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        <ManagementAndGeneralAmt>106972</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>3669982</TotalAmt>
        <ProgramServicesAmt>3250176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>419806</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>351125</TotalAmt>
        <ProgramServicesAmt>280900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70225</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4740627</TotalAmt>
        <ProgramServicesAmt>4635757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104870</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>338982</TotalAmt>
        <ProgramServicesAmt>321462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17520</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>194738</TotalAmt>
        <ProgramServicesAmt>159005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35733</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>303531</TotalAmt>
        <ProgramServicesAmt>59183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>244348</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>277423</TotalAmt>
        <ProgramServicesAmt>273471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3952</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>582940</TotalAmt>
        <ProgramServicesAmt>521101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61839</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>TAXES &amp; LICENSES</Desc>
        <TotalAmt>3734488</TotalAmt>
        <ProgramServicesAmt>3676016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58472</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONSULTANTS/CONTRACTED</Desc>
        <TotalAmt>1084669</TotalAmt>
        <ProgramServicesAmt>1083317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1352</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TEMPORARY LABOR SERVICE</Desc>
        <TotalAmt>793571</TotalAmt>
        <ProgramServicesAmt>758864</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34707</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIR</Desc>
        <TotalAmt>703820</TotalAmt>
        <ProgramServicesAmt>689215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14605</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>429305</TotalAmt>
        <ProgramServicesAmt>353127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76178</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>55287044</TotalAmt>
        <ProgramServicesAmt>50211303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5063205</ManagementAndGeneralAmt>
        <FundraisingAmt>12536</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>22500</BOYAmt>
        <EOYAmt>22500</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3983261</BOYAmt>
        <EOYAmt>4812157</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4964333</BOYAmt>
        <EOYAmt>4790616</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>1914895</BOYAmt>
        <EOYAmt>1914895</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>253366</BOYAmt>
        <EOYAmt>128105</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>392623</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>149946</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>288256</BOYAmt>
        <EOYAmt>242677</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>964004</BOYAmt>
        <EOYAmt>759698</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>12390615</BOYAmt>
        <EOYAmt>12670648</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6040166</BOYAmt>
        <EOYAmt>4858007</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>1813887</BOYAmt>
        <EOYAmt>1011238</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>2900000</BOYAmt>
        <EOYAmt>2700000</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>458672</BOYAmt>
        <EOYAmt>571452</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11212725</BOYAmt>
        <EOYAmt>9140697</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1177890</BOYAmt>
        <EOYAmt>3529951</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1177890</BOYAmt>
        <EOYAmt>3529951</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12390615</BOYAmt>
        <EOYAmt>12670648</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1537352</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>814709</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14916</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6085</DepreciationAmt>
        <BookValueAmt>8831</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>43004</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22000</DepreciationAmt>
        <BookValueAmt>21004</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>334703</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>121861</DepreciationAmt>
        <BookValueAmt>212842</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>242677</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>74810</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>UNAMORTIZED START UP COST</Desc>
        <BookValueAmt>684888</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>759698</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FUNDS HELD IN CUSTODY FOR OTHERS</Desc>
        <Amt>571452</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>571452</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>56843334</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>33972</OtherRevenueAmt>
      <RevenueNotReportedAmt>33972</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>56809362</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>15034</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>15034</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>56824396</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>54471040</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-813010</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-813010</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>55284050</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2994</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2994</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>55287044</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY HAS NO MATERIAL UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OPEN ARMS CARE FOUNDATION (OACF) REVENUE INCLUDED IN CONSOLIDATED F/S 21,922. DIFFERENCE IN BOOK AND TAX BASIS FOR SALE OF FIXED ASSETS 12,050.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN/(LOSS) ON DISPOSAL OF PROPERTY AND EQUIPMENT 12,050. NEGATIVE EXPENSE RECLASSED AS INCOME 2,984.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCE IN BOOK AND TAX RECOGNIZED GAIN FROM SALE/LEASEBACK -802,649. GAIN/(LOSS) ON DISPOSAL OF PROPERTY AND EQUIPMENT -12,050. OACF EXPENSES INCLUDED IN CONSOLIDATED F/S 1,689.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 10. DIFFERENCE IN BOOK AND TAX EXPENSES NEGATIVE EXPENSE RECLASSED AS INCOME 2,984.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF OPEN ARMS CARE HAS ESTABLISHED A MANAGEMENT SERVICES AGREEMENT WITH INTEGRA RESOURCES, LLC. INTEGRA PROVIDES EXECUTIVE LEVEL OPERATIONAL OVERSIGHT FOR OAC'S GROUP HOMES AND DAY PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WAS EMAILED TO ALL BOARD MEMBERS WITH REQUEST FOR COMMENTS, QUESTIONS AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY BY THE BOARD. THE POLICY REQUIRES INDIVIDUALS COMPLETE, SIGN AND RETURN THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET AND COMPARABLE STUDIES ARE CONDUCTED IN ORDER TO DETERMINE COMPENSATION. APPROVAL MUST THEN BE PROVIDED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCE IN BOOK AND TAX BASIS FOR SALE OF FIXED ASSETS 12,050. DIFFERENCE IN BOOK AND TAX RECOGNIZED GAIN FROM SALE/LEASEBACK 802,649. ROUNDING 10.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OPEN ARMS HEALTH SYSTEM LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>101 WESTPARK DRIVE SUITE 140</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>MEDICAL CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>89623</EndOfYearAssetsAmt>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OPEN ARMS CARE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>101 WESTPARK DRIVE SUITE 140</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <EIN>141920800</EIN>
        <PrimaryActivitiesTxt>PROVIDES FUNDING TO EXPAND SERVICES FOR OACC CLIENTS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OPEN ARMS CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>8311</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>