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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4278</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER GEERTS</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL SVCS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141736</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4625</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TINA NUNAMACHER-TEWS</PersonNm>
        <TitleTxt>COMMUNITY SUPPORT SERVICE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134862</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22188</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COREY KANZ</PersonNm>
        <TitleTxt>CORRECTIONS AND REFERRAL D</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126327</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14419</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAVITA PRASAD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141385</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4625</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANA BARNES</PersonNm>
        <TitleTxt>IRTS &amp; MOBILE CRISIS DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116840</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11671</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH KREHBIEL RETIRED</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>173428</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12054</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD VAN HOUTEN RESIGNED</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>112096</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2781</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1222821</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>82972</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>790009</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>141741</AllOtherContributionsAmt>
      <TotalContributionsAmt>931750</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD PARTY PAYORS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>21446696</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21446696</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEES - GOVT AGENCIES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1846417</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1846417</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL ASSISTANCE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>938992</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>938992</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24232105</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>341832</TotalRevenueColumnAmt>
        <ExclusionAmt>341832</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ADMINISTRATIVE AND OTHER</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>355422</TotalRevenueColumnAmt>
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      <OtherRevenueTotalAmt>355422</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>25861109</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>341832</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
        <TotalAmt>213313</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2323125</TotalAmt>
        <ProgramServicesAmt>2181007</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1143710</TotalAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>10743</TotalAmt>
        <ManagementAndGeneralAmt>10743</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>48346</TotalAmt>
        <ManagementAndGeneralAmt>48346</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18482</TotalAmt>
        <ManagementAndGeneralAmt>18482</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>526559</TotalAmt>
        <ProgramServicesAmt>513897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12662</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>359719</TotalAmt>
        <ProgramServicesAmt>24881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>334838</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1633129</TotalAmt>
        <ProgramServicesAmt>1633101</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>240803</TotalAmt>
        <ProgramServicesAmt>226968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13835</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>724332</TotalAmt>
        <ProgramServicesAmt>724332</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>130444</TotalAmt>
        <ProgramServicesAmt>130444</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>1198599</TotalAmt>
        <ProgramServicesAmt>645716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>552883</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>JANITORIAL &amp; REPAIRS</Desc>
        <TotalAmt>468520</TotalAmt>
        <ProgramServicesAmt>468520</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>388116</TotalAmt>
        <ProgramServicesAmt>388116</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BUSINESS &amp; PROF DEVELOP</Desc>
        <TotalAmt>169319</TotalAmt>
        <ProgramServicesAmt>39114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130205</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>146381</TotalAmt>
        <ProgramServicesAmt>87761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58620</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>24997878</TotalAmt>
        <ProgramServicesAmt>21493295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3504583</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>1600</BOYAmt>
        <EOYAmt>1750</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6854423</BOYAmt>
        <EOYAmt>6453616</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3901245</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>393820</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>17275355</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12847272</BOYAmt>
        <EOYAmt>12142631</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4994921</BOYAmt>
        <EOYAmt>5135577</EOYAmt>
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        <BOYAmt>28435472</BOYAmt>
        <EOYAmt>28028639</EOYAmt>
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        <EOYAmt>2564649</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>7654133</EOYAmt>
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      <NoDonorRestrictionNetAssetsGrp>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>36532</BOYAmt>
        <EOYAmt>42393</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19223268</BOYAmt>
        <EOYAmt>20374506</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>28028639</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>863231</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>288007</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>2584496</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>750176</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>181663</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>931750</CurrentTaxYearAmt>
        <TotalAmt>4706062</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>21470760</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23616129</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24232105</CurrentTaxYearAmt>
        <TotalAmt>110213349</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>20245955</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23490873</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22220936</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23797792</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25163855</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>114919411</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearAmt>355422</CurrentTaxYearAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearAmt>25861109</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.98040</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00790</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00620</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>677705</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>2695772</BookValueAmt>
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      <EquipmentGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>3159250</Amt>
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      <TotalLiabilityAmt>3159250</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>26130634</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>288007</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-18482</OtherRevenueAmt>
      <RevenueNotReportedAmt>269525</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>25861109</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>25861109</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24979396</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24979396</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>18482</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT FEES 18,482.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRACY LEE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6331</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201370</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>BETH KREHBIEL RETIRED</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TINA NUNAMACHER-TEWS</PersonNm>
        <TitleTxt>COMMUNITY SUPPORT SERVICE</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHAD VAN HOUTEN RESIGNED</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED WITH THE CHIEF EXECUTIVE OFFICER, THE EXECUTIVE COMMITTEE, AND THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEW IS A FORM 990 BRIEFING AND THEN THEY HAVE THE OPPORTUNITY TO GET ANY ANSWERS TO QUESTIONS THEY MAY HAVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND LEADERSHIP TEAM ARE REQUIRED TO READ THE POLICY AND ANSWER THE QUESTIONS AT THE ANNUAL MEETING OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OBTAINED MARKET DATA FROM SEVERAL SOURCES INCLUDING OTHER COMPARABLE AGENCIES, OTHER AGENCIES IN OUR AREA WITH LIKE POSITIONS, AND MARKET DATA FROM A NATIONAL COMPENSATION CONSULTING FIRM. THIS INFORMATION WAS COMPILED AND REVIEWED BY HUMAN RESOURCES IN CONJUNCTION WITH REPRESENTATIVES FROM THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>