﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-05-12T18:18:56-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>460952065</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BOUNTIFUL PEAK ADVISORS</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1564 SOUTH 500 WEST SUITE 201</AddressLine1Txt>
        <CityNm>BOUNTIFUL</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>840107400</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>870292487</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ODYSSEY HOUSE INC - UTAH</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ODYS</BusinessNameControlTxt>
      <PhoneNum>8013224257</PhoneNum>
      <USAddress>
        <AddressLine1Txt>117 W 400 S</AddressLine1Txt>
        <CityNm>SALT LAKE CITY</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>841011916</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ADAM COHEN</PersonNm>
      <PersonTitleTxt>CHIEF EXEC. OFFICER</PersonTitleTxt>
      <PhoneNum>8013224257</PhoneNum>
      <SignatureDt>2026-05-08</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JUSTIN R SHAW CPA CFE CGMA</PreparerPersonNm>
      <PTIN>P00081558</PTIN>
      <PhoneNum>8012943155</PhoneNum>
      <PreparationDt>2026-05-12</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc8">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>ODYSSEY HOUSE</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>ADAM COHEN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>117 W 400 S</AddressLine1Txt>
        <CityNm>SALT LAKE CITY</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>841011916</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>48724345</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ODYSSEYHOUSE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1970</FormationYr>
      <LegalDomicileStateCd>UT</LegalDomicileStateCd>
      <ActivityOrMissionDesc>EMPOWERING PEOPLE TO HEAL AND BUILD BETTER LIVES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>416</TotalEmployeeCnt>
      <TotalVolunteersCnt>5</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>10150801</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>10101969</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>34014080</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>38291075</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>365511</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>331301</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>44530392</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>48724345</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>28620077</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>30622829</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>328344</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>22257930</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>19476973</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>50878007</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>50099802</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-6347615</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-1375457</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>23025037</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>25664358</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>11300678</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>15315456</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>11724359</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>10348902</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>EMPOWERING PEOPLE TO HEAL AND BUILD BETTER LIVES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>26336251</ExpenseAmt>
      <RevenueAmt>29008967</RevenueAmt>
      <Desc>1. RESIDENTIAL TREATMENT A. ADULTS: 1,527 SERVED I. SERVING MEN AND WOMEN AGES 18+ II. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS IN THE STATE III. EMPHASIS ON SKILL DEVELOPMENT AND INDEPENDENCE IV. SPECIALTY PROGRAMMING FOR PEOPLE IN INCARCERATION B. PARENTS AND CHILDREN: 89 PARENTS AND 49 CHILDREN SERVED I. SINGLE MOTHERS AND FATHERS WITH CHILDREN II. THERAPEUTIC DAYCARE FOR KIDS AGES 0-10 III. EMPHASIS ON ENDING THE MULTIGENERATIONAL CYCLE OF ADDICTION IV. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS AND YOUTH IN THE STATE C. YOUTH: 107 YOUTH SERVED THROUGH RESIDENTIAL PROGRAM, 21 YOUTH SERVED THROUGH OUTPATIENT, AND 355 SERVED THROUGH SCHOOL-BASED PROGRAMS I. AGES KINDERGARTEN THROUGH 12TH GRADE II. EMPHASIS ON EDUCATION, TRAUMA, FAMILY III. LARGEST CONTINUUM OF CARE FOR YOUTH IN THE STATE IV. PROGRAMMING IN UTAH, IDAHO AND NEVADA</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>7050328</ExpenseAmt>
        <RevenueAmt>1786297</RevenueAmt>
        <Desc>MARTINDALE CLINIC A. 8,864 VISITS MEDICATION ASSISTED TREATMENT: 6,964 SERVED USING MAT CHRONIC DISEASE TREATMENT: 979 SERVED</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>6127919</ExpenseAmt>
        <RevenueAmt>4725972</RevenueAmt>
        <Desc>OUTPATIENT SERVICES A. ADULTS: 909 SERVED B. CRIMINAL JUSTICE SERVICES: 538 SERVED I. PROGRAMMING SERVES INCARCERATED PEOPLE C. YOUTH 21 SERVED</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>5486038</ExpenseAmt>
        <RevenueAmt>2769839</RevenueAmt>
        <Desc>SOBER HOUSING: 294 SERVED 61 PEOPLE HOUSED THROUGH BOARDING HOMES HARM REDUCTION A. 2,376 SYRINGE EXCHANGE ENCOUNTERS B. 160,730 SYRINGES EXCHANGES C. 3,182 WOUND CARE KITS DISTRIBUTED E. 2,279 NARCAN KITS DISTRIBUTED F. 948 FENTANYL TEST STRIPS DISTRIBUTED ADULT MENTAL HEALTH: 161 SERVED IN RESIDENTIAL AND OUTPATIENT MENTAL HEALTH SERVICES. SCHOOL-BASED SERVICES: 355 SERVED IN EARLY INTERVENTION SCHOOL-BASED THERAPY IN SALT LAKE COUNTY. FORENSIC ASSERTIVE COMMUNITY TREATMENT: 150 ADULTS SERVED IN OUTPATIENT CARE WITH INTENSIVE CASE MANAGEMENT AND PSYCHIATRIC SUPPORT. ASSERTIVE COMMUNITY TREATMENT: 47 ADULTS SERVED. D.ADMINISTERS INTENSIVE TREATMENT, REHABILITATION, AND SUPPORT SERVICES TO INDIVIDUALS WITH SERIOUS PERSISTENT MENTAL ILLNESS (SPMI)</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>5486038</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>2769839</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>45000536</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc10">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc7">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc7">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc9">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc9">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc9">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc9">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>24</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>416</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>UT</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DAVID BUTLER</PersonNm>
        <PhoneNum>8013224257</PhoneNum>
        <USAddress>
          <AddressLine1Txt>117 W 400 S</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>841011916</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM COHEN</PersonNm>
        <TitleTxt>CHIEF EXEC.</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>438548</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29489</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DALE COX</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARY DUNN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY ELDREDGE</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE HACKETT</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REP ERIC HUTCHINGS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROD JULANDER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE NELSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE PYRAH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOB SLINGERLAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRAVIS WOOD</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>438548</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>29489</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>6878463</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3223506</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2573957</NoncashContributionsAmt>
      <TotalContributionsAmt>10101969</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID FEE FOR SERVICE</Desc>
        <TotalRevenueColumnAmt>32206168</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32206168</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEE FOR SERVICE</Desc>
        <TotalRevenueColumnAmt>6084907</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6084907</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>38291075</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>321650</TotalRevenueColumnAmt>
        <ExclusionAmt>321650</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>9651</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <OtherAmt>9651</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9651</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9651</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>48724345</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38300726</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>321650</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>468000</TotalAmt>
        <ProgramServicesAmt>374400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46800</ManagementAndGeneralAmt>
        <FundraisingAmt>46800</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>23334631</TotalAmt>
        <ProgramServicesAmt>20659985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2519124</ManagementAndGeneralAmt>
        <FundraisingAmt>155522</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>458395</TotalAmt>
        <ProgramServicesAmt>405084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49415</ManagementAndGeneralAmt>
        <FundraisingAmt>3896</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4647487</TotalAmt>
        <ProgramServicesAmt>4106984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>500999</ManagementAndGeneralAmt>
        <FundraisingAmt>39504</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1714316</TotalAmt>
        <ProgramServicesAmt>1514941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184803</ManagementAndGeneralAmt>
        <FundraisingAmt>14572</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>26532</TotalAmt>
        <ManagementAndGeneralAmt>26532</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>109332</TotalAmt>
        <ManagementAndGeneralAmt>109332</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>931451</TotalAmt>
        <ProgramServicesAmt>604352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>321286</ManagementAndGeneralAmt>
        <FundraisingAmt>5813</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>320262</TotalAmt>
        <ProgramServicesAmt>104799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>215444</ManagementAndGeneralAmt>
        <FundraisingAmt>19</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>410006</TotalAmt>
        <ProgramServicesAmt>362323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44198</ManagementAndGeneralAmt>
        <FundraisingAmt>3485</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>4713915</TotalAmt>
        <ProgramServicesAmt>4165687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>508160</ManagementAndGeneralAmt>
        <FundraisingAmt>40068</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>243495</TotalAmt>
        <ProgramServicesAmt>215176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26249</ManagementAndGeneralAmt>
        <FundraisingAmt>2070</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>261419</TotalAmt>
        <ProgramServicesAmt>231016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28181</ManagementAndGeneralAmt>
        <FundraisingAmt>2222</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>490485</TotalAmt>
        <ProgramServicesAmt>433442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52874</ManagementAndGeneralAmt>
        <FundraisingAmt>4169</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT CARE</Desc>
        <TotalAmt>6244297</TotalAmt>
        <ProgramServicesAmt>6244297</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>3516049</TotalAmt>
        <ProgramServicesAmt>3516049</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAID RESERVE</Desc>
        <TotalAmt>865504</TotalAmt>
        <ProgramServicesAmt>865504</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>698016</TotalAmt>
        <ProgramServicesAmt>616837</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75246</ManagementAndGeneralAmt>
        <FundraisingAmt>5933</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>646210</TotalAmt>
        <ProgramServicesAmt>579660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62279</ManagementAndGeneralAmt>
        <FundraisingAmt>4271</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>50099802</TotalAmt>
        <ProgramServicesAmt>45000536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4770922</ManagementAndGeneralAmt>
        <FundraisingAmt>328344</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>9381802</BOYAmt>
        <EOYAmt>10752333</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>125319</BOYAmt>
        <EOYAmt>150319</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5496512</BOYAmt>
        <EOYAmt>6710345</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>100000</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>296821</BOYAmt>
        <EOYAmt>439932</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2671440</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1386986</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1204803</BOYAmt>
        <EOYAmt>1284454</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>6519780</BOYAmt>
        <EOYAmt>6226975</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>23025037</BOYAmt>
        <EOYAmt>25664358</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4125380</BOYAmt>
        <EOYAmt>7748365</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>7175298</BOYAmt>
        <EOYAmt>7567091</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11300678</BOYAmt>
        <EOYAmt>15315456</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11572376</BOYAmt>
        <EOYAmt>10171919</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>151983</BOYAmt>
        <EOYAmt>176983</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11724359</BOYAmt>
        <EOYAmt>10348902</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23025037</BOYAmt>
        <EOYAmt>25664358</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1375457</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc10">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>8767321</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8015144</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14991627</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10196845</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10101969</CurrentTaxYearAmt>
        <TotalAmt>52072906</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>19526840</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26745247</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33821334</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34333547</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38291075</CurrentTaxYearAmt>
        <TotalAmt>152718043</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>28294161</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34760391</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48812961</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>44530392</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48393044</CurrentTaxYearAmt>
        <TotalAmt>204790949</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>204790949</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2948</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15547</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>319467</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>321650</CurrentTaxYearAmt>
        <TotalAmt>662362</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2948</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15547</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>319467</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>321650</CurrentTaxYearAmt>
        <TotalAmt>662362</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>28296911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34763339</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48828508</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>44849859</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48714694</CurrentTaxYearAmt>
        <TotalAmt>205453311</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99680</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99810</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>30000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>30000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EMPLOYEE OF THE ORGANIZATION ADVOCATED ON BEHALF OF THE ORGANIZATION FOR ISSUES IMPORTANT TO OUR CLIENTS SUCH AS JUSTICE REINVESTMENT INITIATIVES AND ACCESS TO HEALTHCARE COVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1279710</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>613351</DepreciationAmt>
        <BookValueAmt>666359</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>231425</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>142534</DepreciationAmt>
        <BookValueAmt>88891</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1160305</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>631101</DepreciationAmt>
        <BookValueAmt>529204</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1284454</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>6226975</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6226975</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>6740956</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAID RESERVE</Desc>
        <Amt>429804</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE RESERVE</Desc>
        <Amt>396331</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7567091</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>48724345</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>48724345</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>48724345</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>50099802</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>50099802</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>50099802</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM COHEN</PersonNm>
        <TitleTxt>CHIEF EXEC. OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>438548</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20685</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8804</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>468037</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc7">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>605115</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>ESTIMATED FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>258</ContributionCnt>
        <NoncashContributionsRptF990Amt>1522878</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>ESTIMATED FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>SUPPLIES</Desc>
        <ContributionCnt>283</ContributionCnt>
        <NoncashContributionsRptF990Amt>445964</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>ESTIMATED FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>ODYSSEY HOUSE ODYSSEY HOUSE OF UTAH ODYSSEY HOUSE OF NEVADA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>1. RESIDENTIAL TREATMENT A. ADULTS: 1,527 SERVED I. SERVING MEN AND WOMEN AGES 18+ II. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS IN THE STATE III. EMPHASIS ON SKILL DEVELOPMENT AND INDEPENDENCE IV. SPECIALTY PROGRAMMING FOR PEOPLE IN INCARCERATION B. PARENTS AND CHILDREN: 89 PARENTS AND 49 CHILDREN SERVED I. SINGLE MOTHERS AND FATHERS WITH CHILDREN II. THERAPEUTIC DAYCARE FOR KIDS AGES 0-10 III. EMPHASIS ON ENDING THE MULTIGENERATIONAL CYCLE OF ADDICTION IV. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS AND YOUTH IN THE STATE C. YOUTH: 107 YOUTH SERVED THROUGH RESIDENTIAL PROGRAM, 21 YOUTH SERVED THROUGH OUTPATIENT, AND 355 SERVED THROUGH SCHOOL-BASED PROGRAMS I. AGES KINDERGARTEN THROUGH 12TH GRADE II. EMPHASIS ON EDUCATION, TRAUMA, FAMILY III. LARGEST CONTINUUM OF CARE FOR YOUTH IN THE STATE IV. PROGRAMMING IN UTAH, IDAHO AND NEVADA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>SOBER HOUSING: 294 SERVED 61 PEOPLE HOUSED THROUGH BOARDING HOMES HARM REDUCTION A. 2,376 SYRINGE EXCHANGE ENCOUNTERS B. 160,730 SYRINGES EXCHANGES C. 3,182 WOUND CARE KITS DISTRIBUTED E. 2,279 NARCAN KITS DISTRIBUTED F. 948 FENTANYL TEST STRIPS DISTRIBUTED ADULT MENTAL HEALTH: 161 SERVED IN RESIDENTIAL AND OUTPATIENT MENTAL HEALTH SERVICES. SCHOOL-BASED SERVICES: 355 SERVED IN EARLY INTERVENTION SCHOOL-BASED THERAPY IN SALT LAKE COUNTY. FORENSIC ASSERTIVE COMMUNITY TREATMENT: 150 ADULTS SERVED IN OUTPATIENT CARE WITH INTENSIVE CASE MANAGEMENT AND PSYCHIATRIC SUPPORT. ASSERTIVE COMMUNITY TREATMENT: 47 ADULTS SERVED. D.ADMINISTERS INTENSIVE TREATMENT, REHABILITATION, AND SUPPORT SERVICES TO INDIVIDUALS WITH SERIOUS PERSISTENT MENTAL ILLNESS (SPMI)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE 990 IS PREPARED IT IS REVIEWED BY THE DIRECTOR OF FINANCE AND BY THE EXECUTIVE DIRECTOR FOR ACCURACY. THE NUMBERS ARE COMPARED TO THE AUDITED FINANCIAL STATEMENTS FOR ACCURACY. THE 990 IS THEN DISTRIBUTED TO THE BOARD MEMBERS FOR THEIR REVIEW. IF NO PROBLEMS ARE IDENTIFIED, THEN THE 990 IS CONSIDERED CORRECT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND ALL FULL-TIME EMPLOYEES ARE REQUIRED TO ANNUALLY FILL OUT A CONFLICT OF INTEREST DECLARATION FORM. THESE FORMS ARE REVIEWED BY APPROPRIATE MANAGEMENT STAFF OR BY THE CHAIRMAN OF THE BOARD IN ORDER TO IDENTIFY AND ELIMINATE ANY CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY OF THE EXECUTIVE DIRECTOR IS REVIEWED BY THE BOARD OF DIRECTORS AND THAT LEVEL IS SET BASED ON THE BOARD OF DIRECTORS REVIEW OF APPROPRIATE COMPARABLE INDUSTRY AND REGIONAL SALARY LEVELS. DELIBERATION IS DOCUMENTED IN BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY LEVELS FOR ALL OTHER EMPLOYEES ARE REVIEWED AND SET BY THE APPROPRIATE MANAGEMENT TEAM INCLUDING THE EXECUTIVE DIRECTOR, THE DIRECTOR OF THEIR WORK AREA AND THEN FINAL APPROVAL IS GIVEN BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>344 EAST 100 SOUTH 301</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84111</ZIPCd>
        </USAddress>
        <EIN>942896787</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>UT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>2</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>7024109</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL LOAN AMOUNTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1136494</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>100000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>