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      <TotalReportableCompFromOrg>1213948</TotalReportableCompFromOrg>
      <TotalOtherCompensation>220114</TotalOtherCompensation>
      <NumberIndividualsGT100K>6</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>GREGORY L GASS MD</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>235 MORRELL ROAD</AddressLine1>
            <City>KNOXVILLE</City>
            <State>TN</State>
            <ZIPCode>37919</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVICES</DescriptionOfServices>
        <Compensation>177760</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NETSMART TECHNOLOGIES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 415862</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02241</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COMPUTER SUPPORT</DescriptionOfServices>
        <Compensation>106575</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MERIT CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <City>KNOXVILLE</City>
            <State>TN</State>
            <ZIPCode>37930</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>292876</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <FederatedCampaigns>184543</FederatedCampaigns>
      <RelatedOrganizations>1089674</RelatedOrganizations>
      <GovernmentGrants>13513157</GovernmentGrants>
      <AllOtherContributions>474592</AllOtherContributions>
      <TotalContributions>15261966</TotalContributions>
      <ProgramServiceRevenue>
        <Description>TENNCARE ASSISTANCE</Description>
        <TotalRevenueColumn>10439481</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10439481</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICES-NET</Description>
        <TotalRevenueColumn>311823</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>311823</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>10751304</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>41419</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>41419</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
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      </GrossAmountSalesAssets>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>9300</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9300</RelatedOrExemptFunctionIncome>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
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      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>RENT REIMBURSEMENT</Description>
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        <ExclusionAmount>81323</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
        <TotalRevenueColumn>42695</TotalRevenueColumn>
        <ExclusionAmount>42695</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MGMT FEE-AFFILIATE</Description>
        <TotalRevenueColumn>279417</TotalRevenueColumn>
        <ExclusionAmount>279417</ExclusionAmount>
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      <MiscellaneousRevenue>
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        <ExclusionAmount>4733</ExclusionAmount>
      </MiscellaneousRevenue>
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      <TotalRevenue>
        <TotalRevenueColumn>26472157</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10802023</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>408168</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>810017</Total>
        <ProgramServices>404696</ProgramServices>
        <ManagementAndGeneral>405321</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>13140403</Total>
        <ProgramServices>11939980</ProgramServices>
        <ManagementAndGeneral>1008644</ManagementAndGeneral>
        <Fundraising>191779</Fundraising>
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      <PensionPlanContributions>
        <Total>558737</Total>
        <ProgramServices>492638</ProgramServices>
        <ManagementAndGeneral>58109</ManagementAndGeneral>
        <Fundraising>7990</Fundraising>
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      <OtherEmployeeBenefits>
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        <ProgramServices>1531921</ProgramServices>
        <ManagementAndGeneral>199086</ManagementAndGeneral>
        <Fundraising>24510</Fundraising>
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      <PayrollTaxes>
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        <ProgramServices>912969</ProgramServices>
        <ManagementAndGeneral>108006</ManagementAndGeneral>
        <Fundraising>14509</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>35280</Total>
        <ProgramServices>32216</ProgramServices>
        <ManagementAndGeneral>2713</ManagementAndGeneral>
        <Fundraising>351</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>-7125</Total>
        <ProgramServices>-6517</ProgramServices>
        <ManagementAndGeneral>-537</ManagementAndGeneral>
        <Fundraising>-71</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>341021</ProgramServices>
        <ManagementAndGeneral>53894</ManagementAndGeneral>
        <Fundraising>2548</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
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        <ProgramServices>837638</ProgramServices>
        <ManagementAndGeneral>39827</ManagementAndGeneral>
        <Fundraising>6209</Fundraising>
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      <Travel>
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        <ProgramServices>878691</ProgramServices>
        <ManagementAndGeneral>10902</ManagementAndGeneral>
        <Fundraising>6670</Fundraising>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>59678</Total>
        <ProgramServices>48163</ProgramServices>
        <ManagementAndGeneral>9786</ManagementAndGeneral>
        <Fundraising>1729</Fundraising>
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      <Interest>
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        <ProgramServices>896</ProgramServices>
        <ManagementAndGeneral>99</ManagementAndGeneral>
        <Fundraising>6</Fundraising>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>639127</Total>
        <ProgramServices>581000</ProgramServices>
        <ManagementAndGeneral>49513</ManagementAndGeneral>
        <Fundraising>8614</Fundraising>
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      <Insurance>
        <Total>232392</Total>
        <ProgramServices>217697</ProgramServices>
        <ManagementAndGeneral>12569</ManagementAndGeneral>
        <Fundraising>2126</Fundraising>
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      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <Total>270087</Total>
        <ProgramServices>259589</ProgramServices>
        <ManagementAndGeneral>8071</ManagementAndGeneral>
        <Fundraising>2427</Fundraising>
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      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>1166596</Total>
        <ProgramServices>1078315</ProgramServices>
        <ManagementAndGeneral>81239</ManagementAndGeneral>
        <Fundraising>7042</Fundraising>
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      <OtherExpenses>
        <Description>FOSTER CARE PAYMENTS</Description>
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        <ProgramServices>1026815</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL &amp; MTNE</Description>
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        <ProgramServices>372970</ProgramServices>
        <ManagementAndGeneral>29095</ManagementAndGeneral>
        <Fundraising>18699</Fundraising>
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      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
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        <ManagementAndGeneral>273266</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>309373</Total>
        <ProgramServices>284102</ProgramServices>
        <ManagementAndGeneral>23083</ManagementAndGeneral>
        <Fundraising>2188</Fundraising>
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      <TotalFunctionalExpenses>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
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      <LandBuildingsEquipmentBasisNet>
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      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
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      <IntangibleAssets>
        <EOY>0</EOY>
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      <TotalAssets>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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        <EOY>500000</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>19654160</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>21392879</BOY>
        <EOY>22473374</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.3">
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        <Total>53771846</Total>
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      <TaxRevLeviedForOrgBenefit170>
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      <ValueSrvcFcltsFurnishedByGovt>
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        <CurrentTaxYearMinus3Years>6183390</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10482224</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13000850</CurrentTaxYearMinus1Year>
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        <Total>53771846</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>53771846</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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      <NetUBI>
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      </NetUBI>
      <OtherIncome170>
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      <TotalSupport>56190851</TotalSupport>
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    </IRS990ScheduleB>
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      </Equipment>
      <OtherLandBuildings>
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        <BookValue>68904</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>13834541</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION PLAN</Description>
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      </OtherLiabilities>
      <TotalOfAmounts>166829</TotalOfAmounts>
      <TotalRevenue>26472157</TotalRevenue>
      <TotalExpenses>23904812</TotalExpenses>
      <ExcessOrDeficitForYear>2567345</ExcessOrDeficitForYear>
      <OtherAmount>-2000000</OtherAmount>
      <TotalAdjustments>-2000000</TotalAdjustments>
      <ExcessOrDeficitPerFS>567345</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>26472157</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>26472157</RevenueSubtotal>
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      <ExpensesSubtotal>23904812</ExpensesSubtotal>
      <TotalExpensesPerForm990>23904812</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
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        <Explanation>EQUITY TRANSFER TO HELEN ROSS $ -2000000 MCNABB FOUNDATION $ -0</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
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        <BaseCompensationFilingOrg>166863</BaseCompensationFilingOrg>
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        <DeferredCompFilingOrg>29958</DeferredCompFilingOrg>
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      <Form990ScheduleJPartII>
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        <NontaxableBenefitsFilingOrg>4849</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>168261</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
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        <NontaxableBenefitsFilingOrg>4849</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>199717</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLIFTON TENNISON JR MD</NamePerson>
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    </IRS990ScheduleJ>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>MANAGEMENT CONDUCTS ANNUAL WORKSHOP WITH OFFICERS AND BOARD MEMBERS FOR EDUCATION AND ORIENTATION IN WHICH CONFLICT POLICIES ARE DISCUSSED. POLICY REQUIRES DISCLOSURE OF POTENTIAL CONFLICTS AT THIS MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>ACCOUNTING STAFF PERFORM A REVIEW OF THE 990 DRAFT PRIOR TO FILING</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Helen R McNabb Mental Health Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>201 W Springdale Ave</AddressLine1>
          <City>Knoxville</City>
          <State>TN</State>
          <ZIPCode>37917</ZIPCode>
        </AddressUS>
        <EIN>237213935</EIN>
        <PrimaryActivities>To support,solicit, hold, invest fbo Helen R McNabb Ctr</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501C(3)</ExemptCodeSection>
        <PublicCharityStatus>tax exempt</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Helen R McNabb Mental Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>279417</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Helen R McNabb Mental Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>1089674</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Helen R McNabb Mental Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>2000000</AmountInvolved>
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</Return>