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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <BookValueAmt>202647</BookValueAmt>
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      <BuildingsGrp>
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      <EquipmentGrp>
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      </EquipmentGrp>
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        <BookValueAmt>278210</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2954725</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG TERM LEASE LIABILITY</Desc>
        <Amt>28355</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION LEASE LIABILITY</Desc>
        <Amt>17157</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>45512</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>17400497</TotalRevEtcAuditedFinclStmtAmt>
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      <ExpensesSubtotalAmt>18812630</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>18812630</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART IV, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MANAGES FUNDS FOR PATIENTS WHO ARE OTHERWISE UNABLE TO DO SO FOR THEMSELVES DUE TO DISABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>DANIEL J CARDONA</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY HILL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>263274</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA L HOLSTEIN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA D SPARKS</PersonNm>
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        <TotalCompensationFilingOrgAmt>155757</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE HEALTH, HOPE, AND HEALING FOR CHILDREN, FAMILIES AND ADULTS, BY PROVIDING MENTAL HEALTH,PHYSICAL HEALTH, AND SUPPORTED EMPLOYMENT SERVICES, AND OTHER SERVICES AS THEY ARE DEVELOPED, IN PARTNERSHIP WITH OUR CONSUMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IF THE EMPLOYEE HAS ANY INFLUENCE ON TRANSACTIONS INVOLVING PURCHASES, CONTRACTS, OR LEASES, HE OR SHE MUST DISCLOSE THIS INFORMATION AS SOON AS POSSIBLE TO HIS OR HER SUPERVISOR THAT THE APPROPRIATE SAFEGUARDS CAN BE PUT INTO PLACE TO PROTECT ALL PARTIES. THE DISCLOSURE SHOULD BE DOCUMENTED ON A DISCLOSURE STATEMENT. ADMINISTRATORS/DIRECTORS AND ANYBODY DIRECTLY INVOLVED IN THE PURCHASING PROCESS MUST COMPLETE THIS ANNUALLY. ALL DISCLOSURE STATEMENTS ARE MAINTAINED IN THE ACCOUNTING DEPARTMENT WHERE THEY ARE REVIEWED. THE ACCOUNTING DEPARTMENT REGULARLY MANAGES AND REVIEWS TRANSACTIONS TO REDUCE THE RISKS OF CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INVOLVES A REVIEW BY THE WHOLE GOVERNING BOARD OF DIRECTORS OF THE ANNUAL SALARY SURVEY COMPILED BY THE OHIO COUNCIL OF BEHAVIORAL HEALTHCARE PROVIDERS, WHICH PROVIDES COMPARABILITY DATA. DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY SUBSTANTIATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE COMPANY INVOLVES A REVIEW BY THE EXECUTIVE DIRECTOR OF THE ANNUAL SALARY SURVEY COMPILED BY THE OHIO COUNCIL OF BEHAVIORAL HEALTHCARE PROVIDERS, WHICH PROVIDES COMPARABILITY DATA. DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY SUBSTANTIATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>