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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA MOYER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES HILLMAN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER FORMER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>183517</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANNY SIMPSON</PersonNm>
        <TitleTxt>CONSULTANT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>138346</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENNA MAJOR</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>262152</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC LYDON</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47121</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN PINTO</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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        <ReportableCompFromOrgAmt>277839</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN POWERS</PersonNm>
        <TitleTxt>REGIONAL COMPLIANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126901</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15606</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LORA M KELTNER</PersonNm>
        <TitleTxt>MANAGER CLINIC</TitleTxt>
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        <ReportableCompFromOrgAmt>126316</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13289</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1189859</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>183517</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>141364</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNICARE SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>107 CRANES ROOST COURT</AddressLine1Txt>
            <CityNm>ELIZABETHTOWN</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42701</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAINS'L FINANCIAL</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>700 78TH AVE NORTH</AddressLine1Txt>
            <CityNm>BROOKLYN PARK</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55445</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EARLY INTERVENTION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>635 S MAIN ST</AddressLine1Txt>
            <CityNm>LEITCHFIELD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42754</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRACE3</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 603915</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28260</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CREDIBLE WIRELESS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH 17409</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING SOFTWARE</ServicesDesc>
        <CompensationAmt>234357</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>13303506</GovernmentGrantsAmt>
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      <TotalContributionsAmt>13315758</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>45154200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45154200</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>45154200</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>38164</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>415949</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>415949</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>415949</TotalRevenueColumnAmt>
        <ExclusionAmt>415949</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-11771</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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      <TotalRevenueGrp>
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        <ProgramServicesAmt>356154</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>83013</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9405</ProgramServicesAmt>
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        <ProgramServicesAmt>455829</ProgramServicesAmt>
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        <ProgramServicesAmt>519117</ProgramServicesAmt>
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        <ProgramServicesAmt>1125570</ProgramServicesAmt>
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        <ProgramServicesAmt>166583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171689</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>3657</ProgramServicesAmt>
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        <ProgramServicesAmt>1735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2679</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>484886</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>784506</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>WRAP AROUND</Desc>
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        <ProgramServicesAmt>598431</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PASS THROUGH</Desc>
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        <ProgramServicesAmt>570903</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>877499</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>53615872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7689048</ManagementAndGeneralAmt>
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        <EOYAmt>9519912</EOYAmt>
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        <EOYAmt>2617442</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3267965</EOYAmt>
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        <EOYAmt>603658</EOYAmt>
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        <EOYAmt>997313</EOYAmt>
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        <EOYAmt>9874511</EOYAmt>
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        <EOYAmt>1342352</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>28223153</EOYAmt>
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        <EOYAmt>99801</EOYAmt>
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        <EOYAmt>7689</EOYAmt>
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      <TotalLiabilitiesGrp>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>2885417</EOYAmt>
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        <EOYAmt>18110082</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>201818</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>59590429</CurrentTaxYearAmt>
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      <GiftGrntCapContriFromOthOrgInd>1</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>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COMMUNICARE INDUSTRIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>356154</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COMMUNICARE SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>13919580</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
