﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-05-02T03:40:59-00:00</ReturnTs>
    <TaxPeriodEndDt>2018-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Matlowski Corporation PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>13 Lee Park Avenue</AddressLine1Txt>
        <CityNm>Hanover Township</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>18706</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>232053563</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Step By Step Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>STEP</BusinessNameControlTxt>
      <PhoneNum>5708293477</PhoneNum>
      <USAddress>
        <AddressLine1Txt>744 Kidder Street</AddressLine1Txt>
        <CityNm>Wilkes Barre</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>187027015</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Michael J Kasenchak</PersonNm>
      <PersonTitleTxt>VP Finance CFO</PersonTitleTxt>
      <SignatureDt>2019-05-02</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Jerome T Matlowski</PreparerPersonNm>
      <PhoneNum>5708291923</PhoneNum>
      <PreparationDt>2019-05-02</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>173.86.2.216</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-05-03</IPDt>
      <IPTm>20:45:35</IPTm>
      <IPTimezoneCd>ED</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>224677E5D3571D05DD1467A632D2B6A890F5A347</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>224677E5D3571D05DD1467A632D2B6A890F5A347</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="990" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <PrincipalOfficerNm>James L Bobeck</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>744 Kidder Street</AddressLine1Txt>
        <CityNm>Wilkes Barre</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>187027015</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>70342856</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.stepbystepusa.com</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1977</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>The provision of Housing, Rehabilitation, and Support Services to individuals with emotional and developmental disabilities along with Support and Treatment Services for individuals with drug and alcohol addictions.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>16</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1687</TotalEmployeeCnt>
      <TotalVolunteersCnt>30</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>75</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>51075</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>64923986</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>68107034</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>174883</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>386907</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>102979</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>106199</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>65201923</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>68651215</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>47201909</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>50953118</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>1000</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>2171</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>16590900</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>16476261</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>63792809</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>67430379</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1409114</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1220836</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>24415236</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>26224158</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>11046027</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>11529215</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>13369209</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>14694943</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>The provision of Housing, Rehabilitation, and Support Services to individuals with emotional and developmental disabilities along with Support and Treatment Services for individuals with drug and alcohol addictions.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>45255309</ExpenseAmt>
      <RevenueAmt>49307646</RevenueAmt>
      <Desc>Group Home Care for Individuals with Disabilities Developmental Disabilities- Community Residential Facilities For Individuals with Developmental Disabilities. 101,412 days of service</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>8093083</ExpenseAmt>
        <RevenueAmt>8790478</RevenueAmt>
        <Desc>Rehabilitation Services, General/Other Mental Health-Community Residential Rehabilitation Services for Individuals with Emotional Disabilities. 84,616 Days of Service</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>5269007</ExpenseAmt>
        <RevenueAmt>5497937</RevenueAmt>
        <Desc>Group Home Care for Individuals with Disabilities Intellectual Disabilities- Intermediate Care Facilities. Residential Services for individuals with Developmental Disabilities. 12,524 Days of Service</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalOtherProgSrvcExpenseAmt>4664605</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>5055154</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>63282004</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>
      <TempOrPermanentEndowmentsInd>false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="990D">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="990D">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="990D">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="990D">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</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>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="990R">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>191</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>1687</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>16</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>PA</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Michael J Kasenchak VP Finance CFO</PersonNm>
        <PhoneNum>5708293477</PhoneNum>
        <USAddress>
          <AddressLine1Txt>744 Kidder Street</AddressLine1Txt>
          <CityNm>Wilkes Barre</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>187027015</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Rable</PersonNm>
        <TitleTxt>Board Chairperson</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Robert Bohlander</PersonNm>
        <TitleTxt>Board Vice-Chairperson</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Josh Katyl</PersonNm>
        <TitleTxt>Board Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cornelia Romanowski</PersonNm>
        <TitleTxt>Board Secretary</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Fromel</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Harowicz</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rabbi Lawrence Kaplan</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Cynthia Charnetski</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carol Douds</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sheri Yech</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jack Jones</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Beth Farrell</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tina McCarthy</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Siegel</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin Yurko</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paula Jump</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>000.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Bobeck</PersonNm>
        <TitleTxt>President / CEO</TitleTxt>
        <AverageHoursPerWeekRt>050.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>214516</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34690</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Bernatovich</PersonNm>
        <TitleTxt>Senior VP Operations/COO</TitleTxt>
        <AverageHoursPerWeekRt>050.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>131750</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26968</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Kasenchak</PersonNm>
        <TitleTxt>VP Finance / CFO</TitleTxt>
        <AverageHoursPerWeekRt>050.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>137393</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36768</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edie Hennebaul</PersonNm>
        <TitleTxt>VP Human Resources</TitleTxt>
        <AverageHoursPerWeekRt>050.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>112293</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24703</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>595952</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>123129</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Capital Healthcare Solutions</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 799</AddressLine1Txt>
            <CityNm>Gloucester</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23061</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temporary Staff Services</ServicesDesc>
        <CompensationAmt>1031301</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Delta-T Group Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 884</AddressLine1Txt>
            <CityNm>Bryn Mawr</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19010</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temporary Staff Services</ServicesDesc>
        <CompensationAmt>874545</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>US Medical Staffing</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 60839</AddressLine1Txt>
            <CityNm>Charlotte</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>20260</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temporary Staff Services</ServicesDesc>
        <CompensationAmt>556855</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARC of Lehigh Northampton Co</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2289 Avenue A</AddressLine1Txt>
            <CityNm>Bethlehem</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Day Program Services</ServicesDesc>
        <CompensationAmt>149615</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Kenneth Kindya PHD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 4255</AddressLine1Txt>
            <CityNm>Scranton</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18505</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychology / Physician Services</ServicesDesc>
        <CompensationAmt>125170</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>51075</AllOtherContributionsAmt>
      <TotalContributionsAmt>51075</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Room,Board Client Liab. / Private Pay</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>2541857</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2541857</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Govt. Contracts- PA DPW ODP</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>51434959</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51434959</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Govt. Contracts- PA DPW OMHSAS</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>4184187</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4184187</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Govt. Contracts- Luz./Wyo. Counties MH/ID</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>2731525</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2731525</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Various Govt. Contracts</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>7214506</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7214506</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>68107034</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>9681</TotalRevenueColumnAmt>
        <ExclusionAmt>9681</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1706861</SecuritiesAmt>
        <OtherAmt>362006</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1676726</SecuritiesAmt>
        <OtherAmt>14915</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>30135</SecuritiesAmt>
        <OtherAmt>347091</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>377226</TotalRevenueColumnAmt>
        <ExclusionAmt>377226</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Rent Rebates,R/E Tax Refunds</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>30066</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30066</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Food Stamps</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>65546</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>65546</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Transportation Reimbursement</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>10587</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10587</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>106199</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>68651215</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68213233</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>386907</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>575859</TotalAmt>
        <ManagementAndGeneralAmt>575859</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>38647321</TotalAmt>
        <ProgramServicesAmt>37266025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1380469</ManagementAndGeneralAmt>
        <FundraisingAmt>827</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>785094</TotalAmt>
        <ProgramServicesAmt>736312</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48757</ManagementAndGeneralAmt>
        <FundraisingAmt>25</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>8050428</TotalAmt>
        <ProgramServicesAmt>7657745</ProgramServicesAmt>
        <ManagementAndGeneralAmt>392427</ManagementAndGeneralAmt>
        <FundraisingAmt>256</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2894416</TotalAmt>
        <ProgramServicesAmt>2755657</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138696</ManagementAndGeneralAmt>
        <FundraisingAmt>63</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>23010</TotalAmt>
        <ProgramServicesAmt>9990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13020</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>98075</TotalAmt>
        <ManagementAndGeneralAmt>98075</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>1000</TotalAmt>
        <FundraisingAmt>1000</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>652442</TotalAmt>
        <ProgramServicesAmt>440723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211719</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>6243933</TotalAmt>
        <ProgramServicesAmt>5853124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>390809</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>499422</TotalAmt>
        <ProgramServicesAmt>455988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43434</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>160338</TotalAmt>
        <ProgramServicesAmt>158754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1584</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1366366</TotalAmt>
        <ProgramServicesAmt>1292828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73538</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1286723</TotalAmt>
        <ProgramServicesAmt>863481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>423242</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Purchased Professional Services</Desc>
        <TotalAmt>4237101</TotalAmt>
        <ProgramServicesAmt>3903946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>333155</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Transportation Expense</Desc>
        <TotalAmt>593220</TotalAmt>
        <ProgramServicesAmt>587825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5395</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>1012408</TotalAmt>
        <ProgramServicesAmt>1012408</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Office Equipment and Home Furnishings</Desc>
        <TotalAmt>303223</TotalAmt>
        <ProgramServicesAmt>287198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16025</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>67430379</TotalAmt>
        <ProgramServicesAmt>63282004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4146204</ManagementAndGeneralAmt>
        <FundraisingAmt>2171</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3924158</BOYAmt>
        <EOYAmt>5542716</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>10476839</BOYAmt>
        <EOYAmt>10670099</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2437980</BOYAmt>
        <EOYAmt>2048681</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>20536918</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13786675</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6746339</BOYAmt>
        <EOYAmt>6750243</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>789920</BOYAmt>
        <EOYAmt>1172419</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>40000</BOYAmt>
        <EOYAmt>40000</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>24415236</BOYAmt>
        <EOYAmt>26224158</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6042841</BOYAmt>
        <EOYAmt>6471077</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3883065</BOYAmt>
        <EOYAmt>3794672</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1120121</BOYAmt>
        <EOYAmt>1263466</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11046027</BOYAmt>
        <EOYAmt>11529215</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>9961479</BOYAmt>
        <EOYAmt>11118669</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>3407730</BOYAmt>
        <EOYAmt>3576274</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13369209</BOYAmt>
        <EOYAmt>14694943</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24415236</BOYAmt>
        <EOYAmt>26224158</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1220836</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-7783</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>112681</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <PublicSupportCY170Pct>0.00000</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>682</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>281</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>368</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>75</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>51075</CurrentTaxYearAmt>
        <TotalAmt>52481</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>58005534</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59144996</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>62012689</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>64923986</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>68107034</CurrentTaxYearAmt>
        <TotalAmt>312194239</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>58006216</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59145277</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>62013057</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>64924061</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>68158109</CurrentTaxYearAmt>
        <TotalAmt>312246720</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>312246720</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>6911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7893</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10095</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9081</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9681</CurrentTaxYearAmt>
        <TotalAmt>43661</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>6911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7893</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10095</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9081</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9681</CurrentTaxYearAmt>
        <TotalAmt>43661</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>198825</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>187052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>217107</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>102979</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>106199</CurrentTaxYearAmt>
        <TotalAmt>812162</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>58211952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59340222</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>62240259</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65036121</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>68273989</CurrentTaxYearAmt>
        <TotalAmt>313102543</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99730</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99690</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00010</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <FactsAndCircumstancesTestTxt>Part III Section B Line 12 Other income is comprised of various types of revenue and reimbursements that are related / exempt function revenue which augment program related activities. Examples of such revenue include rent rebates, property tax refunds, food stamps, and transportation reimbursements.</FactsAndCircumstancesTestTxt>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="17005317" softwareVersionNum="18.2.0.0" />
    <IRS990ScheduleD documentId="990D" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1613488</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1613488</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>11578063</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9086547</DepreciationAmt>
        <BookValueAmt>2491516</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>851318</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>725003</DepreciationAmt>
        <BookValueAmt>126315</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6494049</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3975125</DepreciationAmt>
        <BookValueAmt>2518924</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6750243</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation Plan Liability</Desc>
        <Amt>1263466</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1263466</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>68643432</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-7783</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-7783</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>68651215</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>68651215</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>67430379</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>67430379</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>67430379</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Note 2 to the financial statements - Summary of Significant Accounting Policies Income Taxes - Accounting principles generally accepted in the United States of America require the organizations management to evaluate tax positions taken by the organization and recognize a tax liability or asset if the organization has taken an uncertain position that more likely than not would not be sustained upon examination. Management has analyzed the tax positions taken by the organization and has concluded that as of June 30, 2018, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Bobeck</PersonNm>
        <TitleTxt>President / CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>203853</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>10663</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26305</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8385</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>249206</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Bernatovich</PersonNm>
        <TitleTxt>Senior VP Operations/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>122559</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>9191</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17153</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9815</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>158718</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Kasenchak</PersonNm>
        <TitleTxt>VP Finance / CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>126177</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>11216</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19358</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17410</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>174161</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has an Internal Revenue Code Section 457f plan for the benefit of a select group of management. These individuals are identified as officers excluding the Board Chairperson, Vice Chairperson, Treasurer, and Secretary on the Form 990s Part VII, Section A, Line 1a. There were no amounts paid under this plan to any of these individuals during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 4,664,605, Grants and Allocations 0, Revenue 5,055,154. Other program services include other Mental Health programs as well as the Childrens Behavioral Health Program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations Form 990 is provided to the Board of Directors for review prior to its submission to the IRS. The Form 990 is reviewed by the Board in a Board meeting prior to submission and its acceptance is documented in Board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>It is an ongoing process whereby the Board of Directors and management monitor and enforce compliance with the conflict of interest policy . An individual with a potential conflict of interest is prohibited from making any decisions concerning the respective transaction.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the Organizations management / officers is reviewed and approved by the Board of Directors on an annual basis. Specifically, compensation levels for the referenced employees were set by the executive committee of the Board based on a compensation study that was completed by an independent consultant. The committee voted on and approved the compensation levels. Any subsequent adjustments are approved by the same committee of the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes the applicable documents/financial statements available for inspection upon request. Aditionally, a copy of the Organizations annual audit report has been filed with the Federal Single Audit Clearinghouse, the Commonwealth of Pennsylvania, and all of the counties and political subdivisions with which the Organization contracts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets, amounting to 112,681, represents the Organizations renegotiation and settlement of certain contracts from a prior year. The resulting increase to beginning of year net assets was 112,681.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="17005317" softwareVersionNum="18.2.0.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Housing Plus Supports Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>744 Kidder Street</AddressLine1Txt>
          <CityNm>Wilkes Barre</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>187027015</ZIPCd>
        </USAddress>
        <EIN>232709882</EIN>
        <PrimaryActivitiesTxt>Housing For Emotionally Disabled</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Step By Step Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>744 Kidder Street</AddressLine1Txt>
          <CityNm>Wilkes Barre</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>187027015</ZIPCd>
        </USAddress>
        <EIN>262063062</EIN>
        <PrimaryActivitiesTxt>Support For Developmentally Disabled</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Housing Plus Supports Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>9208</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>