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      <BadDebtExpenseAmt>-124298</BadDebtExpenseAmt>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
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          <CityNm>OWENSBORO</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        <OtherDesc>CHILDREN'S PSYCHIATRIC HOSPITAL</OtherDesc>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
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        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.RVBH.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>23</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.RVBH.COM</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>WWW.RVBH.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.RVBH.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
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        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE HOSPITAL'S PLANS TO ADDRESS SIGNIFICANT NEEDS IS IDENTIFIED IN THE CHNA DOCUMENT WHICH IS AVAILABLE ON THE ENTITY'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: THE HOSPITAL AUTOMATICALLY APPLIES A DISCOUNT TO CLIENTS THAT DO NOT HAVE A THIRD PARTY PAYER (GROSS CHARGES FOR SERVICES ARE REDUCED TO THE CURRENT MEDICAID ACCEPTED RATE AT THE DATE OF SERVICE). ADDITIONAL DISCOUNTS ARE APPLIED BASED ON FAMILY HOME AND FAMILY SIZE USING AN INTERNALLY DEVELOPED SLIDING FEE SCALE. CLIENTS MAY ALSO APPLY FOR ADDITIONAL FEE REDUCTIONS, WHICH ARE SUBJECT TO APPROVAL FROM THE CFO.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: THE HOSPITAL AUTOMATICALLY APPLIES A DISCOUNT TO CLIENTS THAT DO NOT HAVE A THIRD PARTY PAYER (GROSS CHARGES FOR SERVICES ARE REDUCED TO THE CURRENT MEDICAID ACCEPTED RATE AT THE DATE OF SERVICE). ADDITIONAL DISCOUNTS ARE APPLIED BASED ON FAMILY HOME AND FAMILY SIZE USING AN INTERNALLY DEVELOPED SLIDING FEE SCALE. CLIENTS MAY ALSO APPLY FOR ADDITIONAL FEE REDUCTIONS, WHICH ARE SUBJECT TO APPROVAL FROM THE CFO.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL AUTOMATICALLY APPLIES A DISCOUNT TO CLIENTS THAT DO NOT HAVE A THIRD PARTY PAYER (GROSS CHARGES FOR SERVICES ARE REDUCED TO THE CURRENT MEDICAID ACCEPTED RATE AT THE DATE OF SERVICE). ADDITIONAL DISCOUNTS ARE APPLIED BASED ON FAMILY HOME AND FAMILY SIZE USING AN INTERNALLY DEVELOPED SLIDING FEE SCALE. CLIENTS MAY ALSO APPLY FOR ADDITIONAL FEE REDUCTIONS, WHICH ARE SUBJECT TO APPROVAL BY THE CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PAGE 10 OF THE COMPANY'S FINANCIAL STATEMENTS DESCRIBE THE POLICY RELATING TO THE NET PATIENT REVENUE. BAD DEBT EXPENSE WAS NOT INCLUDED IN THE AMOUNTS LISTED AS COMMUNITY BENEFITS. THESE AMOUNTS ARE RECORDED AS A REDUCTION OF NET PATIENT SERVICE REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTHLY STATEMENTS ARE SENT TO THE PATIENT'S RESPONSIBLE PARTY. PAST DUE NOTICES ARE INCLUDED WITH ALL STATEMENTS MAILED IN WHICH PAYMENTS HAVE NOT BEEN RECEIVED WITHIN THE LAST THIRTY DAYS. ACCOUNTS OVER NINETY DAYS OLD WITH NO PAYMENTS WITHIN THE LAST TWO MONTHS ARE SENT A FINAL NOTICE STATEMENT. IF NO PAYMENT IS RECEIVED AFTER THE FINAL NOTICE IS SENT, THE ACCOUNT IS SENT TO THE CFO FOR FINAL APPROVAL AND THEN WRITTEN OFF AS A BAD DEBT. ACCOUNTS APPROVED BY THE CFO ARE TURNED OVER TO A COLLECTION AGENCY.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>DREAM RIDERS OF KENTUCKY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4705 WINKLER RD</AddressLine1Txt>
          <CityNm>PHILPOT</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42366</ZIPCd>
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        <RecipientEIN>010802025</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <NonCashAssistanceDesc>DONATION TO FUND PROGRAMS</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>DONATION TO FUND PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES GRANTEES TO SUBMIT REPORTS DETAILING THE USE OF GRANT FUNDS AND MAINTAINS CORRESPONDENCE AND SUPPORTING DOCUMENTATION TO VERIFY COMPLIANCE WITH GRANT RESTRICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <CompensationBasedOnRltdOrgsAmt>250302</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>23599</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>273901</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CEO AND CONTROLLER AND THEN BY THE BOARD OF DIRECTORS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD, CFO, PURCHASING MANAGER, AND HUMAN RESOURCES DEPARTMENT AND INCLUDES REVIEWS OF VENDOR CONTRACTS AND EMPLOYMENT APPLICATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE HUMAN RESOURCES DEPARTMENT FORWARDS PROPOSED COMPENSATION ARRANGEMENTS FOR OTHER KEY PERSONNEL TO THE CEO FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 1023 AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND FORM 990 IS ALSO AVAILABLE ON PUBLIC WEBSITES SUCH AS GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 15,714,725. MANAGEMENT AND GENERAL EXPENSES 1,759,639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,474,364.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>BEHAVIORAL HEALTHCARE SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 WALNUT STREET</AddressLine1Txt>
          <CityNm>OWENSBORO</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42301</ZIPCd>
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        <PrimaryActivitiesTxt>OFFERS RESIDENTIAL SERVICES TO MENTALLY RETARDED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>GREEN RIVER REGIONAL MHMR BOARD</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CIGAR FACTORY COMPLEX INCORPORATED</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 WALNUT STREET</AddressLine1Txt>
          <CityNm>OWENSBORO</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42301</ZIPCd>
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          <BusinessNameLine1Txt>CIGAR FACTORY COMPLEX INCORPORATED</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 WALNUT STREET</AddressLine1Txt>
          <CityNm>OWENSBORO</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42301</ZIPCd>
        </USAddress>
        <EIN>611303939</EIN>
        <PrimaryActivitiesTxt>OWNS AND MANAGES PROPERTY FOR OTHER CHARITABLE ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RIVERVALLEY CONSULTING SERVICES INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GREEN RIVER INDEPENDENT LIVING - II INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 WALNUT STREET</AddressLine1Txt>
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        </USAddress>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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          <AddressLine1Txt>1100 WALNUT STREET</AddressLine1Txt>
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          <ZIPCd>42301</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RIVERVALLEY CONSULTING SERVICES INC</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENDERSON GROUP HOME INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1100 WALNUT STREET</AddressLine1Txt>
          <CityNm>OWENSBORO</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42301</ZIPCd>
        </USAddress>
        <EIN>611171902</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING &amp; PERSONAL CARE FOR PHYSICALLY AND/OR MENTALLY HANDICAPPED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RIVERVALLEY CONSULTING SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACUMEN COUNSELING SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>14483438</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CIGAR FACTORY COMPLEX INCORPORATED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>530025</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV - CASH TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RIVERVALLEY CONSULTING SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>3234292</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>