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      <TotalOtherCompensationAmt>68184</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CREDIBLE BEHAVIORAL HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH 17409</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60055</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONIC HEALTH RECORD PROVIDER</ServicesDesc>
        <CompensationAmt>356085</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEGRA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 631140</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45263</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FIBER NETWORK AND DATA SOLUTIONS</ServicesDesc>
        <CompensationAmt>343589</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL PRACTICE MANAGEMENT SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5187 US ROUTE 60 STE 1</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25705</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
        <CompensationAmt>337776</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AUTOMATED STATISTICS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 532</AddressLine1Txt>
            <CityNm>MARYSVILLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98270</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GRANT EVALUATION SERVICES</ServicesDesc>
        <CompensationAmt>200001</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IGNITE LINK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>534 5TH AVENUE SUITE 300</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>183712</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>24116605</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>33408</AllOtherContributionsAmt>
      <TotalContributionsAmt>24150013</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621420</BusinessCd>
        <TotalRevenueColumnAmt>24485242</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24485242</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ROOM AND BOARD</Desc>
        <BusinessCd>521420</BusinessCd>
        <TotalRevenueColumnAmt>648142</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>648142</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>25133384</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>182573</TotalRevenueColumnAmt>
        <ExclusionAmt>182573</ExclusionAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>105599</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-105599</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-105599</TotalRevenueColumnAmt>
        <ExclusionAmt>-105599</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>430717</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>430717</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>430717</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>49791088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25564101</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>76974</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>117736</TotalAmt>
        <ProgramServicesAmt>98027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19709</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>22976524</TotalAmt>
        <ProgramServicesAmt>19130254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3846270</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>377606</TotalAmt>
        <ProgramServicesAmt>314546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63060</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2946567</TotalAmt>
        <ProgramServicesAmt>2454490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>492077</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1875624</TotalAmt>
        <ProgramServicesAmt>1562395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313229</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>82764</TotalAmt>
        <ProgramServicesAmt>68942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13822</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>131241</TotalAmt>
        <ManagementAndGeneralAmt>131241</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>12325</TotalAmt>
        <ManagementAndGeneralAmt>12325</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2804172</TotalAmt>
        <ProgramServicesAmt>2337519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>466653</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>304066</TotalAmt>
        <ProgramServicesAmt>253287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50779</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>2439221</TotalAmt>
        <ProgramServicesAmt>2032716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>406505</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2147551</TotalAmt>
        <ProgramServicesAmt>1788910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>358641</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>516015</TotalAmt>
        <ProgramServicesAmt>429840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86175</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>74648</TotalAmt>
        <ProgramServicesAmt>62182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12466</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>434478</TotalAmt>
        <ProgramServicesAmt>361920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72558</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1181051</TotalAmt>
        <ProgramServicesAmt>983815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197236</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>3902490</TotalAmt>
        <ProgramServicesAmt>3902490</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RENT EXPENSES</Desc>
        <TotalAmt>359066</TotalAmt>
        <ProgramServicesAmt>299102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59964</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>333167</TotalAmt>
        <ProgramServicesAmt>277528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55639</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION</Desc>
        <TotalAmt>255702</TotalAmt>
        <ProgramServicesAmt>213000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42702</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>920037</TotalAmt>
        <ProgramServicesAmt>766393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153644</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>44192051</TotalAmt>
        <ProgramServicesAmt>37337356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6854695</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2032212</BOYAmt>
        <EOYAmt>5151544</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>5325153</BOYAmt>
        <EOYAmt>6586537</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2434563</BOYAmt>
        <EOYAmt>2832269</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>258189</BOYAmt>
        <EOYAmt>2045516</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>14212208</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7565511</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6639694</BOYAmt>
        <EOYAmt>6646697</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2151614</BOYAmt>
        <EOYAmt>2354634</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>18841425</BOYAmt>
        <EOYAmt>25617197</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4524391</BOYAmt>
        <EOYAmt>5550653</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>3333234</BOYAmt>
        <EOYAmt>3522431</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1603903</BOYAmt>
        <EOYAmt>1357284</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>24838</BOYAmt>
        <EOYAmt>28138</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>9486366</BOYAmt>
        <EOYAmt>10458506</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9355059</BOYAmt>
        <EOYAmt>15158691</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9355059</BOYAmt>
        <EOYAmt>15158691</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18841425</BOYAmt>
        <EOYAmt>25617197</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>5599037</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>204595</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>15412915</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14241916</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16605350</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20087094</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24150013</CurrentTaxYearAmt>
        <TotalAmt>90497288</TotalAmt>
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      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>675957</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>670095</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>670095</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>670095</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>670095</CurrentTaxYearAmt>
        <TotalAmt>3356337</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>16088872</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14912011</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17275445</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20757189</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24820108</CurrentTaxYearAmt>
        <TotalAmt>93853625</TotalAmt>
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      <PublicSupportTotal170Amt>93853625</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>48148</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>49871</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>55434</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>51857</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>182573</CurrentTaxYearAmt>
        <TotalAmt>387883</TotalAmt>
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      <TotalSupportAmt>94241508</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99590</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99690</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <OtherCostOrOtherBasisAmt>2326748</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2326748</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>-531101</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>4361257</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>2556539</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2066746</DepreciationAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS AND OTHER</Desc>
        <Amt>28138</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>28138</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <DonatedServicesAndUseFcltsAmt>670095</DonatedServicesAndUseFcltsAmt>
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      <RevenueSubtotalAmt>45888598</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>3902490</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>49791088</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>40959656</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>670095</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>670095</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>40289561</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>3902490</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>44192051</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART IV, LINE 11F - WITH FEW EXCEPTIONS, NEITHER ENTITY IS SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2019. MANAGEMENT IS OF THE OPINION THAT NEITHER ENTITY HAS ANY MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY RECOGNIZES NO LIABILITY FOR UNRECOGNIZED BENEFITS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS 3,902,490.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS 3,902,490.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NIKA RAZAVIPOUR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>219456</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>950</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23025</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>243431</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA GOLDIZEN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>218395</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1575</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219970</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY PRIDDY MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>189501</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2075</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21444</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213020</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS WILLIAMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>185951</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1950</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRITTANI LOWE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>148405</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>950</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>3050</OtherCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 23</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESTERA CENTER HAS A MANAGEMENT AGREEMENT WITH MEDICAL PRACTICE MANAGEMENT SOLUTIONS (MPMS) TO PROVIDE ACCOUNTING SERVICES AND A CHIEF FINANCIAL OFFICER. IN FEBRUARY 2020, NATALIE ERLENWEIN WAS EMPLOYED BY MPMS AS THE PRESTERA CFO. THE 2022 CALENDAR YEAR COMPENSATION AND BENEFITS PAID BY MPMS TO NATALIE ERLENWEIN WAS $97,304.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CHIEF FINANICAL OFFICER BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT ON AN ANNUAL BASIS CONFIRMING THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAIABLE UPON REQUEST AT THE CORPORATE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRESTERA FOUNDATION FOR BEHAVIORAL HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5600 US ROUTE 60 EAST</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25705</ZIPCd>
        </USAddress>
        <EIN>621317504</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING AND SUPPORT FOR THE PRESTERA CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</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>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
