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        <Desc>FOR MORE THAN 30 YEARS, NORTHKEY COMMUNITY CARE HAS PARTNERED WITH NORTHERN KENTUCKY SCHOOL DISTRICTS BY PLACING THERAPISTS IN SCHOOLS TO PROVIDE THE SOCIAL, EMOTIONAL AND BEHAVIORAL HELP STUDENTS NEED. CURRENTLY, NORTHKEY SERVES OVER 24 SCHOOLS IN EIGHT COUNTIES. NORTHKEY THERAPISTS INTEGRATE WITH THE SCHOOL TEAM AND BECOME A VALUABLE RESOURCE FOR THE STUDENTS, PARENTS AND SCHOOL PERSONNEL. ONCE ON-SITE IN THE SCHOOL, THE THERAPIST PROVIDES TREATMENT AND SUPPORT FOR STUDENTS INCLUDING CONSULTATION AND RESOURCES FOR PARENTS AND SCHOOL STAFF. SCHOOL BASED SERVICES MAKE IT POSSIBLE TO REACH AND PROVIDE SERVICES TO CLIENTS WHO MIGHT OTHERWISE GO UNTREATED BECAUSE OF TRANSPORTATION OR SCHEDULING CONFLICTS.</Desc>
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        <Desc>NORTHKEY'S JAIL SERVICES PROVIDES ASSESSMENT AND TRAINING SERVICES FOR JAILS AND OTHER COMPONENTS OF NORTHERN KENTUCKY'S JUSTICE SYSTEM. JAIL TRIAGE ASSESSES LOCAL INMATE RISK OF HARM TO SELF OR OTHERS AND PROVIDES SOME INMATE CRISIS COUNSELING. CONSULTATIVE FEEDBACK IS PROVIDED TO THE JAILS, WHICH ENACT PROTECTIVE PROTOCOL OR ENGAGE OTHER INMATE ASSISTANCE. NORTHKEY ALSO CONDUCTS EVALUATIONS TO ASSIST COURTS IN DETERMINING WHETHER A PERSON ALLEGED TO BE INCOMPETENT REQUIRES A COURT-APPOINTED GUARDIAN OR CONSERVATOR. ASSESSMENTS AID CRIMINAL COURTS TO DETERMINE A DEFENDANT'S COMPETENCE TO STAND TRAIL AND/OR CRIMINAL RESPONSIBILITY AT THE TIME OF AN ALLEGED OFFENSE. THE NORTHKEY COLLABORATION CONTINUES WITH LAW ENFORCEMENT IN THE NORTHERN KENTUCKY POLICE CRISIS INTERVENTION TEAMS (CIT) EFFORT. CIT IS AN INTERNATIONALLY RECOGNIZED MODEL USED TO IMPROVE SAFETY AND OVERALL INTERACTIONS BETWEEN LAW ENFORCEMENT AND INDIVIDUALS IN BEHAVIORAL HEALTH CRISES. NORTHKEY AND REGIONAL OFFICERS CONDUCT TWO 40 HOUR CIT TRAININGS PER YEAR.</Desc>
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      <ContractorCompensationGrp>
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          <BusinessName>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>LOGICALIS</BusinessNameLine1Txt>
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        <ManagementAndGeneralAmt>8800</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>55300</ManagementAndGeneralAmt>
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        <DepreciationAmt>77337</DepreciationAmt>
        <BookValueAmt>10642</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>7145624</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6297457</DepreciationAmt>
        <BookValueAmt>848167</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>816085</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>498523</DepreciationAmt>
        <BookValueAmt>317562</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1176371</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>MENTAL HEALTH RISK RETENTION</Desc>
        <BookValueAmt>56575</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MHMR PROPERTIES, INC.</Desc>
        <BookValueAmt>6730213</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <TotalBookValueProgramRltdAmt>6786788</TotalBookValueProgramRltdAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>36029591</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>587893</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>587893</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35441698</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>85442</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>14505664</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>14591106</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>50032804</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>30114439</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>30114439</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>14505664</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>14505664</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>44620103</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHERN KENTUCKY MENTAL HEALTH - MENTAL RETARDATION REGIONAL BOARD, INC. AND NORTHERN KENTUCKY MHMR PROPERTIES, INC. ARE KENTUCKY NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2), RESPECTIVELY, OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO THE INTERNAL REVENUE CODE. ERIGO, INC., DBA ERIGO EMPLOYER SOLUTIONS, IS TAXED AS A 'C' CORPORATION UNDER THE INTERNAL REVENUE CODE AND SIMILAR STATE LAW. ERIGO PAYS INCOME TAXES AND MAKES A PROVISION OR LIABILITY FOR FUTURE FEDERAL AND STATE INCOME TAXES IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE BOARD HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE BOARD RECOGNIZED NO INTEREST OR PENALTIES IN THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR EITHER OF THE YEARS ENDED JUNE 30, 2023 OR 2022. IF THE SITUATION AROSE IN WHICH THE BOARD WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE BOARD IS NOT CURRENTLY UNDER AUDIT, NOR HAS THE BOARD BEEN CONTRACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE BOARD'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR EITHER OF THE YEARS ENDED JUNE 30, 2023 OR 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT RATE WRITEOFFS 14,505,664.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT RATE WRITEOFFS 14,505,664.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <PersonNm>OWEN T NICHOLS</PersonNm>
        <TitleTxt>PRESIDENT, CEO (NON-VOTING</TitleTxt>
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        <TotalCompensationFilingOrgAmt>457312</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>BRIAN JONES</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>235448</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT VONCKX</PersonNm>
        <TitleTxt>CHIEF OF OPERATIONS AND TA</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>6315</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17352</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>181546</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA GEORGE</PersonNm>
        <TitleTxt>CHIEF OF SERVICES &amp; DEVELO</TitleTxt>
        <BaseCompensationFilingOrgAmt>151652</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7689</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165407</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: COMPREHENSIVE CARE CENTERS OF NORTHERN KENTUCKY, INC. DBA: NORTHERN KENTUCKY COMPREHENSIVE CARE, INC. DBA: NORTHKEY CONSUMER DIRECTED OPTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND THEN IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE BOARD MEMBERS. ANY MEMBER WITH A CONFLICT CANNOT VOTE ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD COMPENSATION COMMITTEE REVIEWS COMPENSATION OF THE EXECUTIVE DIRECTOR ANNUALLY AND THE BOARD DETERMINES IF ADJUSTMENT IS NECESSARY. FORM 990 OF OTHER ORGANIZATIONS ARE USED FOR COMPARISON AS WELL AS A COMPENSATION SURVEY OR STUDY. FOR KEY EMPLOYEES, HUMAN RESOURCES REVIEWS COMPENSATION ANNUALLY WITH INPUT FROM THE EXECUTIVE DIRECTOR, AND ULTIMATELY THE BOARD APPROVES ANY COMPENSATION ADJUSTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET TRANSFER FROM NORTHERN KENTUCKY MHMR PROPERTIES 297,747.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS IS THE SAME AS LAST YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHERN KY MHMR PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>503 FARRELL DRIVE</AddressLine1Txt>
          <CityNm>COVINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41013</ZIPCd>
        </USAddress>
        <EIN>611087634</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTHERN KENTUCKY MHMR REGIONAL BOARD INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ERIGO INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>211 GRANDVIEW DRIVE</AddressLine1Txt>
          <CityNm>FT MITCHELL</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41017</ZIPCd>
        </USAddress>
        <EIN>452569924</EIN>
        <PrimaryActivitiesTxt>PROFESSIONAL EMPLOYER ORGANIZATION, EMPLOYMENT LEASING SERVICES</PrimaryActivitiesTxt>
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        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE RECEIVED</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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</Return>
