﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" returnVersion="2020v4.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2022-05-11T10:30:57-04:00</ReturnTs>
    <TaxPeriodEndDt>2021-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Tuscan &amp; Company</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12621 World Plaze Lane BLDG 55</AddressLine1Txt>
        <CityNm>Fort Myers</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>33907</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2020-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>591287693</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>SalusCare Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SALU</BusinessNameControlTxt>
      <USAddress>
        <AddressLine1Txt>3763 Evans Avenue</AddressLine1Txt>
        <CityNm>Fort Myers</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>33901</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Stacey Cook</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>2392753222</PhoneNum>
      <SignatureDt>2022-05-03</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>Stacey</PersonFirstNm>
        <PersonLastNm>Cook</PersonLastNm>
      </PersonFullName>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Jeffrey M Tuscan</PreparerPersonNm>
      <PTIN>P00184439</PTIN>
      <PhoneNum>2393332090</PhoneNum>
      <PreparationDt>2022-05-04</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>0</TrustedCustomerCd>
        <OOBSecurityVerificationCd>00</OOBSecurityVerificationCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="IRS990">
      <GrossReceiptsAmt>29877621</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.saluscareflorida.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1969</FormationYr>
      <LegalDomicileStateCd>FL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SalusCare, Inc provides exceptional and compassionate behavioral healthcare. See Schedule O.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>478</TotalEmployeeCnt>
      <TotalGrossUBIAmt>47180</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>19737881</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>21527680</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>8196913</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>7250398</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>16098</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>369914</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>411675</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>718390</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>28362567</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>29866382</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>20622342</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>19609220</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>70758</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>8009376</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>7142545</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>28631718</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>26751765</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-269151</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3114617</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>26981379</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>26222359</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>12898006</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>8941555</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>14083373</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>17280804</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SalusCare, Inc provides exceptional and compassionate behavioral healthcare. See Schedule O.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>true</SignificantChangeInd>
      <ExpenseAmt>14118875</ExpenseAmt>
      <Desc>Acute Care and Residential SalusCare is an approved and designated public Baker ActReceiving Facility, accepting adults and children placed under a 72-hour involuntary holdafter being deemed a harm to themselves or others due to the direct effects ofbehavioral health disorder(s). In 2020, 2,163 adults and 1,000 children were cared for in ourcrisis units. SalusCare also operates a 20-bed adult inpatient Detoxification Unit. In 2020,the Detoxification Unit served 1,119 adults. SalusCare also provides residential care as a part of itstreatment continuum for both children and adults. The Vince Smith Center is a juvenileresidential treatment facility for adolescents with the disease of addiction. In 2020, theVince Smith Center served 42 adolescents. Also operated by SalusCare is the TransitionalLiving Campus, a combination of transitional living/halfway house and permanent supportivehousing. In 2020, 669 individuals were served by this program.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>7204908</ExpenseAmt>
        <Desc>Outpatient Programs SalusCare offers three outpatient service locations in Lee County, two in Ft. Myers and one in Cape Coral. SalusCare also offers telehealth outpatient services. In total, SalusCare provided therapy and/or psychiatric outpatient mental health and substance use services to 11,380 adults and 2,758 children in 2020. Outpatient services are one of the primary lines of care provided by SalusCare, with nearly 75% of patients utilizing this service. Patients can receive a multitude of services in outpatient programs, from initial screening, individual and group therapy and medical services. Service delivery is dictated and dependent upon the unique and diverse needs of each patient and family.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>3281908</ExpenseAmt>
        <Desc>Community-Based Programs SalusCare offers several community-based programs allowing patients and families to be served in their homes or at other locations within the community. Therapeutic Behavioral On-Site Services are available and include case management, parenting and evidence-based programs. In 2020, SalusCare served 137 patients in this program. There are also adult-based community services including Forensic and Diversion services. Forensic and Diversion services seek to divert individuals with serious mental illnesses from unnecessary institutionalization and/or criminalization. Services include advocacy/support, state-approved competency restoration training, specialized resource coordination and collaboration with the Courts. In 2020, 2,337 adults received community based services through SalusCare.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>24605691</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="990A">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="990B">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="990D">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="990D">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd>false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="990D">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="990D">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="990D">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="990J">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="990M">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="990R">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>13</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>478</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Ronne Apicella</PersonNm>
        <PhoneNum>2392753222</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3763 Evans Avenue</AddressLine1Txt>
          <CityNm>Fort Myers</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33901</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Miriam Ajo</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>483527</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24315</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Leonhardt</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>310600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19657</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Zaheer Aslam</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>321291</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4427</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Regina Robinson</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>297251</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>623</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nicole J Markovich</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>241899</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10343</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stacey Cook-Hawk</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>190211</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25207</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronne Apicella</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>138648</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15281</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mike Ellis</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scot Goldberg</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bill Weaver</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Dennis</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Reilly</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Judith Hartner MD MPH MPA</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Teri Hansen</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marshall Bower</PersonNm>
        <TitleTxt>DirectorChairman</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Madelyn Isaacs</PersonNm>
        <TitleTxt>DirectorSecretary</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ed Kleinow</PersonNm>
        <TitleTxt>DirectorTreasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Larry Hart</PersonNm>
        <TitleTxt>DirectorVice Chairman</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1983427</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>99853</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LocumTenenscom</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 405547</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303845547</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physicians</ServicesDesc>
        <CompensationAmt>529163</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Syed Zaidi MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6445 98th Ave</AddressLine1Txt>
            <CityNm>Pinellas Park</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33782</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician</ServicesDesc>
        <CompensationAmt>442903</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>383392</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>21005411</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>138877</AllOtherContributionsAmt>
      <NoncashContributionsAmt>69830</NoncashContributionsAmt>
      <TotalContributionsAmt>21527680</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MedicaidMedicare</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4401834</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4401834</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Client Fees</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2585328</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2585328</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EAP Program</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>230897</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>230897</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Residential Ren</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>32339</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32339</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7250398</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>10597</TotalRevenueColumnAmt>
        <ExclusionAmt>10597</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>14127</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>14127</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>14127</TotalRevenueColumnAmt>
        <ExclusionAmt>14127</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>370556</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>11239</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>359317</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>359317</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>359317</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>IT Outsourcing</Desc>
        <BusinessCd>541519</BusinessCd>
        <TotalRevenueColumnAmt>47180</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>47180</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Revenue-Related</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>657083</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>657083</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>704263</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>29866382</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8266798</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>47180</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>24724</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>532498</TotalAmt>
        <ManagementAndGeneralAmt>532498</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>15373319</TotalAmt>
        <ProgramServicesAmt>14867488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>466053</ManagementAndGeneralAmt>
        <FundraisingAmt>39778</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>233354</TotalAmt>
        <ProgramServicesAmt>209481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23255</ManagementAndGeneralAmt>
        <FundraisingAmt>618</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2339408</TotalAmt>
        <ProgramServicesAmt>2169919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160822</ManagementAndGeneralAmt>
        <FundraisingAmt>8667</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1130641</TotalAmt>
        <ProgramServicesAmt>1056521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71103</ManagementAndGeneralAmt>
        <FundraisingAmt>3017</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>22261</TotalAmt>
        <ProgramServicesAmt>5863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16398</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75250</TotalAmt>
        <ManagementAndGeneralAmt>75250</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1468949</TotalAmt>
        <ProgramServicesAmt>1396699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71339</ManagementAndGeneralAmt>
        <FundraisingAmt>911</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>5427</TotalAmt>
        <ProgramServicesAmt>3495</ProgramServicesAmt>
        <FundraisingAmt>1932</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>873318</TotalAmt>
        <ProgramServicesAmt>755601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104553</ManagementAndGeneralAmt>
        <FundraisingAmt>13164</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>318214</TotalAmt>
        <ProgramServicesAmt>310766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6635</ManagementAndGeneralAmt>
        <FundraisingAmt>813</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>580554</TotalAmt>
        <ProgramServicesAmt>537491</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41746</ManagementAndGeneralAmt>
        <FundraisingAmt>1317</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>260885</TotalAmt>
        <ProgramServicesAmt>260527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>344</ManagementAndGeneralAmt>
        <FundraisingAmt>14</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>11439</TotalAmt>
        <ProgramServicesAmt>10831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>608</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>484162</TotalAmt>
        <ManagementAndGeneralAmt>484162</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>829437</TotalAmt>
        <ProgramServicesAmt>829437</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>475476</TotalAmt>
        <ProgramServicesAmt>472465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2949</ManagementAndGeneralAmt>
        <FundraisingAmt>62</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Food Services</Desc>
        <TotalAmt>289779</TotalAmt>
        <ProgramServicesAmt>289578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161</ManagementAndGeneralAmt>
        <FundraisingAmt>40</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>1039936</TotalAmt>
        <ProgramServicesAmt>1039936</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment Costs</Desc>
        <TotalAmt>192384</TotalAmt>
        <ProgramServicesAmt>178257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13703</ManagementAndGeneralAmt>
        <FundraisingAmt>424</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medicine and Pharmacy</Desc>
        <TotalAmt>215074</TotalAmt>
        <ProgramServicesAmt>211336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3737</ManagementAndGeneralAmt>
        <FundraisingAmt>1</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26751765</TotalAmt>
        <ProgramServicesAmt>24605691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2075316</ManagementAndGeneralAmt>
        <FundraisingAmt>70758</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7121498</BOYAmt>
        <EOYAmt>6667487</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>3404964</BOYAmt>
        <EOYAmt>3125181</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1071594</BOYAmt>
        <EOYAmt>1228522</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>114792</BOYAmt>
        <EOYAmt>147408</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>380656</BOYAmt>
        <EOYAmt>462658</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>31334716</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17017885</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14674382</BOYAmt>
        <EOYAmt>14316831</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>47469</BOYAmt>
        <EOYAmt>77787</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>161219</BOYAmt>
        <EOYAmt>192040</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4805</BOYAmt>
        <EOYAmt>4445</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>26981379</BOYAmt>
        <EOYAmt>26222359</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1209639</BOYAmt>
        <EOYAmt>1179260</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>29503</BOYAmt>
        <EOYAmt>2500</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7911364</BOYAmt>
        <EOYAmt>7759795</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>3747500</BOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>12898006</BOYAmt>
        <EOYAmt>8941555</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>12821201</BOYAmt>
        <EOYAmt>16003774</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1262172</BOYAmt>
        <EOYAmt>1277030</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14083373</BOYAmt>
        <EOYAmt>17280804</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26981379</BOYAmt>
        <EOYAmt>26222359</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3114617</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>61140</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>21674</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>19276335</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18095695</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17542285</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19737881</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21527680</CurrentTaxYearAmt>
        <TotalAmt>96179876</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>19276335</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18095695</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17542285</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19737881</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21527680</CurrentTaxYearAmt>
        <TotalAmt>96179876</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>96179876</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>26385</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7387</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3443</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28576</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24724</CurrentTaxYearAmt>
        <TotalAmt>90515</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>33226</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>44456</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>41380</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19228</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13827</CurrentTaxYearAmt>
        <TotalAmt>152117</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>96422508</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>34630279</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99750</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99630</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="990C">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>111219</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>30821</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>142040</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>113572</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-2353</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>111219</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>111790</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1782</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>113572</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>106849</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4941</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>111790</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>97697</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>9152</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>106849</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1216317</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1216317</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>25417275</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14388746</DepreciationAmt>
        <BookValueAmt>11028529</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4341652</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2629139</DepreciationAmt>
        <BookValueAmt>1712513</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>359472</OtherCostOrOtherBasisAmt>
        <BookValueAmt>359472</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>14316831</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>SW FLA COMMUNITY FDN</Desc>
        <BookValueAmt>142040</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN LLC</Desc>
        <BookValueAmt>50000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>192040</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>29949195</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>61139</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>21674</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>82813</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29866382</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>29866382</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>26751765</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>26751765</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>26751765</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Endowment funds intended uses (Part V, line 4)</FormAndLineReferenceDesc>
        <ExplanationTxt>The assets of the agreement are held for the benefit of SalusCare and the income from the fund is available to be distribute to SalusCare annually, subject top the approval of the Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Financial Accounting Standards Board has issued guidance on accounting for uncertainty in income taxes and SalusCare has adopted this guidance. SalusCare has evaluated its tax positions and any estimates utilized in its tax returns, and concluded that it has taken no uncertain tax positions that require adjustment to the consolidated financial statements to comply with the provisions of this guidance. Interest and penalties associated with uncertain tax positions will be recognized in income tax expense, if required.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stacey Cook-Hawk</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>190211</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3833</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21374</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>215418</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ronne Apicella</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>138648</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4251</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11030</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153929</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Miriam Ajo</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>483527</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14526</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9789</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>507842</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Leonhardt</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>310600</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10326</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9331</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>330257</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Regina Robinson</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>297251</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>623</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>297874</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicole J Markovich</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>241899</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1177</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9166</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>252242</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Zaheer Aslam</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>321291</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1208</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3219</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>325718</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>69830</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>State Formula</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the return is reviewed by the CEO and CFO and then provided electronically to the Finance Committee for review and discussion at a Finance Committee meeting. The Finance Committee meeting minutes are discussed at the next Board meeting and the minutes from the Finance Committee meeting require approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Per Board Policy PS-05, Board Members, Committee Members, employees and volunteers have a duty to disclose any actual or possible conflicts of interest. A disclosure form is completed annually by Board Members and key employees. In addition, all potential conflicts of interest should be disclosed when they arise. After disclosure of the interest and material facts, Board and Committee Members will abstain from discussion, except to provide factual information and then leave the meeting room. The conflicted person will abstain from voting on the transaction.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Human Resources department reviews positions at SalusCare using comparable data from similar organizations within the community and neighboring counties, in addition to using payroll data from organizations that distribute such data. This review is completed annually for all positions and more frequently on specific positions when warranted. The Executive Committee of the Board reviews and approves compensation for the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Human Resources department reviews positions at SalusCare using comparable data from similar organizations within the community and neighboring counties, in addition to using payroll data from organizations that distribute such data. This review is completed annually for all positions and more frequently on specific positions when warranted. The CEO review and approves the compensation of other officers who are employees of the organization. Board Members are not compensated.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes available its governing documents, conflict of interest policy and financial statements upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Cessation of or significant change to any program service Part III line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The EAP program was sold.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section A, Line 1:The Executive Committee consists of the Board Chair, Vice Chair, Treasurer, Secretary, and other Board Members as it deems appropriate. The Executive Committee meets between Board meetings and carries out the decisions of the Board and performs all work of the Board. Actions of the Executive Committee are ratified at subsequent Board meetings. Form 990, Part XII, Line 2c - The Finance Committee reviews the audit and Form 990 as well as plays an integral role in the selection process for an independent audit firm. The Finance Committee makes recommendations to the Board of Directors for ultimate approval. Part VI, Section A, Line 1a/1b - the difference between the amount reported on line 1a/1b of 13 and the 20 on page 8 of the Form 990 is 5 highly compensated employees listed and 2 officers - none of whom have voting rights.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LMHC Properties Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2789 Ortiz Avenue</AddressLine1Txt>
          <CityNm>Fort Myers</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33905</ZIPCd>
        </USAddress>
        <EIN>650098734</EIN>
        <PrimaryActivitiesTxt>HUD Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SalusCare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>