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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GO-HIRE EMPLOYMENT DEV INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1238</AddressLine1Txt>
            <CityNm>HAZARD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41702</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICE</ServicesDesc>
        <CompensationAmt>6517627</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IRIS TELEHEALTH MEDICAL GROUP PA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>114 WEST 7TH STREET SUITE 900</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRISTS</ServicesDesc>
        <CompensationAmt>140148</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>KARUNA ASSOCIATES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>268 GRASSLAND PARK</AddressLine1Txt>
            <CityNm>LEXINGTON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40515</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRY</ServicesDesc>
        <CompensationAmt>111959</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIVERSITY OF LOUISVILLE PSYCHIATRI</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 E CHESTNUT ST SUITE 600</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COUNSELING</ServicesDesc>
        <CompensationAmt>105000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9160831</GovernmentGrantsAmt>
      <TotalContributionsAmt>9160831</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>31865120</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31865120</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>31865120</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>75757</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75757</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1275460</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1275460</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1275460</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>42377168</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33216337</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3642958</TotalAmt>
        <ProgramServicesAmt>3063951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>579007</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5660136</TotalAmt>
        <ProgramServicesAmt>1843258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3816878</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>30250</TotalAmt>
        <ManagementAndGeneralAmt>30250</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>749598</TotalAmt>
        <ProgramServicesAmt>650499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99099</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>238836</TotalAmt>
        <ProgramServicesAmt>94526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144310</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>57472</TotalAmt>
        <ProgramServicesAmt>36534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20938</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <OtherExpensesGrp>
        <Desc>CDO PAYROLL &amp; BENEFITS</Desc>
        <TotalAmt>28425513</TotalAmt>
        <ProgramServicesAmt>27780276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>645237</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OPERATING SUPPLIES &amp; EXPENSE</Desc>
        <TotalAmt>660611</TotalAmt>
        <ProgramServicesAmt>578101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82510</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT EXPENSE</Desc>
        <TotalAmt>129850</TotalAmt>
        <ProgramServicesAmt>74869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54981</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BUILDINGS &amp; GROUNDS EXPENSE</Desc>
        <TotalAmt>808482</TotalAmt>
        <ProgramServicesAmt>562093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246389</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>677644</TotalAmt>
        <ProgramServicesAmt>1063292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-385648</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>41081350</TotalAmt>
        <ProgramServicesAmt>35747399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5333951</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>21207265</BOYAmt>
        <EOYAmt>20994257</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3349229</BOYAmt>
        <EOYAmt>2177230</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>57064</BOYAmt>
        <EOYAmt>54788</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10617859</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6546589</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4313721</BOYAmt>
        <EOYAmt>4071270</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>2574461</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1866</BOYAmt>
        <EOYAmt>1107</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>28929145</BOYAmt>
        <EOYAmt>29873113</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5522228</BOYAmt>
        <EOYAmt>5469855</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>44912</BOYAmt>
        <EOYAmt>174498</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>64816</BOYAmt>
        <EOYAmt>61292</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5631956</BOYAmt>
        <EOYAmt>5705645</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>23297189</BOYAmt>
        <EOYAmt>24167468</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23297189</BOYAmt>
        <EOYAmt>24167468</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28929145</BOYAmt>
        <EOYAmt>29873113</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1295818</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-425539</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>6108435</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5713388</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6156900</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7361047</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9160831</CurrentTaxYearAmt>
        <TotalAmt>34500601</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>6108435</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5713388</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6156900</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7361047</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9160831</CurrentTaxYearAmt>
        <TotalAmt>34500601</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>34500601</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>139229</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>153484</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>122519</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>97302</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>75757</CurrentTaxYearAmt>
        <TotalAmt>588291</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>35088892</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98320</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97470</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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>
    <IRS990ScheduleC documentId="990C">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>30250</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>30250</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>721368</OtherCostOrOtherBasisAmt>
        <BookValueAmt>721368</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7850091</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4997365</DepreciationAmt>
        <BookValueAmt>2852726</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2046400</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1549224</DepreciationAmt>
        <BookValueAmt>497176</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>4071270</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>41951629</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-425539</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-425539</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>42377168</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>42377168</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>41081350</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>41081350</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>41081350</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK HYATT DR</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>235000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>235000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE OBTAINED FROM ALL EMPLOYEES AND DIRECTORS ANNUALLY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI response or note to any line in Part XI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>