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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA THEOHARIDIS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE CRAMER</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICK SIMS</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY ASHELFORD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTEN GUILLAUME</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANELLE PORTER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE JAMES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TROY RUST</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARKUS SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE TIETJEN</PersonNm>
        <TitleTxt>CFO (STARTING 5/22/2023)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1778535</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>126698</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MENTAL HEALTH RESOURCES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4823 NW GATEWAY</AddressLine1Txt>
            <CityNm>RIVERSIDE</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADULT COMM SUPPORT</ServicesDesc>
        <CompensationAmt>1298336</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SKYLANDER PSYCH SERVICES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4823 NW GATEWAY</AddressLine1Txt>
            <CityNm>RIVERSIDE</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADULT COMM SUPPORT</ServicesDesc>
        <CompensationAmt>1044875</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ADDITION RECOVERY SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4823 NW GATEWAY</AddressLine1Txt>
            <CityNm>RIVERSIDE</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADDICTION COUNSELING</ServicesDesc>
        <CompensationAmt>920619</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HEARTLAND RESIDENTIAL CARE INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1311 FRANCIS ST</AddressLine1Txt>
            <CityNm>ST JOSEPH</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64501</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADULT COMM SUPPORT</ServicesDesc>
        <CompensationAmt>595831</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ST LUKES HOSPITAL OF KANSAS CITY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4401 WORNAL RD</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64111</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>YOUTH COMM SUPPORT</ServicesDesc>
        <CompensationAmt>541747</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>15000</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>48500</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1912127</AllOtherContributionsAmt>
      <TotalContributionsAmt>1975627</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>DEPARTMENT MENTAL HEALTH</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>4492209</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4492209</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COUNTY MENTAL HEALTH</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>6758383</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6758383</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>11782532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11782532</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCOME FROM THIRD PARTY PAYERS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>475118</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>475118</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23508242</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>137704</TotalRevenueColumnAmt>
        <ExclusionAmt>137704</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>63141</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>63141</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>63141</TotalRevenueColumnAmt>
        <ExclusionAmt>63141</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>519487</TotalRevenueColumnAmt>
        <ExclusionAmt>519487</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>519487</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26204201</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23508242</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>720332</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>8863</TotalAmt>
        <ProgramServicesAmt>8863</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>723811</TotalAmt>
        <ProgramServicesAmt>139453</ProgramServicesAmt>
        <ManagementAndGeneralAmt>584358</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9997638</TotalAmt>
        <ProgramServicesAmt>8348704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1528701</ManagementAndGeneralAmt>
        <FundraisingAmt>120233</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>161083</TotalAmt>
        <ProgramServicesAmt>116000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45083</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1209431</TotalAmt>
        <ProgramServicesAmt>961060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234683</ManagementAndGeneralAmt>
        <FundraisingAmt>13688</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>735712</TotalAmt>
        <ProgramServicesAmt>581862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144743</ManagementAndGeneralAmt>
        <FundraisingAmt>9107</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>7768</TotalAmt>
        <ManagementAndGeneralAmt>7768</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>97871</TotalAmt>
        <ManagementAndGeneralAmt>97871</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>86942</TotalAmt>
        <ManagementAndGeneralAmt>86942</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>53910</TotalAmt>
        <ProgramServicesAmt>11868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42042</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>101844</TotalAmt>
        <ManagementAndGeneralAmt>70415</ManagementAndGeneralAmt>
        <FundraisingAmt>31429</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>118088</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111898</ManagementAndGeneralAmt>
        <FundraisingAmt>3157</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>32099</TotalAmt>
        <ProgramServicesAmt>22500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9599</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>187556</TotalAmt>
        <ProgramServicesAmt>158231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29325</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10358</ManagementAndGeneralAmt>
        <FundraisingAmt>167</FundraisingAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>2554</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>410493</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>24450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118038</ManagementAndGeneralAmt>
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        <TotalAmt>586730</TotalAmt>
        <ProgramServicesAmt>65592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>520844</ManagementAndGeneralAmt>
        <FundraisingAmt>294</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>28195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14264</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>4086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33325</ManagementAndGeneralAmt>
        <FundraisingAmt>75</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GENERAL CLINICAL</Desc>
        <TotalAmt>8504003</TotalAmt>
        <ProgramServicesAmt>8504003</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>441884</TotalAmt>
        <ProgramServicesAmt>142043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>293650</ManagementAndGeneralAmt>
        <FundraisingAmt>6191</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>19236982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4396954</ManagementAndGeneralAmt>
        <FundraisingAmt>184341</FundraisingAmt>
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        <EOYAmt>10958375</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>492093</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>4964052</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>254805</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5495313</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2068448</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>6154830</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>49577</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>760896</BOYAmt>
        <EOYAmt>624575</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>22076297</BOYAmt>
        <EOYAmt>25566755</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2353921</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINES 1G</FormAndLineReferenceDesc>
        <ExplanationTxt>The Prevention Department's lobbying efforts include: - Presenting at city council meetings on ordinances such as smoke free workplaces and Tobacco 21 (increasing age of sale). - Sending out emails to 500+ volunteers informing them of legislation, committee hearings, etc. and providing them with information to call or email their elected officials. - Taking Youth With Vision members (HS students) to Jefferson City to meet with legislators to lobby for specific bills. - Conference presentations that educate on the harms that marijuana has had in those states who have decriminalized or legalized marijuana. In addition, Tom Petrizzo participates in both the Missouri and National Hill Days. During Hill Days, representatives from community mental health centers and our state Coalition meet with elected officials to discuss issues related to the provision of mental health services and how legislation may impact those services. Tom also maintains ongoing contact with elected officials from our coverage area (Clay, Platte and Ray counties) to discuss mental health.</ExplanationTxt>
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        <ExplanationTxt>THE ENDOWMENT FUNDS ARE USED TO PAY SCHOLARSHIPS FOR STAFF WHO ARE PURSUING ADVANCED EDUCATION IN MENTAL HEALTH SERVICES AND FOR GENERAL CLINICAL PROGRAM SERVICES. THE ENDOWMENT FUNDS WERE TRANSFERED TO TRI-COUNTY FOUNDATION.</ExplanationTxt>
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        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>TRI-COUNTY MENTAL HEALTH SERVICES IS COMMITTED TO COMBATING HOPELESSNESS IN CHALLENGING TIMES THROUGH BEHAVIORAL HEALTH SERVICES FOR THE KANSAS CITY NORTHLAND COMMUNITY, WITH PREVENTION, ASSESSMENT AND TREATMENT SERVICES FOR INDIVIDUALS AND FAMILIES THROUGHOUT CLAY, PLATTE, AND RAY COUNTIES. TRI-COUNTY IS COMMITTED TO PROVIDING A COMPREHENSIVE ARRAY OF BEHAVIORAL HEALTH SERVICES. WE SUBSCRIBE TO THE PHILOSOPHY THAT THE BEST CONSUMER OUTCOMES ARE ACHIEVED BY PROVIDING SERVICES AS CLOSE TO THE CONSUMER'S HOME AND COMMUNITY AS POSSIBLE. SERVICE SITES INCLUDE KANSAS CITY, NORTH KANSAS CITY, RICHMOND, EXCELSIOR SPRINGS, AND PLATTE CITY, AS WELL AS THROUGH OUR NETWORK OF CONTRACT PROVIDERS. DURING FISCAL YEAR 2023, TRI-COUNTY PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO OVER 9,000 CONSUMERS IN OUR 3-COUNTY SERVICE AREA. OUR SERVICES TO THOSE CONSUMERS INCLUDED ASSESSMENTS, PHYSICIAN EVALUATION AND MEDICATION MANAGEMENT, COMMUNITY SUPPORT, DAY TREATMENT, AND CRISIS SERVICES. IN ADDITION, WE PROVIDED SCHOOL-BASED SERVICES AND PREVENTION PROGRAM ACTIVITIES IN OUR SCHOOLS TO PROMOTE A HEALTHY FUTURE. OUR DRUG COURTS AND OTHER OUTPATIENT SUBSTANCE ABUSE TREATMENT PROGRAMS CONTINUED TO INCREASE WITH A GROWING FOCUS ON INTEGRATED TREATMENT FOR THOSE WITH CO-OCCURRING MENTAL DISORDERS AND SUBSTANCE ABUSE DIAGNOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ADULT COMMUNITY SUPPORT - COMMUNITY SUPPORT CASE MANAGERS SUPPORT CONSUMERS AND PROMOTE AVENUES TO HELP EACH INDIVIDUAL FUNCTION AS INDEPENDENTLY AS POSSIBLE. THEY ACCOMPLISH THIS THROUGH THE PROVISION OF SERVICES DESIGNED TO LINK INDIVIDUALS WITH COMMUNITY RESOURCES THAT BEST MEET THEIR NEEDS (INCLUDING HOUSING, FINANCIAL, HEALTH CARE AND TRANSPORTATION) AND THROUGH PROVISION OF DIRECT SKILLS TRAINING AND SUPPORTIVE COUNSELING. TRANSITIONAL CASE MANAGEMENT CONSISTS OF ASSESSING ACUITY LEVEL AND NEED, ENSURING LINKAGE TO COMMUNITY RESOURCES AND ENTITLEMENTS, AND MOST IMPORTANTLY, THAT AN INDIVIDUAL'S IMMEDIATE NEEDS ARE ADDRESSED. DAY TREATMENT PROGRAMS PROVIDE A VARIETY OF GROUP ACTIVITIES WHICH ALLOW CONSUMERS TO FEEL PRODUCTIVE, EMPHASIZE SOCIAL SKILLS AND AUGMENTS DEXTERITY AND INDIVIDUAL EXPERTISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTPATIENT PSYCHIATRIC SERVICES - CONSUMERS BEING SEEN FOR THE FIRST TIME RECEIVE ASSESSMENT AND CRISIS INTERVENTION BY STAFF MEMBERS HOLDING MASTER DEGREES IN APPROPRIATE MENTAL HEALTH AND SUBSTANCE USE TREATMENT DISCIPLINES. INFORMATION OBTAINED FROM THESE INTERVIEWS IS USED TO DIAGNOSE, RECOMMEND TREATMENT AND MEASURE EACH CONSUMER'S PROGRESS. BRIEF, INTENSIVE THERAPY - INDIVIDUAL, GROUP AND FAMILY - IS PROVIDED DIRECTLY BY THE TRI-COUNTY STAFF OR IS COORDINATED THROUGH REFERRAL TO A TRI-COUNTY PROVIDER. INTENSIVE OUTPATIENT SERVICES ARE DESIGNED FOR CONSUMERS EXPERIENCING SERIOUS ACUTE DISTRESS WHO ARE AT RISK OF FURTHER PSYCHIATRIC DETERIORATION OR HOSPITALIZATION. TRI-COUNTY OFFERS REGULAR MEDICATION APPOINTMENTS AT 5 SITES IN OUR 3-COUNTY COVERAGE AREA. THE AGENCY ENSURES URGENT MEDICATION VISITS (I.E. PERSONS DISCHARGED FROM THE HOSPITAL) WITHIN 7 DAYS. CRISIS PHYSICIAN APPOINTMENTS ARE AVAILABLE DAILY. MEDICATION SERVICES ARE PROVIDED BY EXPERIENCED PSYCHIATRISTS, ADVANCED NURSE PRACTITIONERS, AND NURSING STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDICTION SERVICES, PREVENTION SERVICES, AND HEALTH &amp; WELLNESS SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO AND CEO. ANY QUESTIONS OR CONCERNS THE CFO OR CEO HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS THEN PROVIDED TO THE MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS OR CONCERNS THE BOARD HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE PRIOR TO FILING THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES OF TRI-COUNTY ARE INSTRUCTED UPON BEING HIRED TO REPORT ALL POTENTIAL CONFLICTS TO THE EMPLOYEE'S SUPERVISOR, DEPARTMENT HEAD, COMPLIANCE OFFICER, ASSOCIATE DIRECTOR OR CEO. IT IS THE RESPONSIBILITY OF TRI-COUNTY'S COMPLIANCE COMMITTEE TO DETERMINE WHETHER A CONFLICT OR POTENTIAL CONFLICT EXISTS. KEY EMPLOYEES OF TRI-COUNTY AND TRI-COUNTY'S BOARD OF DIRECTORS REVIEW THE AGENCY'S CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS AND KEY EMPLOYEES AND COMPLETE A DISCLOSURE STATEMENT ANNUALLY. IN ADDITION, ON AN ANNUAL BASIS, THE COMPLIANCE OFFICER NOTIFIES OTHER TRI-COUNTY EMPLOYEES CONCERNING THE PURPOSES AND INTENT OF THIS POLICY SO THAT THEY MAY HAVE THE OPPORTUNITY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. ANY EMPLOYEE DISCLOSING A POTENTIAL CONFLICT IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT FOR EMPLOYEES. EMPLOYEES WHO HAVE QUESTIONS ABOUT WHETHER THEY SHOULD COMPLETE A QUESTIONNAIRE ARE INSTRUCTED TO DIRECT THOSE QUESTIONS TO THE COMPLIANCE OFFICER OR CEO. COMPLETED QUESTIONNAIRES ARE SUBMITTED TO THE COMPLIANCE COMMITTEE FOR REVIEW. QUESTIONNAIRES COMPLETED BY STAFF ARE KEPT IN THE EMPLOYEE'S PERSONNEL FILE AND QUESTIONNAIRES COMPLETED BY MEMBERS OF THE BOARD OF DIRECTORS ARE RETAINED BY THE EXECUTIVE ASSISTANT TO THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO. THE HR MANAGER OBTAINS COMPARABLE DATA ON PEER AGENCIES FROM THEIR FORM 990 POSTED ON GUIDESTAR AND FORWARDS THIS INFORMATION TO THE BOARD CHAIR FOR REVIEW. THE EXECUTIVE COMMITTEE OF THE BOARD REPORTS THE COMPENSATION PACKAGE FOR THE CEO TO THE BOARD OF DIRECTORS FOR APPROVAL. THE HR MANAGER COMPLETED A REVIEW OF COMPENSATION FOR CEO'S IN SIMILAR ORGANIZATIONS DURING CALENDAR YEAR 2022 AND PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD. IN AUGUST OF 2021, AN INDEPENDENT CONSULTING FIRM REVIEWED THE CEO COMPENSATION AND COMPARED IT TO LOCAL, STATE, AND NATIONAL AVERAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION PAY RANGES FOR OFFICER'S AND KEY EMPLOYEES OF THE AGENCY ARE REVIEWED ANNUALLY BY THE HR DIRECTOR AND COMPARED TO VARIOUS SALARY SURVEYS (BOTH STATE AND NATIONAL) TO DETERMINE IF SALARY RANGES ARE APPROPRIATE. RECOMMENDATIONS FOR CHANGES IN SALARY RANGES ARE SUBMITTED TO THE EXECUTIVE TEAM OF THE AGENCY FOR REVIEW AND APPROVAL. SALARY INCREASES ARE REVIEWED WITH THE BOARD ANNUALLY AS PART OF THE REVIEW PROCESS FOR THE AGENCY BUDGET. A MAXIMUM ALLOWABLE SALARY PERCENTAGE INCREASE AMOUNT IS DETERMINED DURING THE BUDGET PROCESS AND APPROVED BY THE BOARD. IN ADDITION, COMPENSATION FOR STAFF PSYCHIATRISTS ARE REVIEWED BY THE BOARD AS PART OF THE ANNUAL FMV REVIEW OF PAYMENTS TO CONTRACT PROVIDERS AND OTHER CONTRACTORS. THE HR MANAGER COMPLETED A REVIEW OF COMPENSATION DURING CALENDAR YEAR 2022 AND PROVIDED TO THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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