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        <TitleTxt>FAMILY NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>120959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16306</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEE THOMAS</PersonNm>
        <TitleTxt>PHYSICIANS ASSISTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117218</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19933</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MAYS</PersonNm>
        <TitleTxt>FORMER CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>166728</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1230641</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>119401</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APPALACHIAN PSYCHIATRIC SERVICES PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1128</AddressLine1Txt>
            <CityNm>BECKLEY</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED PHYSICIANS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIFACTS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4577</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AUTOMATED STATISTICS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98270</ZIPCd>
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        </ContractorAddress>
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      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>11437</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>280761</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>280761</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>390188</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1129923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252442</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>719727</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>37649</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>50564</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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      <OfficeExpensesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>665017</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>44799</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>1017146</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2251613</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>11719029</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-962379</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>341001</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>8892729</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>335556</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>335556</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>335556</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>9228285</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9576172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9172920</CurrentTaxYearAmt>
        <TotalAmt>44927007</TotalAmt>
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      <PublicSupportTotal170Amt>44927007</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>1494</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>108378</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>138035</CurrentTaxYearAmt>
        <TotalAmt>363614</TotalAmt>
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      <PublicSupportPY170Pct>0.97500</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <BookValueAmt>115410</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>332745</BookValueAmt>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>2022547</TotalBookValueLandBuildingsAmt>
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      <NetUnrealizedGainsInvstAmt>341001</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>339810</DonatedServicesAndUseFcltsAmt>
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      <RevenueSubtotalAmt>15931732</RevenueSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <TotalCompensationFilingOrgAmt>468885</TotalCompensationFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDALL VENABLE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153690</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBER COMPOSITION WAS MODIFIED IN THE BY LAWS TO REQUIRE BOARD COMPOSITION TO BE REPRESENTATIVE OF THE INDIVIDUALS BEING SERVED BY FMRS CONSIDERING DEMOGRAPHIC FACTORS SUCH AS GEOGRAPHIC AREA, RACE, ETHNICITY, SEX, GENDER IDENTITY, DISABILITY, AGE, SEXUAL ORIENTATION, AND HEALTH AND BEHAVIORAL HEALTH NEEDS. ADDITIONALLY, FMRS WILL INCORPORATE MEANINGFUL PARTICIPATION FROM INDIVIDUALS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER. MEANINGFUL PARTICIPATION WILL BE REFLECTED BY ENSURING THAT AT LEAST 51% OF THE BOARD IS COMPRISED OF INDIVIDUALS OR FAMILY MEMBERS OF INDIVIDUALS WITH LIVED EXPERIENCE OF MENTAL HEALTH OR SUBSTANCE USE DISORDERS. IF AT ANY TIME THE 51% THRESHOLD IS NOT ABLE TO BE MET, AN ADVISORY COMMITTEE WILL BE ESTABLISHED TO REPORT DIRECTLY TO THE BOARD. PROTOCOLS WILL BE ESTABLISHED THAT INCLUDE THE SHARING OF BOARD MEETING SUMMARIES WITH THE ADVISORY COMMITTEE AND DOCUMENTING OF RECOMMENDATIONS FROM THE ADVISORY COMMITTEE TO THE BOARD. ADVISORY COMMITTEE MEMBERS WILL HAVE THE OPPORTUNITY TO ATTEND BOARD MEETINGS, ADDRESS THE BOARD, SHARE RECOMMENDATIONS DIRECTLY WITH THE BOARD, AND HAVE THEIR COMMENTS AND RECOMMENDATIONS RECORDED IN THE BOARD MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED REGULARLY AND HANDLED ACCORDINGLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>15A: COMPENSATION DICTATED BY CONTRACT ESTABLISHED BY BOARD BASED ON MARKET VALUE AND REVIEWED ANNUALLY. 15B: REVIEWED ANNUALLY BASED ON MARKET VALUE OF POSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>