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          <BusinessName>
            <BusinessNameLine1Txt>CITY CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>284 FACTORY STREET</AddressLine1Txt>
            <CityNm>CLARKSBURG</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>587623</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 823519</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191823519</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR HOSTING/MAINTENANCE</ServicesDesc>
        <CompensationAmt>139596</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTERIM HEALTH CARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1789 S BRADDOCK AVE</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15218</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING SERVICE PROVIDER</ServicesDesc>
        <CompensationAmt>137533</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IDEAL INTEGRATIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>800 REGIS AVE</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15236</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR HOSTING/MAINTENANCE</ServicesDesc>
        <CompensationAmt>110026</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4538707</GovernmentGrantsAmt>
      <TotalContributionsAmt>4538707</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>10155605</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10155605</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENTIAL FACILITIES FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>86395</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>86395</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>10242000</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8324</TotalRevenueColumnAmt>
        <ExclusionAmt>8324</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>800</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>800</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>800</TotalRevenueColumnAmt>
        <ExclusionAmt>800</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>28020</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28020</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>28020</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14817851</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10270020</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9124</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>314737</TotalAmt>
        <ManagementAndGeneralAmt>314737</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9271248</TotalAmt>
        <ProgramServicesAmt>7652137</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1619111</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>133043</TotalAmt>
        <ProgramServicesAmt>97468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35575</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>884107</TotalAmt>
        <ProgramServicesAmt>667826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216281</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>837101</TotalAmt>
        <ProgramServicesAmt>686013</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151088</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>45559</TotalAmt>
        <ProgramServicesAmt>688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44871</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>52429</TotalAmt>
        <ManagementAndGeneralAmt>52429</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>70104</TotalAmt>
        <ManagementAndGeneralAmt>70104</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1230749</TotalAmt>
        <ProgramServicesAmt>1033135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197614</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>101570</TotalAmt>
        <ProgramServicesAmt>6817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94753</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>453547</TotalAmt>
        <ProgramServicesAmt>302506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151041</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1060883</TotalAmt>
        <ProgramServicesAmt>431379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>629504</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>178478</TotalAmt>
        <ProgramServicesAmt>145734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32744</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>70957</TotalAmt>
        <ProgramServicesAmt>19135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51822</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>101364</TotalAmt>
        <ProgramServicesAmt>84767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16597</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>558003</TotalAmt>
        <ProgramServicesAmt>510799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47204</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>613469</TotalAmt>
        <ProgramServicesAmt>255218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>358251</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD AND PREPARATION</Desc>
        <TotalAmt>171577</TotalAmt>
        <ProgramServicesAmt>169807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1770</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>96251</TotalAmt>
        <ProgramServicesAmt>78484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17767</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PUBLIC AWARENESS</Desc>
        <TotalAmt>88089</TotalAmt>
        <ProgramServicesAmt>53568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34521</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>18899</TotalAmt>
        <ProgramServicesAmt>11703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7196</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>56</TotalAmt>
        <ManagementAndGeneralAmt>56</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16352220</TotalAmt>
        <ProgramServicesAmt>12207184</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4145036</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2877363</BOYAmt>
        <EOYAmt>2390564</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1402790</BOYAmt>
        <EOYAmt>899333</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1624948</BOYAmt>
        <EOYAmt>2066242</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>204276</BOYAmt>
        <EOYAmt>201002</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15956565</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6247042</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9475521</BOYAmt>
        <EOYAmt>9709523</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>4084</BOYAmt>
        <EOYAmt>3619</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>125105</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15588982</BOYAmt>
        <EOYAmt>15395388</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1100447</BOYAmt>
        <EOYAmt>1048427</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1754791</BOYAmt>
        <EOYAmt>3047015</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4013369</BOYAmt>
        <EOYAmt>3913851</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>407537</BOYAmt>
        <EOYAmt>507748</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7276144</BOYAmt>
        <EOYAmt>8517041</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8312838</BOYAmt>
        <EOYAmt>6878347</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8312838</BOYAmt>
        <EOYAmt>6878347</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15588982</BOYAmt>
        <EOYAmt>15395388</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1534369</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-465</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>100343</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4750815</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4055119</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6328085</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4929306</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4538707</CurrentTaxYearAmt>
        <TotalAmt>24602032</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4750815</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4055119</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6328085</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4929306</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4538707</CurrentTaxYearAmt>
        <TotalAmt>24602032</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>24602032</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1211</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6205</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1431</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8324</CurrentTaxYearAmt>
        <TotalAmt>17550</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>-51</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>-51</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>24619531</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>50354870</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99930</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>937718</OtherCostOrOtherBasisAmt>
        <BookValueAmt>937718</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9111275</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3208144</DepreciationAmt>
        <BookValueAmt>5903131</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>695438</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>310438</DepreciationAmt>
        <BookValueAmt>385000</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3433425</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2602059</DepreciationAmt>
        <BookValueAmt>831366</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1778709</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>126401</DepreciationAmt>
        <BookValueAmt>1652308</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9709523</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>POSTRETIREMENT BENEFIT OBLIGATIONS</Desc>
        <Amt>295757</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAID LIABILITY</Desc>
        <Amt>86540</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES-CURRENT</Desc>
        <Amt>64834</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES-NONCURRENT</Desc>
        <Amt>60617</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>507748</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14917729</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-465</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>100343</OtherRevenueAmt>
      <RevenueNotReportedAmt>99878</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14817851</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14817851</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16352220</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16352220</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16352220</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES IN OTHER POSTEMPLOYMENT BENEFIT 100,343.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN KING</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>233956</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5755</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>239711</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAISY LYNN CULVERHOUSE-PERRY</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>165535</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8083</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180568</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY WILL DISTRIBUTE THE FINAL VERSION OF THE FORM 990 TO ALL BOARD MEMBERS BEFORE FILING. ADDITIONALLY, THE FORM 990 WILL BE FORMALLY REVIEWED IN ADVANCE OF FILING BY THE FINANCE COMMITTEE USING A FORM 990 CHECKLIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS AND ALL EMPLOYEES SHALL RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND BE ADVISED OF INDIVIDUAL RESPONSIBILITIES TO COMPLY WITH THE PROVISIONS OF THE POLICY. NEW DIRECTORS AND EMPLOYEES SHALL RECEIVE A COPY OF THE POLICY AND FORM DURING THEIR ORIENTATION PERIODS. THE SECRETARY/TREASURER SHALL DISTRIBUTE, AT LEAST ANNUALLY, TO ALL DIRECTORS, MANAGERS, SUPERVISORS AND OTHER EMPLOYEES WHO HAVE MATERIAL DECISION MAKING AUTHORITY A CONFLICT OF INTEREST DISCLOSURE FORM. THE SECRETARY SHALL MAINTAIN FILES OF ALL COMPLETED DISCLOSURE FORMS. ALL MEMORANDA OF REQUESTS FOR DECISION OR DECISIONS MADE BY THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER CONCERNING CONFLICT DISCLOSURES OR RULINGS SHALL BE FORWARDED TO THE SECRETARY/TREASURER OF THE CORPORATION FOR FILING AND MONITORING. THE SECRETARY/TREASURER SHALL REPORT ANY MATERIAL DISCLOSURE TO THE EXECUTIVE COMMITTEE FOR REVIEW AND ACTION. THE SECRETARY/TREASURER SHALL MAKE AVAILABLE TO THE INDEPENDENT AUDITORS THE FILES AND CORRESPONDENCE RELATED TO DISCLOSURE FORMS AND DECISIONS RELATED THERETO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE GOAL OF VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER(VCCMHC) THAT COMPENSATION PAID IS FAIR TO EMPLOYEES. SEVERAL FACTORS ARE USED IN DETERMINING WAGES. THESE INCLUDE BUT ARE NOT LIMITED TO THE JOB DUTIES ASSIGNED TO THE POSITION AS COMPARED TO THE DUTIES OF OTHER POSITIONS, THE EDUCATIONAL REQUIREMENT NECESSARY FOR THE EMPLOYEE TO PERFORM THE JOB, THE PREVIOUS EXPERIENCE NEEDED TO PERFORM THE JOB, THE RATES OF PAY FOR LIKE POSITIONS IN THE AREA AND IN BUSINESSES OF A SIMILAR NATURE TO VCCMHC AND THE BUDGETARY CONSTRAINTS OF THE COMPANY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE CONTINUOUS MAINTENANCE AND ADMINISTRATION OF THE COMPENSATION PLAN AS IT APPLIES TO THE POSITION OF CHIEF EXECUTIVE OFFICER. SALARY REVIEWS ARE ALSO CONDUCTED USING DATA FROM OTHER WEST VIRGINIA COMPREHENSIVE BEHAVIOR HEALTHCARE CENTERS. THE MANAGEMENT TEAM IS RESPONSIBLE FOR CONTINUOUS MAINTENANCE AND ADMINISTRATION OF THE COMPENSATION PLAN FOR OFFICERS TO ASSURE THAT THE PLAN IS FUNCTIONAL AS WORK REQUIREMENT CHANGES IN THE VARIOUS DEPARTMENTS AND AS CONDITIONS CHANGE IN THE LABOR MARKET. SALARY REVIEWS ARE ALSO CONDUCTED USING DATA FROM OTHER WEST VIRGINIA COMPREHENSIVE BEHAVIOR HEALTHCARE CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE WEST VIRGINIA HEALTHCARE AUTHORITY (WVHCA) KEEPS ON FILE, THE AUDITED FINANCIAL STATEMENTS, WHICH ARE AVAILABLE FOR PUBLIC INSPECTION AND PHOTOCOPYING AT THE AUTHORITY AT 100 DEE DRIVE IN CHARLESTON WV. VALLEY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTURARIAL CHANGES IN POST-RETIREMENT BENEFIT PLAN 100,343.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
