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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>105193</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36342</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM PIPPIN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHIL BLACKBURN</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF ACKER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE HART</PersonNm>
        <TitleTxt>TRUSTEE/DIRE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HILDEGARD OJIBWAY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN MCGRAW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <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>SALVATORE ZAMPANO III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DUNCAN HOLLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1971912</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>439314</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</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>
        <CompensationAmt>4467657</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DOWNS RACHLIN MARTIN PLLC</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>DOWNS RACHLIN MARTIN PLLC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 99</AddressLine1Txt>
            <AddressLine2Txt>P O BOX 99</AddressLine2Txt>
            <CityNm>ST JOHNSBURY</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05819</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>146497</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UPPER VALLEY SERVICES</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>UPPER VALLEY SERVICES</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 4409</AddressLine1Txt>
            <AddressLine2Txt>P O BOX 4409</AddressLine2Txt>
            <CityNm>WHITE RIVER JUNCTION</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLIENT SERVICES</ServicesDesc>
        <CompensationAmt>132364</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6334904</GovernmentGrantsAmt>
      <TotalContributionsAmt>6334904</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>50351636</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>50351636</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>386275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>386275</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCHOOL PROGRAM FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>278593</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>278593</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>239119</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>239119</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ROOM &amp; BOARD</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>125404</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>125404</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>51381027</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>95124</TotalRevenueColumnAmt>
        <ExclusionAmt>95124</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>64877</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>14669</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>50208</TotalRevenueColumnAmt>
        <ExclusionAmt>50208</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSEMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>375622</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>375622</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>375622</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>58236885</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51756649</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>145332</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>754582</TotalAmt>
        <ManagementAndGeneralAmt>754582</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>27210438</TotalAmt>
        <ProgramServicesAmt>25125794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2084644</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>785525</TotalAmt>
        <ProgramServicesAmt>698893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86632</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6282228</TotalAmt>
        <ProgramServicesAmt>5849285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>432943</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1978269</TotalAmt>
        <ProgramServicesAmt>1298447</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>177461</TotalAmt>
        <ManagementAndGeneralAmt>177461</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>66660</TotalAmt>
        <ManagementAndGeneralAmt>66660</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>12577222</TotalAmt>
        <ProgramServicesAmt>12163897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>413325</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>273877</TotalAmt>
        <ProgramServicesAmt>99396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174481</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>256083</TotalAmt>
        <ProgramServicesAmt>247744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8339</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1563428</TotalAmt>
        <ProgramServicesAmt>385539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1177889</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1005327</TotalAmt>
        <ProgramServicesAmt>753838</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251489</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>1065491</TotalAmt>
        <ProgramServicesAmt>1033574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31917</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>120583</TotalAmt>
        <ProgramServicesAmt>100292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20291</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>349648</TotalAmt>
        <ProgramServicesAmt>349648</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1149136</TotalAmt>
        <ProgramServicesAmt>1022487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126649</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>300943</TotalAmt>
        <ProgramServicesAmt>286451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14492</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>GENERAL OPERATING EXPENSE</Desc>
        <TotalAmt>1194971</TotalAmt>
        <ProgramServicesAmt>1004994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>189977</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SERVICES</Desc>
        <TotalAmt>501038</TotalAmt>
        <ProgramServicesAmt>501038</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>261564</TotalAmt>
        <ProgramServicesAmt>176385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85179</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>57874474</TotalAmt>
        <ProgramServicesAmt>51097702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6776772</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3252497</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>4631068</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>21822566</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>10619511</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>2333494</BOYAmt>
        <EOYAmt>3265017</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>22935827</BOYAmt>
        <EOYAmt>22367538</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3786903</BOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1035456</EOYAmt>
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        <BOYAmt>7622612</BOYAmt>
        <EOYAmt>6571147</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>488196</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>473947</BOYAmt>
        <EOYAmt>1354030</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>12373549</EOYAmt>
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        <EOYAmt>17567</EOYAmt>
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        <EOYAmt>9993989</EOYAmt>
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        <EOYAmt>22367538</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>30309</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17443</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95124</CurrentTaxYearAmt>
        <TotalAmt>212094</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>44682</CurrentTaxYearMinus1YearAmt>
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      </UnrelatedBusinessNetIncm170Grp>
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      <TotalSupportAmt>34869432</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>219088425</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.89770</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.92420</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>REIMBURSEMENTS 3,099,143</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>892926</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>17049176</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8288056</DepreciationAmt>
        <BookValueAmt>8761120</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>847835</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>647784</DepreciationAmt>
        <BookValueAmt>200051</BookValueAmt>
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        <ExplanationTxt>CONSIDERATION HAS BEEN GIVEN TO UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURNS FOR THE YEARS AFTER JUNE 30, 2020 REMAIN OPEN FOR POTENTIAL EXAMINATION BY MAJOR TAX JURISDICTIONS, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED.</ExplanationTxt>
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        <PersonNm>EDMUND HMOORE IV</PersonNm>
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        <PersonNm>ANNE BILODEAU</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL BOUTIN MD</PersonNm>
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        <PersonNm>KATHLEEN LAMPHERE</PersonNm>
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        <PersonNm>LYNN MCCORMICK</PersonNm>
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        <PersonNm>DOROTHY DEGUTIS</PersonNm>
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        <PersonNm>KULSOOM KHAN</PersonNm>
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        <PersonNm>ERIC JACOBSON</PersonNm>
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        <IssuerName>
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          <BusinessNameLine2Txt>SERIES 2022</BusinessNameLine2Txt>
        </IssuerName>
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        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
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    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>HCRS OFFERS COMPREHENSIVE SERVICES FOR ADULTS WHO ARE EXPERIENCING MENTAL HEALTH AND/OR SUBSTANCE USE DIFFICULTIES. ADULT SERVICES INCLUDE ASSESSMENT, TREATMENT INCLUDING INDIVIDUAL, GROUP, COUPLES, AND FAMILY COUNSELING, REFERRAL SERVICES, AND LIMITED PSYCHIATRIC SERVICES. IT IS THE PHILOSOPHY OF HCRS THAT PEOPLE ARE RESILIENT AND THEREFORE CAPABLE OF OVERCOMING DIFFICULT EXPERIENCES AND RECOVERING FROM MENTAL ILLNESS AND SUBSTANCE ABUSE. WE BELIEVE THAT THERE ARE MANY PATHWAYS TO RECOVERY AND RESILIENCY AND ENCOURAGE INDIVIDUALS SEEKING SUPPORT FROM HCRS TO ALSO SEEK SUPPORT FROM THEIR COMMUNITIES. HCRS EMBRACES COLLABORATIONS WITH OTHER COMMUNITY AGENCIES TO ENSURE QUALITY SERVICES ARE BEING DELIVERED AND NEEDS ARE BEING MET. HCRS IS COMMITTED TO BUILDING ON THE STRENGTHS OF THE INDIVIDUALS AND FAMILIES OF WHOM WE SERVE. THE HCRS CRISIS TEAM PROVIDES THE HIGHEST POSSIBLE LEVEL OF EMERGENCY MENTAL HEALTH CARE TO PEOPLE IN WINDSOR AND WINDHAM COUNTIES. SPECIALLY TRAINED MENTAL HEALTH PROFESSIONALS ARE AVAILABLE 24 HOURS A DAY FOR EMERGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DEVELOPMENTAL SERVICES: HCRS' DEVELOPMENTAL SERVICES PROGRAM PROVIDES COMPREHENSIVE SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. DEVELOPMENTAL SERVICES ASSISTS FAMILIES AND INDIVIDUALS IN NAVIGATING THEIR STATE AND LOCAL SERVICE NETWORK. THE ULTIMATE GOAL IN DS IS PRESERVING THE FAMILY/COMMUNITY COMPONENT OF CARE AND ENSURING THAT INDIVIDUALS HAVE OPPORTUNITIES AND FREEDOM OF CHOICE IN ALL ASPECTS OF THEIR LIVES. DEVELOPMENTAL SERVICES PROVIDES HOMES FOR INDIVIDUALS AS WELL AS SCHOOL, COMMUNITY, AND EMPLOYMENT SUPPORTS. HCRS' DEVELOPMENTAL SERVICES ARE COMMUNITY BASED. HCRS STAFF WORK WITH CLIENTS IN THE COMMUNITY TO ASSIST THEM IN REACHING THEIR FULL POTENTIAL AND IN BECOMING AS INDEPENDENT AS POSSIBLE. STAFF MEMBERS REGULARLY VOLUNTEER TO SUPPORT MANY COMMUNITY ACTIVITIES SUCH AS DANCES, DINNERS, AND THE LOCAL CHAPTER OF SPECIAL OLYMPICS. KINDLE FARM: AN INDEPENDENT ALTERNATIVE SCHOOL FOR BOYS (GRADES 2-12), KINDLE FARM PROVIDES A PHYSICALLY AND EMOTIONALLY SAFE SCHOOL ENVIRONMENT FOR STUDENTS CHALLENGED BY THE TRADITIONAL CLASSROOM SETTING. USING A COMBINATION OF DIVERSE ACTIVITIES, STRONG SUPERVISION, AND GUIDANCE, KINDLE FARM ALLOWS STUDENTS TO DISCARD OLD PATTERNS AND HABITS, AND DISCOVER AND PRACTICE NEW WAYS TO COMMUNICATE, PROBLEM SOLVE, AND LEARN MORE EFFECTIVELY. KINDLE FARM SCHOOL IS LOCATED IN NEWFANE, VERMONT AND CONSISTS OF A VEGETABLE FARM, SUGAR BUSH, AND WOODLOT WHERE STUDENTS LEARN VOCATIONAL SKILLS THAT WILL SERVE THEM WELL IN THE FUTURE. NON-MENTAL HEALTH - OTHER NON-MENTAL HEALTH REPRESENTS OTHER COMMUNITY, SOCIAL, AND SUPPORT SERVICES PROVIDED UNDER A FISCAL AGENT ARRANGEMENT WITH HCRS AS WELL AS OTHER NON - PROGRAMMATIC SPECIFIC ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES, TRUSTEES, AND OFFICERS ARE REQUIRED TO VIEW AND SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES 93,022 299,114 0 CONTRACTED SERVICES 12,070,875 114,211 0 TOTAL 12,163,897 413,325 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING 64,877 FUNDRAISING -64,877</ExplanationTxt>
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  </ReturnData>
</Return>
