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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN YACAVONE</PersonNm>
        <TitleTxt>BOARD MEMBER (THRU 04/2025)</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>662589</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>169167</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUTRITION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>580 WENDEL RD STE 100</AddressLine1Txt>
            <CityNm>IRWIN</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15642</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CATERING OF MEALS</ServicesDesc>
        <CompensationAmt>535605</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NESCO RESOURCE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 901372</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44190</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>528999</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EASTER SEAL SOCIETY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>299 EDWARDS AVE</AddressLine1Txt>
            <CityNm>YOUNGSTOWN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MULTI DISABILITY SERVICES</ServicesDesc>
        <CompensationAmt>415375</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FROG STREET PRESS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>423 BANK ST SUITE 100</AddressLine1Txt>
            <CityNm>SOUTHLAKE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76092</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CURRICULUM</ServicesDesc>
        <CompensationAmt>312038</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LAKESHORE LEARNING MATERIALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 840250</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90084</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLASSROOM SUPPLIES</ServicesDesc>
        <CompensationAmt>216822</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>25500</FundraisingAmt>
      <GovernmentGrantsAmt>20940215</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>826379</AllOtherContributionsAmt>
      <NoncashContributionsAmt>753326</NoncashContributionsAmt>
      <TotalContributionsAmt>21792094</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>BEHAVIORAL HEALTH REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>5554487</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5554487</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <BusinessCd>456199</BusinessCd>
        <TotalRevenueColumnAmt>96123</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>96123</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>5650610</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>77232</TotalRevenueColumnAmt>
        <ExclusionAmt>77232</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>76092</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>76092</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>76092</TotalRevenueColumnAmt>
        <ExclusionAmt>76092</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>13581</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>25500</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>19340</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-5759</TotalRevenueColumnAmt>
        <ExclusionAmt>-5759</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>9460</TotalRevenueColumnAmt>
        <ExclusionAmt>9460</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>9460</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>27599729</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5650610</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>157025</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>371344</TotalAmt>
        <ManagementAndGeneralAmt>368925</ManagementAndGeneralAmt>
        <FundraisingAmt>2419</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>11955036</TotalAmt>
        <ProgramServicesAmt>10990492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>952459</ManagementAndGeneralAmt>
        <FundraisingAmt>12085</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>372854</TotalAmt>
        <ProgramServicesAmt>347833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25021</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2216340</TotalAmt>
        <ProgramServicesAmt>2040660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175680</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1100791</TotalAmt>
        <ProgramServicesAmt>990180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109608</ManagementAndGeneralAmt>
        <FundraisingAmt>1003</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>15179</TotalAmt>
        <ProgramServicesAmt>15179</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47776</TotalAmt>
        <ProgramServicesAmt>47776</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2283858</TotalAmt>
        <ProgramServicesAmt>2283858</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>46132</TotalAmt>
        <ProgramServicesAmt>46132</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2373443</TotalAmt>
        <ProgramServicesAmt>2310510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62933</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>453016</TotalAmt>
        <ProgramServicesAmt>214677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238339</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>840980</TotalAmt>
        <ProgramServicesAmt>768932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72048</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>210092</TotalAmt>
        <ProgramServicesAmt>171148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38944</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>186347</TotalAmt>
        <ProgramServicesAmt>186347</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>497948</TotalAmt>
        <ProgramServicesAmt>497948</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>181202</TotalAmt>
        <ProgramServicesAmt>165703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15499</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>1066109</TotalAmt>
        <ProgramServicesAmt>1066109</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSES</Desc>
        <TotalAmt>873487</TotalAmt>
        <ProgramServicesAmt>873487</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>105827</TotalAmt>
        <ProgramServicesAmt>105827</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES &amp; DUES</Desc>
        <TotalAmt>39914</TotalAmt>
        <ProgramServicesAmt>37498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2416</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>582297</TotalAmt>
        <ProgramServicesAmt>446387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135910</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>25819972</TotalAmt>
        <ProgramServicesAmt>23606683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2197782</ManagementAndGeneralAmt>
        <FundraisingAmt>15507</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4755269</BOYAmt>
        <EOYAmt>5057913</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>562334</BOYAmt>
        <EOYAmt>663233</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1703377</BOYAmt>
        <EOYAmt>4402859</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>705268</BOYAmt>
        <EOYAmt>540631</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>240961</BOYAmt>
        <EOYAmt>282051</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8924505</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5658961</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2755839</BOYAmt>
        <EOYAmt>3265544</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2044473</BOYAmt>
        <EOYAmt>2013957</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>955531</BOYAmt>
        <EOYAmt>811314</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13723052</BOYAmt>
        <EOYAmt>17037502</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4002654</BOYAmt>
        <EOYAmt>5527185</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>32969</BOYAmt>
        <EOYAmt>140322</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>516209</BOYAmt>
        <EOYAmt>485190</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>943843</BOYAmt>
        <EOYAmt>794613</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5495675</BOYAmt>
        <EOYAmt>6947310</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8031895</BOYAmt>
        <EOYAmt>9905450</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>195482</BOYAmt>
        <EOYAmt>184742</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8227377</BOYAmt>
        <EOYAmt>10090192</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13723052</BOYAmt>
        <EOYAmt>17037502</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1779757</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>142039</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>-58891</DonatedServicesAndUseFcltsAmt>
      <PriorPeriodAdjustmentsAmt>-90</PriorPeriodAdjustmentsAmt>
      <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>12543247</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12778873</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13151274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13366487</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21766594</CurrentTaxYearAmt>
        <TotalAmt>73606475</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>12543247</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12778873</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13151274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13366487</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21766594</CurrentTaxYearAmt>
        <TotalAmt>73606475</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>73606475</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>20694</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>27919</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>39356</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>50339</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>77232</CurrentTaxYearAmt>
        <TotalAmt>215540</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>15377</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>131055</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1089</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>147521</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>29764</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>36096</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>69106</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>48256</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9460</CurrentTaxYearAmt>
        <TotalAmt>192682</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>74162218</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>23495378</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99250</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99200</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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>70233</OtherCostOrOtherBasisAmt>
        <BookValueAmt>70233</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5026282</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3340085</DepreciationAmt>
        <BookValueAmt>1686197</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>652491</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>504477</DepreciationAmt>
        <BookValueAmt>148014</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2243918</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1317599</DepreciationAmt>
        <BookValueAmt>926319</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>931581</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>496800</DepreciationAmt>
        <BookValueAmt>434781</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3265544</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>794613</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>794613</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>30516272</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>142039</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>2755164</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>19340</OtherRevenueAmt>
      <RevenueNotReportedAmt>2916543</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>27599729</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27599729</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>28653457</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>2814055</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>19430</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>2833485</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>25819972</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>25819972</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REQURED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 19,340.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 19,430.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>CHIPS FOR KIDS</Event1Nm>
        <GrossReceiptsEvent1Amt>39081</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>25500</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>13581</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>1325</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>893</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>8489</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>5521</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3112</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>39081</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>25500</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>13581</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1325</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>893</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>8489</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5521</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3112</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>19340</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-5759</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ABIGALE BENSON</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>158198</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3194</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8173</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12572</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>182137</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK DEMETRIOS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>139311</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2912</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7381</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31722</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181326</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH SHOROKEY</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER (THRU 03/25)</TitleTxt>
        <BaseCompensationFilingOrgAmt>144928</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7509</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24566</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177003</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WENDY SAUL</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>118952</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6372</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32816</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160140</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>457(F) PLAN - ER CONTRIBUTIONS, JOE SHOROKEY, $5,000 THROUGH 12/31/25. ALL OBLIGATIONS HAVE BEEN MET AT TIME OF RETIREMENT AND PAYOUT OCCURRED IN APRIL 2026. TOTAL OF $20,000 EE AND $20,000 ER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PROPERTY AND EQUIPMENT</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>390226</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>SUPPLIES</Desc>
        <ContributionCnt>30</ContributionCnt>
        <NoncashContributionsRptF990Amt>363100</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS SENT TO THE BOARD FOR REVIEW BEFORE BEING FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SHALL AVOID CONFLICT OF INTEREST IN MATTERS RELATED TO THEIR RESPONSIBILITIES AND DUTIES AS A MEMBER OF THE BOARD AND SHALL SEEK TO FAITHFULLY REFLECT IN THEIR ACTIONS AS TRUSTEE, PRACTICES WHICH INSURE THE BEST INTEREST OF THE CORPORATION, THE CLIENTS IT SERVES AND THE GENERAL PUBLIC. BOARD MEMBERS SHALL, ON AN ANNUAL BASIS, BE REQUIRED TO REAFFIRM THEIR UNDERSTANDING OF AND COMMITMENT TO AVOIDING CONFLICT OF INTEREST IN THEIR CAPACITY AS A MEMBER OF THE ALTA CARE GROUP BOARD OF DIRECTORS BY COMPLETING THE BOARD OF DIRECTORS CONFIDENTIALITY AND CONFLICT OF INTEREST AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER IS EVALUATED BY ALL MEMBERS OF THE GOVERNING BOARD ANNUALLY AND COMPENSATION IS DETERMINED BASED ON THOSE EVALUATIONS AND REVIEW OF THE AGENCY'S CURRRENT FINANCIAL CONDITION AND HOW IT COMPARES TO PRIOR YEARS. WAGE COMPARABILITY DATA IS PROVIDED TO THE GOVERNING BOARD TO ASSIST IN THEIR DECISION MAKING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO CHANGES MADE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>