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            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98270</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>140276</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LESLIE CHANDEL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5546 TIMBERWOLF CIRCLE</AddressLine1Txt>
            <CityNm>ROANOKE</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24018</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRY SERVICES</ServicesDesc>
        <CompensationAmt>103980</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10091634</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>22560</AllOtherContributionsAmt>
      <TotalContributionsAmt>10114194</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT REVENUES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>12374259</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12374259</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12374259</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>540</TotalRevenueColumnAmt>
        <ExclusionAmt>540</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>251939</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-251939</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-251939</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-251939</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>GREENHOUSE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>85473</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>85473</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>40902</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40902</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>126375</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22363429</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12248695</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>540</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>299512</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>12986054</TotalAmt>
        <ProgramServicesAmt>11585768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1400286</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>210039</TotalAmt>
        <ProgramServicesAmt>186735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23304</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2157701</TotalAmt>
        <ProgramServicesAmt>1795422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>362279</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>62100</TotalAmt>
        <ManagementAndGeneralAmt>62100</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1831674</TotalAmt>
        <ProgramServicesAmt>1702866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128808</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>48053</TotalAmt>
        <ProgramServicesAmt>32702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15351</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>674447</TotalAmt>
        <ProgramServicesAmt>311244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>363203</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>852803</TotalAmt>
        <ProgramServicesAmt>625002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227801</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>250080</TotalAmt>
        <ProgramServicesAmt>197769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52311</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>69310</TotalAmt>
        <ProgramServicesAmt>45008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24302</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>390042</TotalAmt>
        <ProgramServicesAmt>274412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115630</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>562614</TotalAmt>
        <ProgramServicesAmt>499345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63269</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>326091</TotalAmt>
        <ProgramServicesAmt>212438</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113653</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD PREP SUPPLIES</Desc>
        <TotalAmt>241353</TotalAmt>
        <ProgramServicesAmt>241279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>199804</TotalAmt>
        <ProgramServicesAmt>34018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165786</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>126375</TotalAmt>
        <ProgramServicesAmt>126201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>21288052</TotalAmt>
        <ProgramServicesAmt>17870209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3417843</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2130255</BOYAmt>
        <EOYAmt>5935726</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>2723091</BOYAmt>
        <EOYAmt>1574334</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1142833</BOYAmt>
        <EOYAmt>1407289</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>125656</BOYAmt>
        <EOYAmt>121109</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>8645633</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3602110</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3000769</BOYAmt>
        <EOYAmt>5043523</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>362010</EOYAmt>
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        <BOYAmt>6737</BOYAmt>
        <EOYAmt>1874</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2830477</EOYAmt>
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        <EOYAmt>1097067</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8180667</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>6265198</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <NetUnrlzdGainsLossesInvstAmt>-16617</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>252400</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>5147351</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6396899</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7883452</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>92556</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>92556</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>92556</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>92556</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>6489455</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7976008</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10206750</CurrentTaxYearAmt>
        <TotalAmt>34061679</TotalAmt>
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      <PublicSupportTotal170Amt>34061679</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2214</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1834</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3913</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1447</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>540</CurrentTaxYearAmt>
        <TotalAmt>9948</TotalAmt>
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        <BookValueAmt>257173</BookValueAmt>
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      <BuildingsGrp>
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      <EquipmentGrp>
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        <DepreciationAmt>1113943</DepreciationAmt>
        <BookValueAmt>92072</BookValueAmt>
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>5043523</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION BENEFIT OBILIGATION</Desc>
        <Amt>1097067</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1097067</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>22691768</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>92556</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>235783</OtherRevenueAmt>
      <RevenueNotReportedAmt>328339</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>22363429</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>22363429</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>92556</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>92556</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21288052</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES IN POSTEMPLOYMENT BENEFIT 252,400. UNREALIZED LOSSES -16,617.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW THE ORGANIZATION'S MEMBERS, STOCKHOLDERS, OR OTHER PERSONS ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY: A LIST OF PROSPECTIVE BOARD MEMBERS IS MAINTAINED FROM WHICH MEMBERS ARE ELECTED AS VACANCIES ARISE. ALL BOARD MEMBERS PARTICIPATE IN THE ELECTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS, IF ANY, THE ORGANIZATION USES TO REVIEW THE FORM 990: THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE WHICH REVIEWS THE FORM 990 BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW THE ORGANIZATION REGULARLY MONITORS AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS FOLLOWED BY ALL DIRECTORS, OFFICERS, AND EMPLOYEES. COMPLIANCE IS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OFFICERS, OR KEY EMPLOYEES: COMPENSATION OF THE CEO AND OTHER OFFICERS IS REVIEWED BY THE EXECUTIVE COMMITTEE AND ADJUSTED BY THE BOARD OF DIRECTORS UPON RECOMMENDATION OF THE EXECUTIVE COMMITTEE. COMPENSATION OF KEY EMPLOYEES IS REVIEWED BY THE EXECUTIVE COMMITTEE AND ADJUSTED BY THE BOARD OF DIRECTORS UPON RECOMMENDATION OF THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS REQUIRED FOR PUBLIC INSPECTION AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES IN POSTEMPLOYMENT BENEFIT 252,400.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
