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        <OtherCompensationAmt>5544</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1605495</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>119153</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4950 COLLEGE BLVD</AddressLine1Txt>
            <CityNm>OVERLAND PARK</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY</ServicesDesc>
        <CompensationAmt>240894</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WELLSPRING MEDICAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 488</AddressLine1Txt>
            <CityNm>GILBERT</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85299</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>226109</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ZUMASYS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9245 RESEARCH DRIVE</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92618</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER CONSULTING</ServicesDesc>
        <CompensationAmt>223098</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARCADIA MANAGEMENT GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3550 N CENTRAL AVE</AddressLine1Txt>
            <CityNm>PHOENIX</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85012</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROPERTY MANAGEMENT</ServicesDesc>
        <CompensationAmt>100538</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>15336601</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>33742</AllOtherContributionsAmt>
      <NoncashContributionsAmt>25000</NoncashContributionsAmt>
      <TotalContributionsAmt>15370343</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT AND CLIENT FEE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1578883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1578883</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY RENT</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>10570</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10570</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GRANTS &amp; CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>226</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>226</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1589679</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>256749</TotalRevenueColumnAmt>
        <ExclusionAmt>256749</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1968</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1968</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1968</TotalRevenueColumnAmt>
        <ExclusionAmt>1968</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2372936</SecuritiesAmt>
        <OtherAmt>16343</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2376439</SecuritiesAmt>
        <OtherAmt>11191</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-3503</SecuritiesAmt>
        <OtherAmt>5152</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1649</TotalRevenueColumnAmt>
        <ExclusionAmt>1649</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>43084</TotalRevenueColumnAmt>
        <ExclusionAmt>43084</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>VENDING MACHINE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>699</TotalRevenueColumnAmt>
        <ExclusionAmt>699</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRAINING REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>200</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>44</TotalRevenueColumnAmt>
        <ExclusionAmt>44</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>44027</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17264415</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1589879</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>304193</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>657061</TotalAmt>
        <ProgramServicesAmt>637349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19712</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7687022</TotalAmt>
        <ProgramServicesAmt>7470437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216585</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>334624</TotalAmt>
        <ProgramServicesAmt>325326</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9298</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1992267</TotalAmt>
        <ProgramServicesAmt>1936911</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55356</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>609629</TotalAmt>
        <ProgramServicesAmt>592690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16939</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>152868</TotalAmt>
        <ProgramServicesAmt>148320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4548</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>38699</TotalAmt>
        <ProgramServicesAmt>37548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1151</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>39580</TotalAmt>
        <ProgramServicesAmt>38402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1178</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>65544</TotalAmt>
        <ProgramServicesAmt>63594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1950</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4678275</TotalAmt>
        <ProgramServicesAmt>4539090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139185</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>163532</TotalAmt>
        <ProgramServicesAmt>159296</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4236</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>118349</TotalAmt>
        <ProgramServicesAmt>115283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3066</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>188739</TotalAmt>
        <ProgramServicesAmt>183850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4889</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>754494</TotalAmt>
        <ProgramServicesAmt>738462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16032</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>228807</TotalAmt>
        <ProgramServicesAmt>224232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4575</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>58047</TotalAmt>
        <ProgramServicesAmt>56543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1504</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>140706</TotalAmt>
        <ManagementAndGeneralAmt>140706</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>520958</TotalAmt>
        <ProgramServicesAmt>511306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9652</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>97166</TotalAmt>
        <ProgramServicesAmt>94649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2517</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>108197</TotalAmt>
        <ProgramServicesAmt>105394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2803</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>74227</TotalAmt>
        <ProgramServicesAmt>72304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1923</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>66530</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66530</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>POSTAGE</Desc>
        <TotalAmt>14220</TotalAmt>
        <ProgramServicesAmt>13852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>368</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>496644</TotalAmt>
        <ProgramServicesAmt>483779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12865</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>19286185</TotalAmt>
        <ProgramServicesAmt>18548617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>737568</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1026492</BOYAmt>
        <EOYAmt>377326</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>499768</BOYAmt>
        <EOYAmt>678570</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>365981</BOYAmt>
        <EOYAmt>826530</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>354481</BOYAmt>
        <EOYAmt>302533</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>160087</BOYAmt>
        <EOYAmt>142736</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10793549</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4446137</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6727121</BOYAmt>
        <EOYAmt>6347412</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7843549</BOYAmt>
        <EOYAmt>6604579</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>97684</BOYAmt>
        <EOYAmt>93292</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>17075163</BOYAmt>
        <EOYAmt>15372978</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1631507</BOYAmt>
        <EOYAmt>2047723</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>1982361</BOYAmt>
        <EOYAmt>1792270</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1748969</BOYAmt>
        <EOYAmt>1521013</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>5362837</BOYAmt>
        <EOYAmt>5361006</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>11712326</BOYAmt>
        <EOYAmt>10011972</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11712326</BOYAmt>
        <EOYAmt>10011972</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>17075163</BOYAmt>
        <EOYAmt>15372978</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-2021770</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>321416</NetUnrlzdGainsLossesInvstAmt>
      <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>12950893</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13341689</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3391116</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15719307</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15370569</CurrentTaxYearAmt>
        <TotalAmt>60773574</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>12950893</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13341689</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3391116</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15719307</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15370569</CurrentTaxYearAmt>
        <TotalAmt>60773574</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>60773574</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>254663</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>232215</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>38710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>284040</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>258717</CurrentTaxYearAmt>
        <TotalAmt>1068345</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2554</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25005</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9728</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16031</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>43827</CurrentTaxYearAmt>
        <TotalAmt>97145</TotalAmt>
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      <TotalSupportAmt>61939064</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>5902808</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98120</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98210</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>VENDING MACHINE - 2011 AMOUNT: $ 860. 2012 AMOUNT: $ 945. 2013 AMOUNT: $ 260. 2014 AMOUNT: $ 59. 2015 AMOUNT: $ 699. OTHER REVENUE - 2011 AMOUNT: $ 1,694. 2012 AMOUNT: $ 3,000. 2013 AMOUNT: $ 8,600. 2014 AMOUNT: $ 6. 2015 AMOUNT: $ 44. INSURANCE REFUND - 2012 AMOUNT: $ 21,060. 2013 AMOUNT: $ 868. 2015 AMOUNT: $ 0. CAFE REVENUE - 2014 AMOUNT: $ 15,966. 2015 AMOUNT: $ 43,084.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, SECTION A AND B, COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>7/1/2014 TO 9/30/2014 SHORT YEAR; THE SHORT YEAR RESULTS FROM A CHANGE IN THE ORGANIZATION'S FISCAL YEAR END FROM JUNE 30 TO SEPTEMBER 30.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>66297</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>447046</OtherCostOrOtherBasisAmt>
        <BookValueAmt>513343</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8123844</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2825877</DepreciationAmt>
        <BookValueAmt>5297967</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>133606</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>126796</DepreciationAmt>
        <BookValueAmt>6810</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2022756</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1493464</DepreciationAmt>
        <BookValueAmt>529292</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6347412</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17262766</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>3503</OtherRevenueAmt>
      <RevenueNotReportedAmt>3503</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17259263</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>5152</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>5152</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17264415</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19286185</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19286185</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19286185</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF ITS POLICIES AND PROCEDURES, REVIEW OF ITS REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY UNRELATED BUSINESS TAXABLE INCOME FOR THE YEAR ENDING SEPTEMBER 30, 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF SECURITIES 3,503.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON SALE OF FIXED ASSET 5,152.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT CARTIA</PersonNm>
        <TitleTxt>PRIOR CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>115946</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>251048</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5725</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14894</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8887</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>396500</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COURTNEY KEKICH</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>191717</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12438</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4251</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7738</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10497</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226641</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOHDAN HRECZNYJ</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>225227</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13362</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5984</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16444</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>261017</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAMIL JURA</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>162242</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8936</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3384</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9002</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9080</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192644</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE NUEZ</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>225460</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12230</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>784</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9512</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247986</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIOR CEO RECEIVED A SEVERANCE PAYMENT OF $251,048.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS PAYMENTS ARE MADE BASED ON MEETING ORGANIZATIONAL GOALS AND ARE AT THE DISCRETION OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE INDUSTRIAL DEVELOP AUTHORITY OF COTTONWOOD AZ</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860718770</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2010-06-30</BondIssuedDt>
        <IssuePriceAmt>2930585</IssuePriceAmt>
        <PurposeDesc>FACILITY CONSTRUCTION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>2930585</TotalProceedsAmt>
        <RefundingEscrowAmt>565724</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>60000</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>2366740</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED 990 WILL BE REVIEWED BY THE CEO AND THE DIRECTOR OF FINANCE FOR ACCURACY BEFORE IT IS FILED AND THEN THE FILED 990 WILL BE PRESENTED AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION (SHG) WILL VALIDATE THAT ALL CONTRACTS ARE IN COMPLIANCE WITH APPLICABLE LAWS, REGULATIONS, AND ACCREDITATION STANDARDS. THE SHG HAS A RESPONSIBILITY TO NOT ENTER INTO CONTRACTS OR AGREEMENTS WITH OUTSIDE INDIVIDUALS OR AGENCIES WHEN SUCH A RELATIONSHIP CREATES A CLEAR CONFLICT OF INTEREST, WHICH MAY NEGATIVELY IMPACT CLIENT CARE OR COMMUNITY INTERESTS. THE SHG'S MANAGEMENT TEAM REVIEWS ALL CONTRACT ARRANGEMENTS THAT THE AGENCY CONSIDERS ENTERING INTO, TO ASSESS THE FOLLOWING: - WHETHER A CONFLICT OF INTEREST EXISTS OR MAY POTENTIALLY EXIST. THIS IS ESPECIALLY TRUE FOR CONTRACTS THAT THE AGENCY ESTABLISHES WITH OUTSIDE PROVIDERS TO PROVIDE SERVICES ON BEHALF OF THE SHG. - IN THOSE CASES WHERE THE SHG CONTRACTS WITH ANOTHER PROVIDER TO PROVIDE TREATMENT SERVICES FOR SHG REFERRALS, THE MANAGEMENT TEAM REVIEWS THE CREDENTIALS OF THE PROVIDER TO VALIDATE THAT THE PROVIDER IS QUALIFIED TO PROVIDE THE DESIRED SERVICES. - REVIEW CONTRACTS THAT ARE AVAILABLE TO THE SHG TO DETERMINE WHETHER THE CONTACT REQUIREMENTS ARE ACCEPTABLE IN TERMS OF ETHICAL TREATMENT OF CONSUMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD OF DIRECTORS REVIEWS THE MOST CURRENTLY AVAILABLE SALARY SURVEYS AND OTHER COMPENSATION DATA, TO SET THE SALARY OF THE CEO. THE DATE OF THE LAST REVIEW WAS OCTOBER 2015. THE CEO SETS THE COMPENSATION FOR OTHER KEY EMPLOYEES AND WAS LAST REVIEWED OCTOBER 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,458,122. MANAGEMENT AND GENERAL EXPENSES 75,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,533,497. MEDICATIONS: PROGRAM SERVICE EXPENSES 1,709,716. MANAGEMENT AND GENERAL EXPENSES 52,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,762,142. MISC. ADMIN SERVICES: PROGRAM SERVICE EXPENSES 20,836. MANAGEMENT AND GENERAL EXPENSES 639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,475. COMPUTER SUPPORT: PROGRAM SERVICE EXPENSES 245,279. MANAGEMENT AND GENERAL EXPENSES 7,521. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 252,800. HCIC SUPPORT: PROGRAM SERVICE EXPENSES 8,344. MANAGEMENT AND GENERAL EXPENSES 256. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,600. OTHER EMPLOYEE SERVICES: PROGRAM SERVICE EXPENSES 96,793. MANAGEMENT AND GENERAL EXPENSES 2,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,761.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>