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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25361</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH E MASSARO III</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN P BOLAND CPA</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM R YANAKOS</PersonNm>
        <TitleTxt>VICE CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD F GALARDINI</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SHERMAN</PersonNm>
        <TitleTxt>VP FINANCE/CFO</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>161588</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22357</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NEIL CAPRETTO</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>267214</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9389</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA RAMSEY</PersonNm>
        <TitleTxt>EVP CORPORATE COMPLIANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>120302</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10716</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID BLENK</PersonNm>
        <TitleTxt>EVP CORPORATE PLANNING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115706</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24023</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1035120</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>94767</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUTRITION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>580 WENDEL ROAD SUITE 100</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15642</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>1578745</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEVEL 3 COMMUNICATIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 910182</AddressLine1Txt>
            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80291</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMMUNICATIONS</ServicesDesc>
        <CompensationAmt>470041</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST MORITZ SECURITY SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5017</AddressLine1Txt>
            <CityNm>GREENSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>397633</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APPLE BOX STUDIOS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1243 PENN AVENUE 2ND FLOOR</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15222</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING</ServicesDesc>
        <CompensationAmt>271868</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HONEYWELL INTERNATIONAL INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>230 VISTA PARK DRIVE</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>263400</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>57535</FundraisingAmt>
      <AllOtherContributionsAmt>862777</AllOtherContributionsAmt>
      <TotalContributionsAmt>920312</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>DIRECT PATIENT SERVICE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>28268928</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28268928</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEE CHARGED TO SUBSIDI</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>756264</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>756264</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDIRECT PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>94014</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>94014</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29119206</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>286426</TotalRevenueColumnAmt>
        <ExclusionAmt>286426</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3937752</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3877798</SecuritiesAmt>
        <OtherAmt>60995</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>59954</SecuritiesAmt>
        <OtherAmt>-60995</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1041</TotalRevenueColumnAmt>
        <ExclusionAmt>-1041</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>25835</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>57535</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>31955</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-6120</TotalRevenueColumnAmt>
        <ExclusionAmt>-6120</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30318783</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29119206</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>279265</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>847555</TotalAmt>
        <ProgramServicesAmt>400665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>405640</ManagementAndGeneralAmt>
        <FundraisingAmt>41250</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>16764707</TotalAmt>
        <ProgramServicesAmt>15297333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1379523</ManagementAndGeneralAmt>
        <FundraisingAmt>87851</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>428617</TotalAmt>
        <ProgramServicesAmt>342475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80332</ManagementAndGeneralAmt>
        <FundraisingAmt>5810</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2514905</TotalAmt>
        <ProgramServicesAmt>2390477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116036</ManagementAndGeneralAmt>
        <FundraisingAmt>8392</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1287976</TotalAmt>
        <ProgramServicesAmt>1164506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115143</ManagementAndGeneralAmt>
        <FundraisingAmt>8327</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>46986</TotalAmt>
        <ManagementAndGeneralAmt>46986</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>31903</TotalAmt>
        <ManagementAndGeneralAmt>31903</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1916768</TotalAmt>
        <ProgramServicesAmt>1648474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268294</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>728692</TotalAmt>
        <ProgramServicesAmt>669685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52064</ManagementAndGeneralAmt>
        <FundraisingAmt>6943</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1948765</TotalAmt>
        <ProgramServicesAmt>1922455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19290</ManagementAndGeneralAmt>
        <FundraisingAmt>7020</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>186317</TotalAmt>
        <ProgramServicesAmt>143989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39382</ManagementAndGeneralAmt>
        <FundraisingAmt>2946</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>43770</TotalAmt>
        <ProgramServicesAmt>43770</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>319490</TotalAmt>
        <ProgramServicesAmt>313100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6390</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1425708</TotalAmt>
        <ProgramServicesAmt>1390065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28514</ManagementAndGeneralAmt>
        <FundraisingAmt>7129</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>409806</TotalAmt>
        <ProgramServicesAmt>397512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8196</ManagementAndGeneralAmt>
        <FundraisingAmt>4098</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY</Desc>
        <TotalAmt>1654037</TotalAmt>
        <ProgramServicesAmt>1652319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1718</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>1087457</TotalAmt>
        <ProgramServicesAmt>1081177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5990</ManagementAndGeneralAmt>
        <FundraisingAmt>290</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIP AND DUES</Desc>
        <TotalAmt>58966</TotalAmt>
        <ProgramServicesAmt>28389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30020</ManagementAndGeneralAmt>
        <FundraisingAmt>557</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>19806</TotalAmt>
        <ProgramServicesAmt>17653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2008</ManagementAndGeneralAmt>
        <FundraisingAmt>145</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1005514</TotalAmt>
        <ProgramServicesAmt>701024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304490</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>32727745</TotalAmt>
        <ProgramServicesAmt>29605068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2941919</ManagementAndGeneralAmt>
        <FundraisingAmt>180758</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2723209</BOYAmt>
        <EOYAmt>1929333</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4442583</BOYAmt>
        <EOYAmt>3109978</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>443721</BOYAmt>
        <EOYAmt>587839</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>32404400</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17792471</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>15289795</BOYAmt>
        <EOYAmt>14611929</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>6567270</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1296516</BOYAmt>
        <EOYAmt>752042</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>30554828</BOYAmt>
        <EOYAmt>27558391</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3696624</BOYAmt>
        <EOYAmt>3288061</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>66825</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7992463</BOYAmt>
        <EOYAmt>7925610</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>8341</BOYAmt>
        <EOYAmt>2324</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>11776733</BOYAmt>
        <EOYAmt>11282820</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>14967223</BOYAmt>
        <EOYAmt>12143265</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>2878443</BOYAmt>
        <EOYAmt>3199877</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>932429</BOYAmt>
        <EOYAmt>932429</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>18778095</BOYAmt>
        <EOYAmt>16275571</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>30554828</BOYAmt>
        <EOYAmt>27558391</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-2408962</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-93562</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>306483</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>280976</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>264868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>628205</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>863395</CurrentTaxYearAmt>
        <TotalAmt>2343927</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>306483</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>280976</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>264868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>628205</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>863395</CurrentTaxYearAmt>
        <TotalAmt>2343927</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>10206</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>2333721</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>134989</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>761545</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>214226</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>203506</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>286426</CurrentTaxYearAmt>
        <TotalAmt>1600692</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>-4911</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>-4911</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>3939708</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>160726267</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.59240</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.49710</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2013 AMOUNT: $ -4,911.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <ContributionsAmt>30919</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>257264</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>90465</OtherExpendituresAmt>
        <EndYearBalanceAmt>6709123</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
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        <ContributionsAmt>200</ContributionsAmt>
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        <EndYearBalanceAmt>6011011</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>750903</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>31255</OtherExpendituresAmt>
        <EndYearBalanceAmt>5418373</EndYearBalanceAmt>
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        <OtherCostOrOtherBasisAmt>1241522</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1241522</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>21746805</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9217999</DepreciationAmt>
        <BookValueAmt>12528806</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>1786360</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>621316</DepreciationAmt>
        <BookValueAmt>1165044</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>7581051</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7953156</DepreciationAmt>
        <BookValueAmt>-372105</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>48662</OtherCostOrOtherBasisAmt>
        <BookValueAmt>48662</BookValueAmt>
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        <Desc>INVESTMENTS</Desc>
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      <TotalLiabilityAmt>2324</TotalLiabilityAmt>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENTS INCLUDE BOARD DESIGNATED INVESTMENTS TO BE USED FOR THE OPERATION OF THE FACILITY AND TREATMENT PROGRAMS, TWO TRUSTS HELD BY THIRD PARTIES, INCOME OF WHICH IS RESTRICTED BY THE DONORS, AND THREE DONOR RESTRICTED FUNDS (TWERSKI FUND, WOMEN'S RESOURCE FUND, AND FRANK'S FUND). THE TWERSKI FUND IS FOR THE PURPOSE OF SUPPORTING THE INDIGENT IN TREATMENT THROUGH LOANS OR FULL CHARITY CARE. THE WOMEN'S RESOURCE FUND IS TO HELP WOMEN MAINTAIN SOBRIETY THROUGH FEELINGS OF SELF-WORTH BY RECEIVING SUPPORT FOR FAMILY INTERACTION. FRANK'S FUND IS FOR THE PURPOSE OF SUPPORTING RESIDENTS OF OUR YOUTH HALF WAY HOUSE IN THEIR TRANSITION FROM TREATMENT BACK TO SOCIETY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSE 31,955.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSE 31,955.</ExplanationTxt>
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        <PersonNm>PAUL BACHARACH</PersonNm>
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        <PersonNm>DAVID SHERMAN</PersonNm>
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        <PersonNm>NEIL CAPRETTO</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEADQUARTERED IN MOON TOWNSHIP, PA, GATEWAY REHABILITATION CENTER (GRC) IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION THAT IS A LEADER IN THE PREVENTION, TREATMENT, EDUCATION AND RESEARCH OF SUBSTANCE MISUSE AND ADDICTION. GATEWAY REHAB'S SYSTEM IS THE LARGEST RECOVERY NETWORK IN OUR AREA AND INCLUDES 17 LICENSED DRUG AND ALCOHOL TREATMENT CENTERS IN ALLEGHENY, BEAVER, BUTLER, ERIE, WESTMORELAND, AND WASHINGTON COUNTIES, SERVING SOME 1,700 PATIENTS DAILY. THESE LOCATIONS INCLUDE THREE RESIDENTIAL TREATMENT FACILITIES, EIGHT OUTPATIENT SITES, FOUR HALFWAY HOUSES AND THREE COMMUNITY TRANSITION CENTERS FOR COURT-ORDERED PATIENTS. GRC PROVIDES THE FOLLOWING SERVICES: 1 ADOLESCENT AND YOUNG ADULT TREATMENT: GATEWAY OFFERS A FULL PROGRAM ARRAY TO MEET THE UNIQUE RECOVERY NEEDS OF ADOLESCENT AND YOUNG ADULT PATIENTS. A. INPATIENT: ADOLESCENT/YOUNG ADULT SERVICES REVOLVE AROUND OUR 42-BED, STATE-OF-THE-ART RAMSEY HALL FACILITY, BUILT IN 2012. PROGRAMS FOR BOYS AGED 13-17, AND FOR MEN AND WOMEN AGED 18-23 ARE OFFERED IN DEDICATED SPACES IN THE BUILDING. B. EXTENDED CARE: YOUNG MEN BETWEEN THE AGES OF 13-22 OFTEN CHOOSE TO CONTINUE BUILDING A HEALTH RECOVERY EXPERIENCE AT OUR LIBERTY STATION HALFWAY HOUSE. THIS STEP ALLOWS THESE INDIVIDUALS THE BENEFIT OF A LONGER PERIOD OF SUPERVISED LIVING TO MAINTAIN SOBRIETY. C. OUTPATIENT CARE: GATEWAY REHAB ALSO PROVIDES OUTPATIENT TREATMENT AND COUNSELING, DELIVERED WITH THE SAME CARE, KNOWLEDGE, AND UNDERSTANDING APPROACH AS USED IN THE RESIDENTIAL PROGRAMS. OUTPATIENT SERVICES FOR YOUTH ARE AVAILABLE AT OUR GREENTREE AND NORTH HILLS LOCATIONS. 2) COMMUNITY TRANSITION CENTERS: DRUG AND ALCOHOL-FREE LIVING ENVIRONMENTS WHERE JUSTICE SYSTEM REFERRALS LEARN SKILLS NEEDED TO TRANSITION BACK INTO FAMILY, WORK AND COMMUNITY. 3) DETOXIFICATION: TREATMENT TO RID THE BODY OF HARMFUL DRUGS AND ALCOHOL AND MANAGE THE PHYSIOLOGICAL EFFECTS OF WITHDRAWAL. 4) EVIDENCE-BASED TREATMENT: SINCE 1972, GATEWAY REHAB HAS BEEN OFFERING A VARIETY OF EFFECTIVE SCIENTIFICALLY PROVEN TREATMENT METHODS TO HELP LEAD THE FIELD OF SUBSTANCE USE DISORDER TREATMENT. OUR STANDARD OF CARE FOR TREATMENT OF OPIOID USE DISORDER (OUD) AND ALCOHOL USE DISORDER (AUD) IS PSYCHOSOCIAL INTERVENTION, BEHAVIOR MODIFICATION, 12-STEP RECOVERY SUPPORT AND MEDICATION-ASSISTED TREATMENT (MAT), WHICH INCLUDES THE USE OF BUNAVAIL, REVIA, SUBLOCADE, SUBOXONE, SUBUTEX, VIVITROL, AND ZUBZOLV. MAT HAS BEEN FIRMLY ESTABLISHED AS CRITICAL AT IMPROVING OVERDOSE RATES AND RETENTION IN A RECOVERY PROGRAM AND ENDORSED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE AMERICAN SOCIETY OF ADDICTION MEDICINE (ASAM), THE WORLD HEALTH ORGANIZATION (WHO), AND COUNTLESS OTHER ORGANIZATIONS. MAT REDUCES OVERDOSE RATES AND KEEPS OPIOID USE DISORDER (OUD) AND ALCOHOL USE DISORDER (AUD) PATIENTS IN RECOVERY PROGRAMS LONGER THAN TRADITIONAL ABSTINENCE BASED TREATMENTS. 5) EXTENDED CARE: FOLLOWING PRIMARY TREATMENT, OUR EXTENDED CARE PROGRAMS OFFER SUPPORTIVE, 6-MONTH RESIDENTIAL TREATMENT IN FOUR SOBER-LIVING FACILITIES. PATIENTS PRACTICE DAILY RECOVERY SKILLS BY HOLDING JOBS, ATTENDING SCHOOL AND PARTICIPATING IN COMMUNITY SERVICE ACTIVITIES; 6) FAMILY PROGRAMMING: WE ENGAGE, EDUCATE, SUPPORT AND PROVIDE HOPE TO FAMILY AND LOVED ONES ON THE DISEASE OF ADDICTION, THE ONGOING PROCESS OF RECOVERY; AND ITS IMPACT. 7) INPATIENT CARE: 28-DAY, GENDER AND AGE-BASED PROGRAMS THAT EDUCATE PATIENTS ABOUT THE DISEASE OF ADDICTION, AND FOCUS ON EARLY RECOVERY SKILLS; AVAILABLE IN INDIVIDUAL, GROUP, FAMILY, GENDER-SPECIFIC, AGE-SPECIFIC, RELAPSE PREVENTION AND PASTORAL COUNSELING SESSIONS; 8) OUTPATIENT CARE: INDIVIDUAL, GROUP AND FAMILY SESSIONS HELD AT CONVENIENT TIMES AND LOCATIONS; DESIGNED TO HELP PATIENTS RESUME AND MAINTAIN WORK/LIFE ROUTINES; 9) OUTREACH: A. BACK ON TRACK: GATEWAY REHAB ALSO SERVES THE BUSINESS COMMUNITY WITH ITS EMPLOYEE ASSISTANCE PROGRAM (EAP). UNRESOLVED PERSONAL ISSUES CAN TRANSLATE INTO DIMINISHED JOB PERFORMANCE AND THE LONGER THOSE ISSUES GO UNRESOLVED, THE MORE IT AFFECTS BOTH THE EMPLOYEE AND THE EMPLOYER. BACK ON TRACK EAP HELPS AN EMPLOYEE ADDRESS CHALLENGES, SUCH AS RELATIONSHIP CONFLICTS, STRESS, GRIEF, TRAUMA, SUBSTANCE ABUSE, AND MORE. B. WORK DRUG-FREE: TEAMWORK, COMMUNICATION, RESPECT AND PRODUCTIVITY ALL IMPROVE WHEN YOUR EMPLOYEES ARE MOTIVATED, FOCUSED AND DRUG-FREE. GATEWAY REHAB'S WORK DRUG-FREE PROGRAM PROVIDES COMPANIES, MUNICIPALITIES, GOVERNMENT AGENCIES, LARGE AND SMALL, WITH THE TRAINING NEEDED TO CREATE SUCH AN ENVIRONMENT. THE KENNETH S. RAMSEY, PHD RESEARCH AND TRAINING INSTITUTE IS DEDICATED TO ADVANCING AN UNDERSTANDING OF SUBSTANCE USE DISORDERS BY CONDUCTING PRIMARY RESEARCH, AND BY PROVIDING TRAINING FOR PROFESSIONAL-LEVEL CLINICIANS. GRC'S RESEARCH PROJECTS ARE DESIGNED TO INFORM TREATMENT PRACTICES AND IMPROVE PATIENT OUTCOMES. RESULTS OF THESE PROJECTS ARE SHARED AT PROFESSIONAL CONFERENCES AND CONTRIBUTE TO THE ADVANCEMENT OF THE FIELD OF ADDICTION. GRC'S TRAINING PROGRAMS EDUCATE CLINICAL STAFF ABOUT THE LATEST ADDICTION RESEARCH, TRENDS AND ISSUES, PROMISING NEW TREATMENT APPROACHES, CHANGING REGULATIONS AND BEST PRACTICES. IN ADDITION TO ITS OPERATIONS IN PENNSYLVANIA, GRC'S WHOLLY-OWNED OHIO SUBSIDIARY, NEIL KENNEDY RECOVERY CENTERS (NKRC), OPERATES A DETOX WING WITHIN THE MERCY SAINT ELIZABETH HOSPITAL, AN INPATIENT FACILITY, TWO OUTPATIENT SITES AND FOUR SOBER LIVING RESIDENCES WITHIN MAHONING AND TRUMBULL COUNTIES. GRC AND NKRC SHARE THE SAME PHILOSOPHY OF PROVIDING COMPASSIONATE AND PROFESSIONAL ADDICTION TREATMENT SERVICES TO INDIVIDUALS AND THEIR FAMILIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED FORM 990 IS DISTRIBUTED TO THE FINANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE INTEREST THAT COULD GIVE RISE TO CONFLICTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCE OBTAINS COMPARABLE SALARY INFORMATION FROM 990'S OF LIKE ORGANIZATIONS FOR VARIOUS KEY EMPLOYEE POSITIONS. THIS INFORMATION IS PROVIDED TO THE EXECUTIVE AND COMPENSATION COMMITTEE ALONG WITH THE CURRENT SALARY AND BENEFITS OF THE KEY EMPLOYESS. THE KEY EMPLOYEES INCLUDE THE CEO, EXECUTIVE VICE PRESIDENT FINANCE, MEDICAL DIRECTOR, VICE PRESIDENT DEVELOPMENT, VICE PRESIDENT CORPORATE ADVANCEMENT, EXECUTIVE VICE PRESIDENT COMPLIANCE, EXECUTIVE VICE PRESIDENT TREATMENT, AND EXECUTIVE VICE PRESIDENT CORPORATE PLANNING. THIS PROCESS IS DONE EVERY YEAR AND WAS PERFORMED IN JUNE 2014.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS ARE SENT TO PUBLIC FUNDERS AS REQUIRED BY CONTRACT. DONORS ARE PROVIDED FINANCIAL STATEMENTS UPON REQUEST. OTHER GOVERNING DOCUMENTS ARE PROVIDED BY RESOLUTION.</ExplanationTxt>
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        <MethodOfAmountDeterminationTxt>CASH PAID ON BEHALF OF AFFILIATE</MethodOfAmountDeterminationTxt>
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