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        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF ACKER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK LATHAM</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DUNCAN HOLLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN MCGRAW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALVATORE ZAMPANO III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE SCHMITT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN HANEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA RYAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HETTY THOMAE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH TRUCKLE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2093017</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>475544</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARIS</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>ARIS</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4409</AddressLine1Txt>
            <AddressLine2Txt>P O BOX 4409</AddressLine2Txt>
            <CityNm>WHITE RIVER JUNCTION</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMP. CON. SER.</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHEAST KINGDON HUMAN SERVICES</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>NORTH KINGDOM HUMAN SERVICES</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2225 PORTLAND ST</AddressLine1Txt>
            <AddressLine2Txt>2225 PORTLAND ST</AddressLine2Txt>
            <CityNm>ST JOHNSBURY</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05819</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMP. CON. SER.</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNITED COUNSELING SERVICE INC</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>UNITED COUNSELING SERVICE INC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 LEDGE HILL DRIVE</AddressLine1Txt>
            <AddressLine2Txt>100 LEDGE HILL DRIVE</AddressLine2Txt>
            <CityNm>BENNINGTON</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>486988</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOWARD CENTER</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>HOWARD CENTER</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>102 S WINOOSKI AVE</AddressLine1Txt>
            <AddressLine2Txt>102 S WINOOSKI AVE</AddressLine2Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>425346</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RUTLAND MENTAL HEALTH SERVICES</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>RUTLAND MENTAL HEALTH SERVICES</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 COURT SQUARE</AddressLine1Txt>
            <AddressLine2Txt>7 COURT SQUARE</AddressLine2Txt>
            <CityNm>RUTLAND</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>325435</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8657633</GovernmentGrantsAmt>
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      <TotalContributionsAmt>8672633</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>60178444</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60178444</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>440882</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>440882</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>265836</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>265836</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ROOM &amp; BOARD</Desc>
        <BusinessCd>623990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>167682</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCHOOL PROGRAM FEES</Desc>
        <BusinessCd>623990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>141556</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>61194400</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>209562</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>56740</TotalRevenueColumnAmt>
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        <Desc>REIMBURSEMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>809444</RelatedOrExemptFuncIncomeAmt>
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        <ManagementAndGeneralAmt>623591</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2174903</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>257865</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>144212</ProgramServicesAmt>
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        <ProgramServicesAmt>307576</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>866430</ProgramServicesAmt>
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        <ProgramServicesAmt>867429</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306867</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1319542</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>193736</ProgramServicesAmt>
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        <ProgramServicesAmt>246888</ProgramServicesAmt>
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        <ProgramServicesAmt>887400</ProgramServicesAmt>
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        <EOYAmt>15912475</EOYAmt>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>66813</CurrentTaxYearMinus1YearAmt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>HCRS OFFERS COMPREHENSIVE SERVICES FOR ADULTS EXPERIENCING MENTAL HEALTH AND/OR SUBSTANCE USE CHALLENGES. SERVICES INCLUDE ASSESSMENT, TREATMENT (INDIVIDUAL, GROUP, COUPLES, AND FAMILY COUNSELING), REFERRALS, AND PSYCHIATRIC SERVICES. HCRS BELIEVES INDIVIDUALS ARE RESILIENT AND CAPABLE OF OVERCOMING DIFFICULT EXPERIENCES AND RECOVERING FROM MENTAL HEALTH AND SUBSTANCE USE ISSUES. WE RECOGNIZE MULTIPLE PATHWAYS TO RECOVERY AND ENCOURAGE PEOPLE TO SEEK SUPPORT WITHIN THEIR COMMUNITIES. HCRS COLLABORATES WITH COMMUNITY PARTNERS TO ENSURE COORDINATED, HIGH-QUALITY CARE AND IS COMMITTED TO BUILDING ON THE STRENGTHS OF INDIVIDUALS AND FAMILIES SERVED. THE HCRS CRISIS TEAM PROVIDES EMERGENCY MENTAL HEALTH AND MOBILE CRISIS SERVICES THROUGHOUT WINDSOR AND WINDHAM COUNTIES, WITH TRAINED PROFESSIONALS AVAILABLE 24 HOURS A DAY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>HCRS' DEVELOPMENTAL SERVICES PROGRAM PROVIDES COMPREHENSIVE, COMMUNITY- BASED SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. THE PROGRAM ASSISTS INDIVIDUALS AND FAMILIES IN NAVIGATING STATE AND LOCAL SERVICE SYSTEMS, WITH A FOCUS ON PRESERVING FAMILY AND COMMUNITY CONNECTIONS AND PROMOTING CHOICE IN ALL ASPECTS OF LIFE. SERVICES INCLUDE RESIDENTIAL OPTIONS, AS WELL AS SCHOOL, COMMUNITY, AND EMPLOYMENT SUPPORTS. HCRS STAFF WORK ALONGSIDE INDIVIDUALS IN THEIR COMMUNITIES TO HELP THEM REACH THEIR FULL POTENTIAL AND ACHIEVE GREATER INDEPENDENCE. STAFF ALSO SUPPORT AND PARTICIPATE IN COMMUNITY ACTIVITIES, INCLUDING SOCIAL EVENTS, FOSTERING INCLUSION AND CONNECTION. KINDLE FARM IS AN INDEPENDENT ALTERNATIVE SCHOOL FOR BOYS IN GRADES 3-12, PROVIDING A SAFE, STRUCTURED ENVIRONMENT FOR STUDENTS WHO STRUGGLE IN TRADITIONAL CLASSROOM SETTINGS. THROUGH A COMBINATION OF ACADEMIC INSTRUCTION, HANDS-ON ACTIVITIES, AND STRONG SUPERVISION AND GUIDANCE, STUDENTS DEVELOP NEW SKILLS IN COMMUNICATION, PROBLEM-SOLVING, AND LEARNING. LOCATED IN NEWFANE, VERMONT, THE PROGRAM INCLUDES A WORKING VEGETABLE FARM, SUGAR BUSH, AND WOODLOT, WHERE STUDENTS GAIN PRACTICAL VOCATIONAL SKILLS THAT SUPPORT FUTURE SUCCESS. OTHER NON-MENTAL HEALTH SERVICES INCLUDE COMMUNITY, SOCIAL, AND SUPPORT SERVICES PROVIDED THROUGH FISCAL AGENT ARRANGEMENTS WITH HCRS, AS WELL AS OTHER NON-PROGRAM-SPECIFIC ACTIVITIES.</ExplanationTxt>
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        <ExplanationTxt>FORM 990 IS PREPARED BY INDEPENDENT CPA'S, REVIEWED BY CFO AND THEN BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS BEFORE IT IS SIGNED AND FILED WITH THE IRS. HCRS FORM 990 IS AVAILABLE ON ANOTHER'S WEBSITE OR UPON REQUEST. IN ADDITION, THE FORM 990 WILL BE MADE AVAILABLE UPON WRITTEN REQUEST OF THE CHIEF EXECUTIVE OFFICER OR CHIEF FINANCIAL OFFICER, HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT, INC., 390 RIVER STREET, SPRINGFIELD, VT 05156. THE CEO AND/OR OTHER AGENCY REPRESENTATIVE WILL BE AVAILABLE TO MEET WITH THE REQUESTOR TO REVIEW THIS DOCUMENT.</ExplanationTxt>
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        <ExplanationTxt>ALL EMPLOYEES, TRUSTEES, AND OFFICERS ARE REQUIRED TO VIEW AND SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.</ExplanationTxt>
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        <ExplanationTxt>THE COMPENSATION FOR THE CEO IS NEGOTIATED AND AUTHORIZED BY THE BOARD OF DIRECTORS. THE CEO IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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        <ExplanationTxt>THE COMPENSATION FOR THE CEO AND POSITIONS REPORTING TO THE CEO ARE REVIEWED ANNUALLY BY THE HUMAN RESOURCE COMMITTEE OF THE BOARD OF DIRECTORS IN COMPARISON TO COMPARABLE POSITIONS AT PEER ORGANIZATIONS AND RECRUITMENT MARKET. ON AN ANNUAL BASIS, HCRS REVIEWS SURVEYS PROVIDED BY THE VERMONT COUNCIL OF DEVELOPMENTAL AND MENTAL HEALTH SERVICES, WHICH IS AN ORGANIZATION REPRESENTING THE COMMUNITY MENTAL HEALTH CENTERS AND SPECIAL SERVICE AGENCIES IN VERMONT, AND GUIDESTAR USA, INC.,AN INFORMATION SERVICE SPECIALIZING IN REPORTING ON U.S NONPROFIT COMPANIES. THE REVIEW OF THESE SURVEYS ENSURES HCRS IS FAIRLY COMPENSATING ITS EMPLOYEES ON A BASIS CONSISTENT WITH THE INDUSTRY AVERAGES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HCRS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND THE AGENCY'S ANNUAL FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON WRITTEN REQUEST OF THE CEO OR CHIEF FINANCIAL OFFICER, HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT, INC., 390 RIVER STREET, SPRINGFIELD, VT 05156. THE CEO AND/OR OTHER AGENCY REPRESENTATIVE WILL BE AVAILABLE TO MEET WITH THE REQUESTOR TO REVIEW THESE DOCUMENTS.</ExplanationTxt>
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