisingAmt>3171</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>294758</TotalAmt>
        <ProgramServicesAmt>230524</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60882</ManagementAndGeneralAmt>
        <FundraisingAmt>3352</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>631715</TotalAmt>
        <ProgramServicesAmt>552099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79151</ManagementAndGeneralAmt>
        <FundraisingAmt>465</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>263411</TotalAmt>
        <ProgramServicesAmt>244610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18486</ManagementAndGeneralAmt>
        <FundraisingAmt>315</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>592467</TotalAmt>
        <ProgramServicesAmt>503834</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84105</ManagementAndGeneralAmt>
        <FundraisingAmt>4528</FundraisingAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>668643</TotalAmt>
        <ProgramServicesAmt>580585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87889</ManagementAndGeneralAmt>
        <FundraisingAmt>169</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>194520</TotalAmt>
        <ProgramServicesAmt>162327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32193</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ELECTRONIC HEALTH RECOR</Desc>
        <TotalAmt>1052619</TotalAmt>
        <ProgramServicesAmt>770357</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282262</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES, FEES &amp; CERTIFICAT</Desc>
        <TotalAmt>914843</TotalAmt>
        <ProgramServicesAmt>849524</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55405</ManagementAndGeneralAmt>
        <FundraisingAmt>9914</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNICATIONS</Desc>
        <TotalAmt>377070</TotalAmt>
        <ProgramServicesAmt>300217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71705</ManagementAndGeneralAmt>
        <FundraisingAmt>5148</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>375191</TotalAmt>
        <ProgramServicesAmt>350071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13013</ManagementAndGeneralAmt>
        <FundraisingAmt>12107</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>74648</TotalAmt>
        <ProgramServicesAmt>23329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8127</ManagementAndGeneralAmt>
        <FundraisingAmt>43192</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26473032</TotalAmt>
        <ProgramServicesAmt>23806896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2327559</ManagementAndGeneralAmt>
        <FundraisingAmt>338577</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>779858</BOYAmt>
        <EOYAmt>389691</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>3086380</BOYAmt>
        <EOYAmt>3712777</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>269618</BOYAmt>
        <EOYAmt>288781</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>195386</BOYAmt>
        <EOYAmt>194604</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>19221788</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11183022</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8083819</BOYAmt>
        <EOYAmt>8038766</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>16386083</BOYAmt>
        <EOYAmt>17333890</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>6722099</BOYAmt>
        <EOYAmt>3868085</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>35523243</BOYAmt>
        <EOYAmt>33826594</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2260513</BOYAmt>
        <EOYAmt>2331804</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>713645</BOYAmt>
        <EOYAmt>709815</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>13647899</BOYAmt>
        <EOYAmt>14763352</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>650094</BOYAmt>
        <EOYAmt>433175</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>17272151</BOYAmt>
        <EOYAmt>18238146</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>13489429</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <RevenueNotReportedFinclStmtAmt>95879</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF THE RESTRICTED FUNDS ARE FOR THE SPECIFIC AND DISTINCT PURPOSES THAT ARE CONSISTENT WITH THE ORGANIZATIONS' MISSION AND PURPOSE, NAMELY, THE PREVENTION OF SUBSTANCE ABUSE AND MENTAL HEALTH CHALLENGES AND SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT FOR ADOLESCENTS, YOUNG ADULTS AND FAMILIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>NEW DIRECTIONS, INC. TRANSFERRED ITS ENDOWMENT FUNDS TO CROSSROADS HEALTH AS PART OF THE MERGER EFFECTIVE JULY 1, 2022. WE HAVE SHOWN THIS TRANSFER AS A CONTRIBUTION ON LINE 1B OF THE "CURRENT YEAR" COLUMN.</ExplanationTxt>
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        <GrossRevenueEvent2Amt>52359</GrossRevenueEvent2Amt>
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        <GrossRevenueTotalEventsAmt>100485</GrossRevenueTotalEventsAmt>
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        <EntertainmentTotalEventsAmt>4960</EntertainmentTotalEventsAmt>
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        <ExplanationTxt>REVIEW OF FORM 990 - FORM 990 DATA INPUTS ARE REVIEWED AND APPROVED BY THE AGENCY'S BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL - THE EXECUTIVE COMMITTEE OF THE AGENCY'S BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR PERIODICALLY. WAGE COMPARABILITY DATA IS EXAMINED ALONG WITH EMPLOYEE PERFORMANCE. MEMBERS OF THE EXECUTIVE COMMITTEE ARE INDEPENDENT OF THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS - THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST RATE SWAP -95,879.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>