﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2019v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-05-14T08:18:37-05:00</ReturnTs>
    <TaxPeriodEndDt>2020-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>030302296</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KITTELL BRANAGAN &amp; SARGENT</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>154 N MAIN ST</AddressLine1Txt>
        <CityNm>ST ALBANS</CityNm>
        <StateAbbreviationCd>VT</StateAbbreviationCd>
        <ZIPCd>05478</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>030210542</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>NORTHWESTERN COUNSELING &amp; SUPPORT</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>SERVICES</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>NORT</BusinessNameControlTxt>
      <PhoneNum>8025246554</PhoneNum>
      <USAddress>
        <AddressLine1Txt>107 FISHER POND ROAD</AddressLine1Txt>
        <CityNm>ST ALBANS</CityNm>
        <StateAbbreviationCd>VT</StateAbbreviationCd>
        <ZIPCd>05478</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DEREK HOY</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>8025246554</PhoneNum>
      <SignatureDt>2020-04-29</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>GREGORY SARGENT CPA</PreparerPersonNm>
      <PTIN>P01402903</PTIN>
      <PhoneNum>8025249531</PhoneNum>
      <PreparationDt>2021-05-04</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2019</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>DEREK HOY</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>107 FISHER POND ROAD</AddressLine1Txt>
        <CityNm>ST ALBANS</CityNm>
        <StateAbbreviationCd>VT</StateAbbreviationCd>
        <ZIPCd>05478</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>47773287</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.NCSSINC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1958</FormationYr>
      <LegalDomicileStateCd>VT</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE MENTAL HEALTH SERVICES</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>13</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>13</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>721</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2670290</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2140729</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>44129696</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>45083482</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>42182</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>46474</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>345015</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>502602</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>47187183</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>47773287</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>39107338</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>39093354</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>8351</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6577615</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6507166</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>45684953</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>45600520</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1502230</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2172767</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>19782141</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>22439995</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>7588642</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>8073729</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>12193499</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>14366266</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROVIDE MENTAL HEALTH SERVICES</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>15846654</ExpenseAmt>
      <RevenueAmt>19553134</RevenueAmt>
      <Desc>CHILDREN'S SERVICES: INCLUDES INDIVIDUAL &amp; FAMILY COUNSELING, SCHOOL CONSULTATION &amp; PSYCHOLOGICAL DIAGNOSTIC TESTING SERVICES TO YOUTH &amp; THEIR FAMILIES IN FRANKLIN &amp; GRAND ISLE COUNTIES IN VERMONT</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>3145258</ExpenseAmt>
        <RevenueAmt>2726429</RevenueAmt>
        <Desc>ADULT SERVICES: INCLUDES INDIVIDUAL, COUPLE, FAMILY &amp; GROUP THERAPY ON AN OUTPATIENT BASIS. ALSO INCLUDES COORDINATION OF INPATIENT PSYCHIATRIC SERVICES AT A LOCAL HOSPITAL &amp; SUBSTANCE ABUSE CENTER</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>3269427</ExpenseAmt>
        <RevenueAmt>4103527</RevenueAmt>
        <Desc>PRECARE/AFTERCARE: PROGRAMS INCLUDE DAY HOSPITAL, OUT- PATIENT COUNSELING, &amp; DAY PROGRAMS FOR CHRONICALLY ILL DEINSTITUTIONALIZED PATIENTS</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>19013546</ExpenseAmt>
        <RevenueAmt>19202994</RevenueAmt>
        <Desc>DEVELOPMENTAL SVCS: PROGRAMS PROVIDE A WIDE ARRAY OF SERVICES FOR MENTALLY CHALLENGED DEVELOPMENTALLY DISABLED ADULTS INCLUDING DAY PROGRAMS, SHELTERED WORKSHOPS, RESID- ENTIAL PROGRAMS, &amp; PROJECT TRANSIT. SUBSTANCE ABUSE &amp; NON-MENTAL HEALTH PROGRAMS</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>19013546</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>19202994</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>41274885</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc5">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>true</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>151</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>721</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>13</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>13</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DEREK HOY</PersonNm>
        <PhoneNum>8025246555</PhoneNum>
        <USAddress>
          <AddressLine1Txt>107 FISHER POND ROAD</AddressLine1Txt>
          <CityNm>ST ALBANS</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05478</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID MOONEY</PersonNm>
        <TitleTxt>MEDICAL DIR.</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215343</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8674</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN WEBB</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>203328</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12346</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN SOBEL</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>194260</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14155</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD BAUMAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>154032</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9453</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN BROER</PersonNm>
        <TitleTxt>BEHAV. HEALT</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110460</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7751</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM GALLAGAN</PersonNm>
        <TitleTxt>OUTGOING CFO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>110929</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4455</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE CARPENTER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETTY CHARRON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEN GAGNE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT HIRSS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HUTCHINSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA KITTELL</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID MACALLUM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEG MARSHALL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM MCMILLAN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON MINOR</PersonNm>
        <TitleTxt>MEMBER AT LA</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA POIRIER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL ROSENQUIST</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONY TREANOR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEREK HOY</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>988352</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>56834</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>72 SOUTH MAIN STREET</AddressLine1Txt>
            <CityNm>WHITE RIVER JUNCTION</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RESPITE</ServicesDesc>
        <CompensationAmt>2916418</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4950 COLLEGE BLVD</AddressLine1Txt>
            <CityNm>OVERLAND PARK</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>401467</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EAGLE EYE FARM REHABILITATION CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3014 ABBOTT HILL RD</AddressLine1Txt>
            <CityNm>WEST BURKE</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05871</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHAB</ServicesDesc>
        <CompensationAmt>294600</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INSIGHT DIRECT USA INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6820 HARL AVE</AddressLine1Txt>
            <CityNm>TEMPE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85283</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
        <CompensationAmt>261903</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VAILLANCOURT PROPERTY MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>219 SWANTON ROAD</AddressLine1Txt>
            <CityNm>SAINT ALBANS</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05478</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROPERTY MGMT</ServicesDesc>
        <CompensationAmt>105265</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2140729</GovernmentGrantsAmt>
      <TotalContributionsAmt>2140729</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>38984456</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38984456</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCHOOL CONTRACTS</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>3759011</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3759011</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM INCOME</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>2327331</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2327331</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DMH CONTRACTS</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>12684</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12684</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>45083482</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>46474</TotalRevenueColumnAmt>
        <ExclusionAmt>46474</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>NON-OPERATING REVENUE</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>502602</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>502602</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>502602</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>47773287</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45586084</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>46474</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>115746</TotalAmt>
        <ManagementAndGeneralAmt>115746</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>31492206</TotalAmt>
        <ProgramServicesAmt>28961767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2525791</ManagementAndGeneralAmt>
        <FundraisingAmt>4648</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>7485402</TotalAmt>
        <ProgramServicesAmt>6571505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>912410</ManagementAndGeneralAmt>
        <FundraisingAmt>1487</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <OccupancyGrp>
        <TotalAmt>1592623</TotalAmt>
        <ProgramServicesAmt>2198241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-605655</ManagementAndGeneralAmt>
        <FundraisingAmt>37</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1083503</TotalAmt>
        <ProgramServicesAmt>1058901</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24501</ManagementAndGeneralAmt>
        <FundraisingAmt>101</FundraisingAmt>
      </TravelGrp>
      <OtherExpensesGrp>
        <Desc>OFFICE EXPENSE - ADMIN</Desc>
        <TotalAmt>1148545</TotalAmt>
        <ManagementAndGeneralAmt>1147514</ManagementAndGeneralAmt>
        <FundraisingAmt>1031</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OFFICE EXPENSE - GENERAL</Desc>
        <TotalAmt>535468</TotalAmt>
        <ProgramServicesAmt>535468</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSE - CHILDRE</Desc>
        <TotalAmt>486856</TotalAmt>
        <ProgramServicesAmt>486856</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSE - ADULT</Desc>
        <TotalAmt>342077</TotalAmt>
        <ProgramServicesAmt>342077</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1318094</TotalAmt>
        <ProgramServicesAmt>1120070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196977</ManagementAndGeneralAmt>
        <FundraisingAmt>1047</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>45600520</TotalAmt>
        <ProgramServicesAmt>41274885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4317284</ManagementAndGeneralAmt>
        <FundraisingAmt>8351</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>9575299</BOYAmt>
        <EOYAmt>8602849</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>146279</BOYAmt>
        <EOYAmt>249348</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2079417</BOYAmt>
        <EOYAmt>5532376</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>608315</BOYAmt>
        <EOYAmt>712897</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15739031</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8396506</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7372831</BOYAmt>
        <EOYAmt>7342525</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>19782141</BOYAmt>
        <EOYAmt>22439995</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3332752</BOYAmt>
        <EOYAmt>4463844</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>607238</BOYAmt>
        <EOYAmt>286774</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>3502373</BOYAmt>
        <EOYAmt>3073763</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>146279</BOYAmt>
        <EOYAmt>249348</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7588642</BOYAmt>
        <EOYAmt>8073729</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>12187417</BOYAmt>
        <EOYAmt>14360184</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>6082</BOYAmt>
        <EOYAmt>6082</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12193499</BOYAmt>
        <EOYAmt>14366266</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19782141</BOYAmt>
        <EOYAmt>22439995</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2172767</ReconcilationRevenueExpnssAmt>
      <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="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2686379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2533952</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2745220</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2670290</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2140729</CurrentTaxYearAmt>
        <TotalAmt>12776570</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2686379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2533952</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2745220</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2670290</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2140729</CurrentTaxYearAmt>
        <TotalAmt>12776570</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>12776570</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4334</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6295</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9382</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>42182</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>46474</CurrentTaxYearAmt>
        <TotalAmt>108667</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>43636</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>90537</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>170746</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>304919</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>13190156</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>204626191</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96860</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96860</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE 304,919</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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>375487</OtherCostOrOtherBasisAmt>
        <BookValueAmt>375487</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9880220</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4107398</DepreciationAmt>
        <BookValueAmt>5772822</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1842480</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1252520</DepreciationAmt>
        <BookValueAmt>589960</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3640844</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3036588</DepreciationAmt>
        <BookValueAmt>604256</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>7342525</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CLIENT FUNDS</Desc>
        <Amt>249348</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>249348</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>47773287</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>47773287</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>47773287</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>45600520</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>45600520</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>45600520</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATION HAS BEEN GIVEN TO UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURNS FOR THE YEARS AFTER JUNE 30, 2017, REMAIN OPEN FOR POTENTIAL EXAMINATION BY MAJOR TAX JURISDICTIONS, GENERALLY, FOR THREE YEARS AFTER THEY ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>DAVID MOONEY</PersonNm>
        <TitleTxt>MEDICAL DIR.</TitleTxt>
        <BaseCompensationFilingOrgAmt>215343</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8674</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>224017</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADRIAN WEBB</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>203328</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12346</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>215674</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN SOBEL</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>194260</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14155</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>208415</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD BAUMAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>154032</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9453</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>163485</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc5">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>2015 BOND</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ZION BANK CORPORATE TRUST</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>870227400</BondIssuerEIN>
        <CUSIPNum>924166FZ9</CUSIPNum>
        <BondIssuedDt>2015-08-01</BondIssuedDt>
        <IssuePriceAmt>4907000</IssuePriceAmt>
        <PurposeDesc>BUILDING</PurposeDesc>
        <DefeasedInd>true</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuanceCostsFromProceedsAmt>102905</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>4804095</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>2015 BOND BUILDING</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DEVELOPMENTAL SVCS: PROGRAMS PROVIDE A WIDE ARRAY OF SERVICES FOR MENTALLY CHALLENGED DEVELOPMENTALLY DISABLED ADULTS INCLUDING DAY PROGRAMS, SHELTERED WORKSHOPS, RESID- ENTIAL PROGRAMS, &amp; PROJECT TRANSIT. SUBSTANCE ABUSE &amp; NON-MENTAL HEALTH PROGRAMS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTOR OF FINANCE AND ADMINISTRATION SUBMITS A COPY OF THE FINAL AUDIT AND COMPLETED 990 TO THE BOARD OF DIRECTORS AT THE MONTHLY BOARD MEETING, WHICH OCCURS ON THE FIRST WEDNESDAY OF EVERY MONTH. THE DOCUMENT IS PROVIDED TO THE BOARD PRIOR TO THE MEETING TO ALLOW TIME TO REVIEW AND FORMULATE QUESTIONS FOR THE DIRECTOR OF FINANCE AND ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY MONITORS AND ENFORCES AN EXPECTATION THAT ALL NCSS STAFF CONDUCT THEMSELVES IN A PROFESSIONAL MANNER THAT IS COMPATIBLE WITH THE ORGANIZATION'S CODE OF ETHICS AND CODE OF PROFESSIONAL AND CORPORATE CONDUCT. THESE POLICIES ADDRESS CONFLICTS OF INTEREST AND ARE REVIEWED AND SIGNED-OFF ON BY ALL NEW EMPLOYEES, ARE READILY AVAILABLE ON THE AGENCY INTRA-NET, AND ARE REVIEWED ANNUALLY WITH ALL STAFF DURING THEIR PERFORMANCE EVALUATIONS. ADDITIONALLY, ALL STAFF RECEIVE REGULAR SUPERVISION AND ARE COMPELLED TO REPORT ANY KNOWN VIOLATIONS. REPORTING CAN BE THROUGH VARIOUS MEANS, INCLUDING ANONYMOUS REPORTING SYSTEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE EXECUTIVE DIRECTOR IS CUSTOMARILY ANALYZED AND ACTED UPON ANNUALLY. IN THIS REPORTING PERIOD THERE WAS NO COMPENSATION FOR THE E.D., BEYOND THE 3% WAGE ACTION FOR STAFF ACROSS THE AGENCY. THE USUALLY ANNUAL PROCESS FOR COMPENSATION DECISIONS FOR THE EXECUTIVE DIRECTOR ARE ACHIEVED BY MEANS OF AN EMPLOYMENT CONTRACT, ANALYSIS OF 990S FROM OTHER ORGANIZATIONS, COMPARISONS THROUGH DATA GENERATED BY THE MEMBERS OF THE VERMONT COUNCIL OF DEVELOPMENTAL AND MENTAL HEALTH SERVICES, AND U.S. DEPARTMENT OF LABOR DATA. THIS INFORMATION IS PROVIDED BY THE HR DIRECTOR TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR USE IN THEIR DELIBERATION. THE EXECUTIVE COMMITTEE TYPICALLY DECIDES THE AMOUNT OF COMPENSATION TO BE AWARDED THE E.D. ANNUALLY AND THERE IS CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS AND DECISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR DIRECTORS AND PHYSICIANS IS TYPICALLY DECIDED THROUGH NEGOTIATIONS AT THE TIME OF HIRE, TAKING INTO ACCOUNT MARKET FACTORS. THE ANNUAL PROCESS FOR COMPENSATION DECISIONS FOR THE DIRECTORS AND PHYSICIANS ARE LARGELY ACHIEVED THROUGH ANALYSIS BY THE EXECUTIVE DIRECTOR, WITH INFORMATION AND COUNSEL SUPPLIED BY THE HUMAN RESOURCES DIRECTOR AND DIRECTOR OF ADMINISTRATION. THE EXECUTIVE DIRECTOR CONSIDERS INDIVIDUAL PERFORMANCE, EQUITY, MARKET FACTORS, AND BUDGET ABILITIES. DIRECTORS AND PHYSICIANS ARE COVERED BY EMPLOYMENT CONTRACTS. THE HR DIRECTOR SUPPLIES THE EXECUTIVE DIRECTOR WITH ANALYSIS OF 990'S FROM OTHER ORGANIZATIONS, COMPARISONS THROUGH DATA GENERATED BY MEMBERS OF THE VERMONT COUNCIL OF DEVELOPMENTAL AND MENTAL HEALTH SERVICES, AND U.S. DEPARTMENT OF LABOR DATA. THERE IS CONTEMPORANEOUS SUBSTANTIATION OF THE DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON WRITTEN REQUEST THE ORGANIZATION PROVIDES COPIES OF ALL PUBLIC DOCUMENTS AVAILABLE. THE PERSON SUBMITTING THE REQUEST IS ASKED TO PICK THE DOCUMENTS UP IN PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>