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      <MissionDesc>HORIZON HEALTH AND WELLNESS INC'S MISSION IS TO PROVIDE STRENGTH-BASED, CULTURALLY SENSITIVE INTEGRATED HEALTH SERVICES BY PARTNERING WITH FAMILIES AND INDIVIDUALS TO MANAGE CHALLENGES AND SUPPORT THEIR RECOVERY. HHW DEVELOPED AN (CONT ON SCHEDULE O) INNOVATIVE PROACTIVE MODEL THAT EMBODIES OUR PHILOSOPHY OF WHOLE PERSON CARE WHILE PROMOTING WELLNESS. THIS APPROACH TO HEALTH CARE ADDRESSES THE WHOLE PERSON BY INTEGRATING BEHAVIORAL HEALTH WITH PRIMARY CARE WHILE PROMOTING WELLNESS AND PREVENTION.</MissionDesc>
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      <Desc>HORIZON HEALTH AND WELLNESS IS A NON-PROFIT 501(C)(3) INTEGRATED HEALTH CARE AGENCY LICENSED BY THE STATE OF ARIZONA TO PROVIDE AN EXTENSIVE ARRAY OF INPATIENT, OUTPATIENT AND RESIDENTIAL SERVICES IN PINAL, GILA, MARICOPA, AND YUMA COUNTIES AS WELL AS HABILITATION SERVICES IN THE COUNTIES OF COCHISE, MARICOPA, AND SANTA CRUZ. OUR MISSION IS TO PROVIDE INTEGRATED HEALTH CARE THAT ADDRESSES THE WHOLE PERSON AND PROMOTES WELLNESS. WE SERVE ALL PATIENTS REGARDLESS OF ABILITY TO PAY. HORIZON HEALTH AND WELLNESS OFFERS A FULL RANGE OF PRIMARY CARE, MENTAL HEALTH, AND PREVENTATIVE HEALTH SERVICES FOR ALL AGES AND STAGES OF LIFE. THESE SERVICES INCLUDE: (CONT'D ON SCHEDULE O)CHILDREN'S SERVICES:WE WORK IN COLLABORATION WITH THE CHILD AND FAMILY SO THE CHILD MAY ACHIEVE SUCCESS IN SCHOOL, LIVE WITH THEIR FAMILY, IMPROVE OVERALL WELLNESS, AND BECOME A STABLE AND PRODUCTIVE INDIVIDUAL. WE COLLABORATE WITH SYSTEM PARTNERS TO HANDLE COMPLEX SITUATIONS, THROUGH THE USE OF BEST PRACTICES, IN THE LEAST RESTRICTIVE SETTINGS.CRISIS SERVICES:HORIZON'S CRISIS SERVICES INCLUDE ASSESSING EMERGENCY BEHAVIORAL HEALTH NEEDS AND PROVIDING REFERRALS TO RESOURCES SUCH AS LEVEL ONE INPATIENT, DETOX, EMERGENCY ROOM, OUTPATIENT TREATMENT, AND OTHER COMMUNITY RESOURCES. WE ALSO PROVIDE CRISIS OBSERVATION/STABILIZATION PROGRAMS DESIGNED TO PROVIDE AND PROMOTE TRANSITIONAL CARE. DOMESTIC VIOLENCE SERVICES:HORIZON PROVIDES DOMESTIC VIOLENCE OFFENDER SERVICES FOR PEOPLE WHO, DUE TO A DOMESTIC VIOLENCE MISDEMEANOR CONVICTION, HAVE BEEN ORDERED BY THE COURT TO PARTICIPATE IN AN APPROVED DOMESTIC VIOLENCE PROGRAM. THROUGH EDUCATION ON DOMESTIC VIOLENCE AND CESSATION OF VIOLENCE IN INTIMATE RELATIONSHIPS PARTICIPANTS WILL EMPHASIZE PERSONAL RESPONSIBILITY. PARTICIPANTS WILL LEARN TO IDENTIFY DOMESTIC VIOLENCE AS A MEANS OF ASSERTING POWER AND CONTROL OVER ANOTHER INDIVIDUAL. PARTICIPANTS WILL LEARN ABOUT DOMESTIC VIOLENCE MANAGEMENT TECHNIQUES, THOUGHTS THAT TRIGGER IMPULSIVE BEHAVIORS, AND EXAMINE THE POSITIVE OF THE INDIVIDUAL USE IN CONTROLLING PARTNERS THROUGH THE CYCLE OF VIOLENCE.FAMILY MEDICINE AND PRIMARY CARE:HORIZON'S FAMILY MEDICINE AND PRIMARY CARE SERVICES OFFERS A LONG-TERM RELATIONSHIP WITH A PROVIDER WHO CARES FOR THE INDIVIDUAL AS A WHOLE PERSON AND PROVIDES A CONSISTENCY OF CARE. THIS INCLUDES ANNUAL EXAMS, VACCINATIONS, SICK VISITS, WORK AND SPORTS PHYSICALS, HEALTH AND NUTRITION COUNSELING, AND MEDICATION SERVICES. CARE IS PROVIDED TO ALL AGES AND GENDERS. HABILITATION SERVICES:HORIZON OFFERS HABILITATION ASSISTANCE TO PERSONS WITH DEVELOPMENTAL DISABILITIES THROUGH A CONTRACTUAL PARTNERSHIP WITH ARIZONA'S DIVISION OF DEVELOPMENTAL DISABILITIES. THESE SERVICES EMBRACE A PERSON-CENTERED PHILOSOPHY WHICH EMPHASIZES INDIVIDUALITY, PERSONAL CHOICE, INCLUSION AND INTEGRATION.INPATIENT BEHAVIORAL HEALTH PROGRAM - ADULT:HORIZON PROVIDES A SAFE AND SECURE ENVIRONMENT WHICH FOSTERS STABILIZATION AND PROMOTES GROWTH AND HEALING. SERVICES AND TREATMENT ARE PROVIDED FOR A FULL RANGE OF PSYCHIATRIC DISORDERS. OUR EVIDENCE-BASED TREATMENT IS FOCUSED ON RECOVERY AND WELLNESS IN ORDER TO ACCELERATE INTEGRATION BACK INTO FAMILY AND COMMUNITY LIFE. OUTPATIENT BEHAVIORAL HEALTH PROGRAMS:HORIZON PROVIDES COMPREHENSIVE OUTPATIENT BEHAVIORAL HEALTH SERVICES TO MEET THE NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE OFFER SPECIALIZED ASSESSMENTS, INDIVIDUALIZED SERVICE PLANNING, BRIEF THERAPY, COUNSELING, COURT-ORDERED SERVICES, REFERRAL FOR SPECIALIZED MEDICAL OR PSYCHIATRIC EVALUATIONS, SUBSTANCE ABUSE SERVICES, AND A VARIETY OF GROUPS AND POST-RELEASE SERVICE COORDINATION TO FACILITATE SERVICE CONTINUITY THROUGH COMMUNITY RESOURCES. PSYCHIATRIC SERVICES:OUR EXPERIENCED PSYCHIATRISTS AND MEDICAL PROFESSIONALS ADDRESS MENTAL HEALTH AND EMOTIONAL CONCERNS OUR PARTICIPANTS MAY BE HAVING. MEDICAL AND BEHAVIORAL HEALTH PROFESSIONALS WORK COLLABORATIVELY TO DISCUSS TREATMENT OPTIONS THAT ARE THE BEST FIT FOR EACH INDIVIDUAL. SERVICES INCLUDE COMPREHENSIVE PSYCHIATRIC EVALUATION AND DIAGNOSIS, MEDICATION AND TREATMENT OPTION CONSULTATION, ANNUAL EVALUATIONS, MEDICATION MONITORING AND PLANNING, AND ASSISTANCE WITH MEDICATION SUBSIDIES. RESIDENTIAL PROGRAM:HORIZON'S RESIDENTIAL PROGRAM PROVIDES SUBSTANCE ABUSE AND/OR MENTAL HEALTH RESIDENTIAL TREATMENT FOR BOTH WOMEN AND MEN AGES 18 AND ABOVE. THE PROGRAM HELPS PEOPLE IN IDENTIFYING TRIGGERS TO USE, LEARNING COPING SKILLS TO REDUCE THE URGE TO USE AND ASSISTS IN DEVELOPING A CLEAN AND SOBER CIRCLE OF SUPPORT THROUGH ACTIVE COMMUNITY 12 STEP MEETINGS AND SOCIAL FUNCTIONS. PROGRAMMING MAY LAST 30 DAYS; ADDITIONAL TIME CAN BE REQUESTED IF DEEMED NECESSARY. THE PROGRAM GOES BEYOND RESIDENTIAL TREATMENT. DAILY LIVING SKILLS THAT INCLUDE SELF-ADMINISTRATION OF MEDICATION, COOKING CLASS, HOME MANAGEMENT AND BUDGETING SKILLS ARE ALSO LEARNED WHILE IN THE PROGRAM. FAMILY SUPPORT IS ENCOURAGED. SUPPORTED EMPLOYMENT PROGRAM:THROUGH OUR SUPPORTED EMPLOYMENT PROGRAM WE WORK DIRECTLY WITH INDIVIDUALS ON SECURING AND MAINTAINING EMPLOYMENT. THESE PRE-EMPLOYMENT SERVICES INCLUDE APPLICATION FOR BENEFITS, RESUME-WRITING GUIDANCE, INTERVIEWING SKILLS DEVELOPMENT, SITUATION ASSESSMENT, AND PERSONAL/SOCIAL ADJUSTMENT TRAININGS. IN FY 2020 HORIZON PROVIDED SERVICES TO APPROXIMATELY 7,200 BEHAVIORAL HEALTH CLIENTS, 4,200 PRIMARY CARE PATIENTS, AND OVER 1,500 INDIVIDUALS WERE SERVED THROUGH MOBILE CRISIS INTERVENTIONS. HORIZON HOSTS AND PARTICIPATES IN NUMEROUS AWARENESS, HEALTH AND WELLNESS EVENTS THROUGHOUT THE YEAR IN THE COMMUNITIES WE SERVE. WE CONDUCT COMMUNITY TRAINING PROGRAMS AND COORDINATE OR PARTICIPATE IN VARIOUS COMMUNITY SUPPORT PROGRAMS.HORIZON PROVIDED COVID19 TESTING, VACCINATIONS, AND ESSENTIAL RESOURCES IN THE EARLY STAGES OF THE PANDEMIC, SPECIFICALLY IN THE ARIZONA COMMUNITIES WE SERVE. USING A CONVENIENT DRIVEUP VACCINATION MODEL AND ONLINE REGISTRATION PROVIDED EASIER ACCESS TO COMMUNITY MEMBERS.THROUGHOUT THE PANDEMIC, OUR EFFORTS HAVE BEEN GUIDED BY OUR INTEGRATED HEALTHCARE APPROACH, ADAPTING TO THE NEEDS OF THE COMMUNITIES, WHICH INCLUDED OFFERING TELEMEDICINE SERVICES. TELEMEDICINE WAS CRITICAL AS WE CONTINUED TO SERVE CHILDREN, ADULTS, AND FAMILIES THROUGHOUT ARIZONA DURING THE PANDEMIC. MANY CHRONIC PATIENTS SCHEDULED TELEMEDICINE SERVICES TO AVOID FACETOFACE CLINIC VISITS, WHICH HELPED TO MINIMIZE THEIR RISKS OF EXPOSURE TO COVID19, WHILE RECEIVING THE CARE THEY NEED.</Desc>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH MCKENNA</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124498</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3491</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILLIE HOLLIDAY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>120300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16580</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TROY STEVENSON</PersonNm>
        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113486</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18408</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN COTTRELL</PersonNm>
        <TitleTxt>CHIEF CLINICIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>105986</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14092</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE FLACK</PersonNm>
        <TitleTxt>CHIEF CRISIS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>101402</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10296</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK SAUVE</PersonNm>
        <TitleTxt>CHIEF ORG. DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>79947</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19683</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MORARLES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIGUEL ARCINIEGA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HIMANSHU PATEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL PEARLMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH BURSEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT HUDDLESTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAUL FIVEASH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENT BILLINGSLEY</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE FARBER</PersonNm>
        <TitleTxt>PRESIDENT- ELECT</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>QUINDIA A PALMER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2020167</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>214623</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FASPSYCH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8687 E VIA DE VENTURA</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>951323</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REMARKABLE HEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6200 E THOMAS RDSUTE 200</AddressLine1Txt>
            <CityNm>PHOENIX</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>337975</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MARCUS ROBINSON</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1863 SKYVIEW</AddressLine1Txt>
            <CityNm>AUBURNDALE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33823</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL PROFESSIONAL SERVICES - NURSE PR</ServicesDesc>
        <CompensationAmt>260556</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OFFICE KEEPERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2324 E UNIVERSITY DR</AddressLine1Txt>
            <CityNm>MESA</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85213</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>236490</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ROMAN MADSEN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1082 S ANNIE LANE</AddressLine1Txt>
            <CityNm>GILBERT</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85296</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL PROFESSIONAL SERVICES - PHYSICIA</ServicesDesc>
        <CompensationAmt>230558</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3210351</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>145310</AllOtherContributionsAmt>
      <NoncashContributionsAmt>58138</NoncashContributionsAmt>
      <TotalContributionsAmt>3355661</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL AND MENTAL HEALTHCARE FEE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>34649760</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34649760</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT RENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>31721</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31721</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>34681481</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>75027</TotalRevenueColumnAmt>
        <ExclusionAmt>75027</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>523410</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>123247</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>400163</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>400163</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>400163</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1132</TotalRevenueColumnAmt>
        <ExclusionAmt>1132</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1132</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>38513464</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35081644</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>76159</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>10545</TotalAmt>
        <ProgramServicesAmt>10545</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1542578</TotalAmt>
        <ProgramServicesAmt>654077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>888501</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19946121</TotalAmt>
        <ProgramServicesAmt>18446400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1499721</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>392014</TotalAmt>
        <ProgramServicesAmt>434445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-42431</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1949908</TotalAmt>
        <ProgramServicesAmt>1691737</ProgramServicesAmt>
        <ManagementAndGeneralAmt>258171</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1792341</TotalAmt>
        <ProgramServicesAmt>1630201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162140</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>22044</TotalAmt>
        <ProgramServicesAmt>18841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3203</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>139743</TotalAmt>
        <ProgramServicesAmt>82833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56910</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>20150</TotalAmt>
        <ProgramServicesAmt>20150</ProgramServicesAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5269779</TotalAmt>
        <ProgramServicesAmt>5230753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39026</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>28567</TotalAmt>
        <ProgramServicesAmt>25980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2587</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>98595</TotalAmt>
        <ProgramServicesAmt>43949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54646</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>447284</TotalAmt>
        <ProgramServicesAmt>383327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63957</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1587475</TotalAmt>
        <ProgramServicesAmt>1433082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154393</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>562688</TotalAmt>
        <ProgramServicesAmt>534346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28342</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>664774</TotalAmt>
        <ProgramServicesAmt>558195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106579</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1504783</TotalAmt>
        <ProgramServicesAmt>885834</ProgramServicesAmt>
        <ManagementAndGeneralAmt>618949</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>171181</TotalAmt>
        <ProgramServicesAmt>134885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36296</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>847900</TotalAmt>
        <ProgramServicesAmt>809803</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38097</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELECOMMUNICATIONS</Desc>
        <TotalAmt>479445</TotalAmt>
        <ProgramServicesAmt>340589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138856</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE FEES</Desc>
        <TotalAmt>232684</TotalAmt>
        <ProgramServicesAmt>180408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52276</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT PROVISION</Desc>
        <TotalAmt>200923</TotalAmt>
        <ProgramServicesAmt>199863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1060</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>418141</TotalAmt>
        <ProgramServicesAmt>233206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184935</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>38329663</TotalAmt>
        <ProgramServicesAmt>33983449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4346214</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2792822</BOYAmt>
        <EOYAmt>4479606</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>401175</BOYAmt>
        <EOYAmt>401421</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>508095</BOYAmt>
        <EOYAmt>1635554</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4363312</BOYAmt>
        <EOYAmt>3155112</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>20000</BOYAmt>
        <EOYAmt>20000</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>531232</BOYAmt>
        <EOYAmt>635477</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>38499234</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>14761933</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>24798409</BOYAmt>
        <EOYAmt>23737301</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>13771</BOYAmt>
        <EOYAmt>16075</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>279033</BOYAmt>
        <EOYAmt>667468</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>33707849</BOYAmt>
        <EOYAmt>34748014</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6071185</BOYAmt>
        <EOYAmt>5837673</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>9987</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>13295181</BOYAmt>
        <EOYAmt>11003499</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>3021250</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>17449</BOYAmt>
        <EOYAmt>7462</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>19393802</BOYAmt>
        <EOYAmt>19869884</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13072556</BOYAmt>
        <EOYAmt>13893975</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1241491</BOYAmt>
        <EOYAmt>984155</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14314047</BOYAmt>
        <EOYAmt>14878130</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>33707849</BOYAmt>
        <EOYAmt>34748014</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>183801</ReconcilationRevenueExpnssAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ExplanationTxt>THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN LUTOSTANSKI</PersonNm>
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        <PersonNm>STEJI KOSHY</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>BEN BAXTER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FREDRICK KARST THRU 042020</PersonNm>
        <TitleTxt>INNOVATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>127793</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>9926</DeferredCompensationFlngOrgAmt>
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        <ExplanationTxt>A LUMP SUM PAYOUT WAS MADE TO FREDERICK KARST IN THE AMOUNT OF $26,820 RELATED TO SEVERANCE AGREEMENT.</ExplanationTxt>
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        <ContributionCnt>14250</ContributionCnt>
        <NoncashContributionsRptF990Amt>55638</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COMPARABLE RETAIL PRICES</MethodOfDeterminingRevenuesTxt>
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        <Desc>FURNITURE</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2500</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER REPORTED IN COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SARAH GARLAND AND PATRICIA JACKSON ARE SISTERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER BEFORE FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DIRECTOR SHALL PARTICIPATE IN ANY DECISION FOR OR ON BEHALF OF THE CORPORATION INVOLVING HIS/HER OWN SELF-INTEREST OR THE INTEREST OF A FAMILY MEMBER. THIS PROHIBITION SHALL FURTHER REQUIRE THAT SUCH DIRECTOR REFRAIN FROM ANY PERTINENT DISCUSSION. THE VOTING RECORD SHALL ACCURATELY REFLECT ADHERENCE TO THE REQUIREMENT OF NON-PARTICIPATION. ANYTIME A BOARD MEMBER BELIEVES AN AGENDA ITEM POSES A CONFLICT OF INTEREST NOT PREVIOUSLY NOTED BY THE MEMBER, THAT MEMBER MUST DECLARE THE CONFLICT OF INTEREST IN OPEN SESSION AND ABSTAIN FROM ANY DISCUSSION OR VOTE REGARDING THAT AGENDA ITEM. FOLLOWING A DECLARATION OF A CONFLICT OF INTEREST, THE BOARD WILL DETERMINE BY SECRET BALLOT WHETHER THE CONFLICT OF INTEREST CAN BE RESOLVED. THE BOARD MAY FIND THAT A CONFLICT OF INTEREST SITUATION MAY BE RESOLVED SIMPLY BY THE DIRECTOR NOT PARTICIPATING IN BOARD DISCUSSIONS AND VOTES WHEN THE CONFLICT AREA IS AN ISSUE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CEO IS REVIEWED BY THE INDEPENDENT BOARD OF DIRECTORS. COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PSYCHIATRIC SERVICES: PROGRAM SERVICE EXPENSES 2,381,317. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,381,317. AGENCY RESPONSIBILITY: PROGRAM SERVICE EXPENSES 2,456,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,456,736. AGENCY SERVICES: PROGRAM SERVICE EXPENSES 94,102. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,102. ACCREDITATION SERVICES: PROGRAM SERVICE EXPENSES 5,574. MANAGEMENT AND GENERAL EXPENSES 1,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,161. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 74,465. MANAGEMENT AND GENERAL EXPENSES 808. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,273. COUNSELING SERVICES: PROGRAM SERVICE EXPENSES 30,914. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,914. FIRST AID/CPR: PROGRAM SERVICE EXPENSES 3,498. MANAGEMENT AND GENERAL EXPENSES 955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,453. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 184,147. MANAGEMENT AND GENERAL EXPENSES 35,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,823.</ExplanationTxt>
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</Return>