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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1659</TotalRevenueColumnAmt>
        <ExclusionAmt>1659</ExclusionAmt>
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        <Desc>MISCELLANEOUS REVNUE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>34119</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34119</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <CurrentTaxYearMinus1YearAmt>4538707</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5901401</CurrentTaxYearAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILTIES</Desc>
        <Amt>214795</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>198512</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAID LIABILTY</Desc>
        <Amt>70677</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>POSTRETIREMENT BENEFIT OBLIGATION</Desc>
        <Amt>256109</Amt>
      </OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>17209361</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>37340</OtherRevenueAmt>
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      <RevenueSubtotalAmt>17172021</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17172021</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES IN POSTEMPLOYMENT BENEFIT 37,340.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALICIA MIERS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>148446</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, LINE B</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS RETURN HAS BEEN AMENDED TO REFLECT THE FOLLOWING CHANGES: INCREASE IN GRANTS RECEIVABLE OF 285,522, INCREASE IN ACCOUNTS PAYABLE AND ACCRUED EXPENSES OF 2,706, INCREASE IN DEFERRED REVENUE OF 182,186, INCREASE IN NET ASSETS OF 100,630, INCREASE IN REVENUE OF 100,630.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. THE CFO WILL REVIEW THE FINAL 990 WITH THE BOARD AT THE FIRST AVAILABLE BOARD MEETING AFTER FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS AND ALL EMPLOYEES SHALL RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND BE ADVISED OF INDIVIDUAL RESPONSIBILITIES TO COMPLY WITH THE PROVISIONS OF THE POLICY. NEW DIRECTORS AND EMPLOYEES SHALL RECEIVE A COPY OF THE POLICY AND FORM DURING THEIR ORIENTATION PERIODS. THE SECRETARY/TREASURER SHALL DISTRIBUTE,AT LEAST ANNUALLY, TO ALL DIRECTORS, MANAGERS, SUPERVISORS AND OTHER EMPLOYEES WHO HAVE MATERIAL DECISION MAKING AUTHORITY, A CONFLICT OF INTEREST DISCLOSURE FORM. THE SECRETARY SHALL MAINTAIN FILES OF ALL COMPLETED DISCLOSURE FORMS. ALL MEMORANDA OF REQUESTS FOR DECISION OR DECISIONS MADE BY THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER CONCERNING CONFLICT DISCLOSURES OR RULINGS SHALL BE FORWARDED TO THE SECRETARY/TREASURER OF THE CORPORATION FOR FILING AND MONITORING. THE SECRETARY/TREASURER SHALL REPORT ANY MATERIAL DISCLOSURE TO THE EXECUTIVE COMMITTEE FOR REVIEW AND ACTION. THE SECRETARY/TREASURER SHALL MAKE AVAILABLE TO THE INDEPENDENT AUDITORS THE FILES AND CORRESPONDENCE RELATED TO DISCLOSURE FORMS AND DECISIONS RELATED THERETO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE GOAL OF VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER THAT COMPENSATION PAID IS FAIR TO EMPLOYEES. SEVERAL FACTORS ARE USED IN DETERMINING WAGES. THESE INCLUDE BUT ARE NOT LIMITED TO THE JOB DUTIES ASSIGNED TO THE POSITION AS COMPARED TO THE DUTIES OF OTHER POSITIONS, THE EDUCATIONAL REQUIREMENT NECESSARY FOR THE EMPLOYEE TO PERFORM THE JOB, THE PREVIOUS EXPERIENCE NEEDED TO PERFORM THE JOB, THE RATES OF PAY FOR LIKE POSITIONS IN THE AREA AND IN BUSINESSES OF SIMILAR NATURE, AND THE BUDGETARY CONSTRAINTS OF THE COMPANY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE CONTINUOUS MAINTENANCE AND ADMINISTRATION OF THE COMPENSATION PLAN AS IT APPLIES TO THE POSITION OF CHIEF EXECUTIVE OFFICER. SALARY REVIEWS ARE ALSO CONDUCTED USING DATA FROM OTHER WEST VIRGINIA COMPREHENSIVE BEHAVIORAL HEALTHCARE CENTERS. THE MANAGEMENT TEAM IS RESPONSIBLE FOR CONTINUOUS MAINTENANCE AND ADMINISTRATION OF THE COMPENSATION PLAN FOR OFFICERS TO ENSURE THAT THE PLAN IS FUNCTIONAL AS WORK REQUIREMENT CHANGES IN THE VARIOUS DEPARTMENTS AND AS CONDITIONS CHANGE IN THE LABOR MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE WEST VIRGINIA HEALTHCARE AUUTHORITY (WVHCA) KEEPS ON FILE, THE AUDITED FINANCIAL STATEMENTS, WHICH ARE AVILABLE FOR PUBLIC INSPECTION AND PHOTOCOPYING AT THE AUTHORITY AT 100 DEE DRIVE IN CHARLESTON, WV. VALLEY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES IN OTHER POSTEMPLOYMENT BENEFIT 37,340.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER WAS REQUIRED TO UNDERGO A UNIFORM GUIDANCE AUDIT IN ACCORDANCE WITH 2.C.F.R. PART 200, SUBPART F, DUE TO EXPENDING $750,000 OR MORE IN FEDERAL AWARDS DURING THE FISCAL YEAR. THE AUDIT ASSESSED COMPLIANCE WITH APPLICABLE FEDERAL REQUIREMENTD AS PART OF THE SINGLE AUDIT PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>