﻿<?xml version="1.0" encoding="utf-8"?>
<Return xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2015v3.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-08-10T12:41:27-05:00</ReturnTs>
    <TaxPeriodEndDt>2016-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>930743240</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HOFFMAN STEWART &amp; SCHMIDT PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>4900 MEADOWS ROAD STE 200</AddressLine1Txt>
        <CityNm>LAKE OSWEGO</CityNm>
        <StateAbbreviationCd>OR</StateAbbreviationCd>
        <ZIPCd>970353295</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237098400</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>NATIVE AMERICAN REHABILITATION</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>ASSOCIATION OF THE NORTHWEST INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>NATI</BusinessNameControlTxt>
      <PhoneNum>5032241044</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1776 SW MADISON ST</AddressLine1Txt>
        <CityNm>PORTLAND</CityNm>
        <StateAbbreviationCd>OR</StateAbbreviationCd>
        <ZIPCd>972051715</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JACQUELINE MERCER</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>5032241044</PhoneNum>
      <SignatureDt>2017-08-10</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>TODD D MASSINGER</PreparerPersonNm>
      <PTIN>P00075883</PTIN>
      <PhoneNum>5032205900</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>JACQUELINE MERCER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1776 SW MADISON ST</AddressLine1Txt>
        <CityNm>PORTLAND</CityNm>
        <StateAbbreviationCd>OR</StateAbbreviationCd>
        <ZIPCd>972051715</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>21528229</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.NARANORTHWEST.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1970</FormationYr>
      <LegalDomicileStateCd>OR</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE CULTURALLY APPROPRIATE EDUCATION, PHYSICAL &amp; MENTAL HEALTH SERVICES, AND SUBSTANCE ABUSE TREATMENT TO AMERICAN INDIANS, ALASKA NATIVES, AND OTHER VULNERABLE PEOPLE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>271</TotalEmployeeCnt>
      <TotalVolunteersCnt>16</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>9998527</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>10378244</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>9811113</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>11149935</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>17</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>50</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>0</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>19809657</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>21528229</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>124810</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>315803</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>11585541</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>13601006</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>5973742</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>7551005</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>17684093</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>21467814</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2125564</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>60415</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>9797874</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>9925158</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2116629</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2183498</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>7681245</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>7741660</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE CULTURALLY APPROPRIATE EDUCATION, PHYSICAL &amp; MENTAL HEALTH SERVICES, AND SUBSTANCE ABUSE TREATMENT TO AMERICAN INDIANS, ALASKA NATIVES, AND OTHER VULNERABLE PEOPLE.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>3515131</ExpenseAmt>
      <GrantAmt>315803</GrantAmt>
      <RevenueAmt>3795475</RevenueAmt>
      <Desc>RESIDENTIAL TREATMENT CENTER-LOCATED AT 17645 NW ST. HELENS HIGHWAY, THE RESIDENTIAL TREATMENT CENTER PROVIDES ADDICTION TREATMENT SERVICES TO AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES. THE TREATMENT SCHEDULE INCLUDES INDIVIDUAL AND GROUP COUNSELING, LIFE SKILLS TRAINING, NUTRITIONAL COUNSELING, ANGER MANAGEMENT, CULTURAL EDUCATION ACTIVITIES, MEDICAL SERVICES, MENTAL HEALTH SERVICES AND INTRODUCTION TO SELF-HELP GROUPS SUCH AS ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS AND AL-ANON.THE CHILD DEVELOPMENT PROGRAM AT THE RESIDENTIAL FACILITY SERVES CHILDREN FROM INFANCY TO AGE EIGHT. PROGRAM ACTIVITIES INCLUDE EARLY CHILDHOOD EDUCATION, FETAL ALCOHOL SYNDROME/FETAL ALCOHOL EFFECT EARLY INTERVENTION SERVICES,PARENTING SKILLS TRAINING AND FAMILY COUNSELING.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2419628</ExpenseAmt>
        <RevenueAmt>2518753</RevenueAmt>
        <Desc>OUTPATIENT TREATMENT CENTER - LOCATED AT 1631 SW COLUMBIA STREET, THE OUTPATIENT TREATMENT CENTER PROVIDES ADDICTION TREATMENT SERVICES TO AMERICAN INDIAN AND ALASKAN NATIVE MEN AND WOMEN, HARD DRUG USERS, PEOPLE INVOLVED WITH THE CRIMINAL JUSTICE SYSTEM, AND STREET ADDICTS. SERVICES INCLUDE OUTPATIENT COUNSELING, AFTERCARE SUPPORT, AND A DUII DIVERSION PROGRAM. TREATMENT ACTIVITIES INCLUDE GROUP AND INDIVIDUAL COUNSELING, A WOMEN'S SUPPORT GROUP, TALKING CIRCLE MEETINGS, MENTAL HEALTH COUNSELING, CULTURAL EDUCATION ACTIVITIES, ANGER MANAGEMENT GROUPS, NUTRITION EDUCATION, COMMUNITY RESOURCES ADVOCACY, AND REFERRAL SERVICES.THE COMMUNITY OUTREACH COORDINATOR ASSISTS CLIENTS IN ACCESSING RESOURCES FOR HOUSING, TRANSPORTATION, CHILDCARE, VOCATIONAL REHABILITATION, MEDICAL CARE, AND OTHER SOCIAL SERVICES. THIS SERVICE IS PARTICULARLY HELPFUL FOR CLIENTS WHO HAVE RELOCATED TO THE PORTLAND METRO AREA FROM THE RESERVATION AND MAY NEED TO ESTABLISH RELATIONSHIPS WITH MANY DIFFERENT RESOURCE AGENCIES IN THE AREA.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>3742936</ExpenseAmt>
        <RevenueAmt>2663772</RevenueAmt>
        <Desc>INDIAN HEALTH CLINIC AND PREVENTION CENTER - LOCATED AT 15 N MORRIS STREET, THE INDIAN HEALTH CLINIC AND PREVENTION CENTER PROVIDES PRIMARY HEALTH CARE TO THE URBAN INDIAN COMMUNITY, INCLUDING LABORATORY AND PHARMACEUTICAL SERVICES. IN ADDITION TO GENERAL MEDICAL CARE, PRENATAL AND DEVELOPMENTAL PEDIATRIC SERVICES ARE PROVIDED, INCLUDING WELL BABY/WELL CHILDCARE, AND THE WOMEN, INFANTS AND CHILDREN PROGRAM (WIC). WOMEN'S HEALTH SERVICES INCLUDE SPECIAL PROGRAMS SUCH AS WELL WOMEN EXAMS AND THE BREAST AND CERVICAL CANCER EARLY DETECTION PROJECT. MENTAL HEALTH SERVICES INCLUDE PSYCHIATRIC EVALUATIONS PROVIDED BY A CONSULTING PSYCHIATRIST AND MENTAL HEALTH COUNSELING PROVIDED BY LICENSED CLINICAL SOCIAL WORKERS.A SATELLITE CLINIC LOCATED WITHIN THE RESIDENTIAL TREATMENT CENTER PROVIDES PRIMARY MEDICAL CARE, PRENATAL AND PEDIATRIC SERVICES, AND HEALTH EDUCATION TO FAMILIES INVOLVED IN SUBSTANCE ABUSE TREATMENT. THE MEDICAL TEAM INCLUDES A MEDICAL PROVIDER AND A MEDICAL ASSISTANT WHO WORK UNDER THE SUPERVISION OF THE MEDICAL DIRECTOR OF THE INDIAN HEALTH CLINIC.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>3241221</ExpenseAmt>
        <RevenueAmt>1543655</RevenueAmt>
        <Desc>CHILDREN, YOUTH, AND FAMILIES WELLNESS PROGRAM - LOCATED AT 1776 SW MADISON, THE WELLNESS PROGRAM IS A CULTURE BASED PROGRAM DESIGNED TO GIVE SUPPORT TO PARENTS, GRANDPARENTS, AND OTHERS IN THEIR ROLES AS CAREGIVERS OF CHILDREN. THE WELLNESS PROGRAM HAS A TEAM OF INDIVIDUALS WHO ARE ABLE TO PROVIDE CASE MANAGEMENT AND HOME VISITS. THE GOAL OF THIS SERVICE IS TO REDUCE FAMILY STRESS, IMPROVE PARENTING SKILLS, MONITOR AND ENHANCE CHILD HEALTH AND DEVELOPMENT, AND PREVENT CHILD ABUSE AND NEGLECT. THEY ARE ABLE TO PROVIDE SERVICES TO TEEN PARENTS, EXPECTANT MOTHERS, AND PARENTS OF CHILDREN NEWBORN TO SIX YEARS OLD. THE TEAM INCLUDES A HEALTH CARE PROFESSIONAL WHO IS AVAILABLE TO FAMILIES TO CONDUCT PEDIATRIC HEALTH ASSESSMENTS. THERE IS ALSO A COMMUNITY RESOURCE MANAGER ON THE TEAM TO ASSIST CLIENTS IN FINDING RESOURCES TO HELP THEM MEET THEIR BASIC NEEDS, SUCH AS RENT, UTILITIES, AND FOOD. THE TEAM INCLUDES AN EARLY CHILDHOOD MENTAL HEALTH SPECIALIST WHO STRIVES TO PROVIDE CULTURALLY APPROPRIATE MENTAL HEALTH SERVICES IN THE AREAS OF COUNSELING, ASSESSMENTS, AND REFERRALS.THE PROGRAM OFFERS SEVERAL YOUTH GROUPS, SPECIFICALLY DEVELOPED FOR NATIVE AMERICANS. THE PURPOSE OF THESE GROUPS IS TO GIVE NATIVE AMERICAN YOUTH A PLACE TO CONNECT WITH OTHER YOUTH, EXPLORE NATIVE CULTURE, VALUES, AND BELIEFS, FIND MENTORSHIP FROM THE COMMUNITY, INCREASE SELF-ESTEEM AND SELF-CONFIDENCE, AND COME TO A BETTER UNDERSTANDING OF WHO THEY ARE AS NATIVE PEOPLE. THEY HAVE ALSO ADOPTED VARIOUS NATIVE AMERICAN TRAINING CURRICULUMS. ONE OF THEM IS A PARENT TRAINING CURRICULUM THAT DRAWS ON THE CULTURAL STRENGTHS OF NATIVE AMERICAN CHILD REARING. FOCUSED ON THE POSITIVE VALUES OF THE TRADITIONAL WAYS AS A MODEL, THE CURRICULUM SEEKS TO HELP PARENTS DECIDE FOR THEMSELVES WHAT KIND OF PARENTING SKILLS THEY WILL ADOPT FOR THEIR OWN USE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>998961</ExpenseAmt>
        <RevenueAmt>24320</RevenueAmt>
        <Desc>ANNEX - LOCATED AT 1310 SW 17TH, THE ANNEX SITE SERVICES PART OF OUR HOUSING PROGRAM WHERE WE PROVIDE HOUSING PLACEMENT SERVICES AND OTHER CLIENT ASSISTANCE NEEDS TO THOSE THAT MEET THE NECESSARY QUALIFICATIONS. THIS SITE ALSO INCLUDES PART OF OUR SUPPORTING SERVICES STAFF THAT PROVIDE THE NECESSARY ORGANIZATION AND ADMINISTRATIVE SUPPORT FOR THE EFFECTIVE OPERATION OF PROGRAMS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>960663</ExpenseAmt>
        <RevenueAmt>412931</RevenueAmt>
        <Desc>TOTEM PROGRAM - LOCATED AT 1438 SW DIVISION, THE TOTEM LODGE PROVIDES MENTAL HEALTH SERVICES FOR THOSE WITH SEVERE AND PERSISTENT ADULT MENTAL HEALTH ISSUES. IN ADDITION TO THE MENTAL HEALTH SERVICES, WE ALSO PROVIDE MEDICAL CARE BY OUR PHYSICIAN ASSISTANT.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>624477</ExpenseAmt>
        <RevenueAmt>190640</RevenueAmt>
        <Desc>DENTAL PROGRAM - LOCATED AT 12750 E STARK, THE DENTAL PROGRAM SERVICES ARE A PART OF NARA'S SYSTEM OF TREATING THE WHOLE PERSON. DENTAL SERVICES AVAILABLE THROUGH THE DENTAL PROGRAM INCLUDE BABY TEETH MATTER PROGRAM, PREVENTATIVE DENTAL CARE, RESTORATIVE DENTAL CARE, SIMPLE EXTRACTIONS, BASIC PERIODONTAL PROCEDURES, SPORTS MOUTH GUARDS AND DENTAL EDUCATION.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>34955</ExpenseAmt>
        <RevenueAmt>389</RevenueAmt>
        <Desc>OSWEGO HOUSE - THIS SITE, WHICH IS AT AN UNDISCLOSED LOCATION FOR THE WELL-BEING AND SAFETY OF OUR CLIENTS, SERVES AS A TRANSITIONAL HOUSE FOR WOMEN AND CHILDREN FOR THOSE THAT HAVE BEEN THROUGH OUR RESIDENTIAL TREATMENT PROGRAM AS THEY TRANSITION FROM COMPLETING THE PROGRAM.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>15698</ExpenseAmt>
        <Desc>YOUTH RESIDENTIAL TREATMENT CENTER - LOCATED AT 611 E POWELL, THIS SITE WILL SERVICE OUR YOUTH RESIDENTIAL PROGRAM. THE SITE IS CURRENTLY UNDER CONSTRUCTION.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>5875975</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>2171935</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>15553670</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>53</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>271</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>OR</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>JACQUELINE MERCER</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>5032241044</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1776 SW MADISON ST</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972051715</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD ACEVEDO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHUCK HUNT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORRINE SMOKEY-SMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD STENSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL BITTLE</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK CRANFORD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUGH GRANT</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUE ZIGLINKSKI</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AYANA JOHNSTON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>124105</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8817</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE MERCER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168577</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12582</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WATKINS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>152808</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM LAFOLETTE</PersonNm>
        <TitleTxt>PSYCHIATRIC NP MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136816</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8664</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLYSON LECATSAS</PersonNm>
        <TitleTxt>HEALTH DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>125709</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25895</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUTH ANNE MCGOVERN</PersonNm>
        <TitleTxt>FAMILY NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>107106</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30392</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK SEIFFERT</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>120333</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14669</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY WELCH</PersonNm>
        <TitleTxt>PSYCHIATRIC NP</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118946</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6457</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1054400</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>116300</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HEALTHCARE COMPLIANCE SOLUTIONS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 KAWAIHAE STREET 11B</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96825</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPLIANCE CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>148405</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STOEL RIVES LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>760 SW NINTH AVENUE SUITE 3000</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>143315</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10341856</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>36388</AllOtherContributionsAmt>
      <TotalContributionsAmt>10378244</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>DRUG AND ALCOHOL REHAB.</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>11149935</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11149935</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11149935</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>50</TotalRevenueColumnAmt>
        <ExclusionAmt>50</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21528229</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11149935</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>50</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>315803</TotalAmt>
        <ProgramServicesAmt>315803</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>512022</TotalAmt>
        <ProgramServicesAmt>183382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328640</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10304527</TotalAmt>
        <ProgramServicesAmt>7626001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2678526</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>31948</TotalAmt>
        <ProgramServicesAmt>31047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>901</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1707949</TotalAmt>
        <ProgramServicesAmt>1239906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>468043</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1044560</TotalAmt>
        <ProgramServicesAmt>755385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289175</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2781032</TotalAmt>
        <ProgramServicesAmt>1906488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>874544</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>887544</TotalAmt>
        <ProgramServicesAmt>485048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>402496</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1239085</TotalAmt>
        <ProgramServicesAmt>936489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302596</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>248942</TotalAmt>
        <ProgramServicesAmt>137499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111443</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>218185</TotalAmt>
        <ProgramServicesAmt>42823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175362</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>138267</TotalAmt>
        <ProgramServicesAmt>127047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11220</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>95934</TotalAmt>
        <ProgramServicesAmt>81741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14193</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>764767</TotalAmt>
        <ProgramServicesAmt>569784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194983</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>631834</TotalAmt>
        <ProgramServicesAmt>621177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10657</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIRECT PROGRAM COST</Desc>
        <TotalAmt>464458</TotalAmt>
        <ProgramServicesAmt>442365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22093</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>80957</TotalAmt>
        <ProgramServicesAmt>51685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29272</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21467814</TotalAmt>
        <ProgramServicesAmt>15553670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5914144</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3675116</BOYAmt>
        <EOYAmt>1995562</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>66831</BOYAmt>
        <EOYAmt>66881</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3905796</BOYAmt>
        <EOYAmt>5464649</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>17050</BOYAmt>
        <EOYAmt>47977</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>296723</BOYAmt>
        <EOYAmt>265992</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3706005</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1750215</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1798838</BOYAmt>
        <EOYAmt>1955790</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>37520</BOYAmt>
        <EOYAmt>128307</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>9797874</BOYAmt>
        <EOYAmt>9925158</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1337887</BOYAmt>
        <EOYAmt>1603027</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>683605</BOYAmt>
        <EOYAmt>506642</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>95137</BOYAmt>
        <EOYAmt>73829</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2116629</BOYAmt>
        <EOYAmt>2183498</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>7681245</BOYAmt>
        <EOYAmt>7741660</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7681245</BOYAmt>
        <EOYAmt>7741660</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9797874</BOYAmt>
        <EOYAmt>9925158</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>60415</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>10315486</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9466702</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8669216</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9998527</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10378244</CurrentTaxYearAmt>
        <TotalAmt>48828175</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>10315486</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9466702</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8669216</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9998527</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10378244</CurrentTaxYearAmt>
        <TotalAmt>48828175</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>48828175</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>577</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>230</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50</CurrentTaxYearAmt>
        <TotalAmt>907</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>48829082</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>39252763</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>1.00000</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99990</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>21110</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>21110</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>21446704</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>21467814</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>965494</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>928960</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>3894454</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>5841681</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>13948</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>23123</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>18152</CurrentYearMinus1Amt>
        <CurrentYearAmt>21110</CurrentYearAmt>
        <TotalAmt>76333</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>241374</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>232240</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>973614</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1460421</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>168681</OtherCostOrOtherBasisAmt>
        <BookValueAmt>168681</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1121080</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>731976</DepreciationAmt>
        <BookValueAmt>389104</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2132402</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>817278</DepreciationAmt>
        <BookValueAmt>1315124</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>283842</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>200961</DepreciationAmt>
        <BookValueAmt>82881</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1955790</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>73829</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>73829</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>21528229</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21528229</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21528229</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21467814</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21467814</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21467814</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 - NATIVE AMERICAN REHABILITATION ASSOCIATION HAS NO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HOME FORWARD</GrantTypeTxt>
        <RecipientCnt>22</RecipientCnt>
        <CashGrantAmt>63093</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MULT CO. ADULT</GrantTypeTxt>
        <RecipientCnt>22</RecipientCnt>
        <CashGrantAmt>18538</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HOMES NOT BEDS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>5185</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HOPE (CENTRAL CITY CONCERN)</GrantTypeTxt>
        <RecipientCnt>27</RecipientCnt>
        <CashGrantAmt>136697</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>INTENSIVE STREET OUTREACH (CASCADIA BEHAVIORAL HEALTH)</GrantTypeTxt>
        <RecipientCnt>41</RecipientCnt>
        <CashGrantAmt>9695</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>JOIN--STREET HOUSING, OUTREACH, AND RETENTION</GrantTypeTxt>
        <RecipientCnt>68</RecipientCnt>
        <CashGrantAmt>76199</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MULT CO. DCHS, SUN SERVICE SYSTEMS</GrantTypeTxt>
        <RecipientCnt>8</RecipientCnt>
        <CashGrantAmt>6396</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION APPROVES GRANTS THAT ARE BUDGETED AND MEET WITH THE ORGANIZATIONS MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACQUELINE MERCER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>168577</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3625</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8957</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181159</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL WATKINS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>152808</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8824</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>161632</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLYSON LECATSAS</PersonNm>
        <TitleTxt>HEALTH DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>125709</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16410</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9485</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151604</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR. A COPY OF THE APPROVED FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD COMPENSATION COMMITTEE REVIEWS AND APPROVES EXECUTIVE DIRECTOR'S PAY BASED ON PERFORMANCE AND COMPARABLE MARKET SALARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>