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        <ServicesDesc>PSYCHIATRIST</ServicesDesc>
        <CompensationAmt>127680</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>1720</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>2152473</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>167353</AllOtherContributionsAmt>
      <TotalContributionsAmt>2321546</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGED CARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8105682</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8105682</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES AND COMMMERICAL INSU</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>560558</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>560558</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>496861</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>496861</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL ASSISTANCE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>24843</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24843</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9187944</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>7160</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>7160</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>7160</TotalRevenueColumnAmt>
        <ExclusionAmt>7160</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>39102</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>21817</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>17285</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>17285</TotalRevenueColumnAmt>
        <ExclusionAmt>17285</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>16864</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16864</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>16864</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11550799</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9204808</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>24445</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>51939</TotalAmt>
        <ProgramServicesAmt>51939</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>542640</TotalAmt>
        <ProgramServicesAmt>458519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84121</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5594609</TotalAmt>
        <ProgramServicesAmt>4726845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>867764</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>730279</TotalAmt>
        <ProgramServicesAmt>618591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111688</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>486758</TotalAmt>
        <ProgramServicesAmt>415435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71323</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>12493</TotalAmt>
        <ManagementAndGeneralAmt>12493</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>43500</TotalAmt>
        <ManagementAndGeneralAmt>43500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2215357</TotalAmt>
        <ProgramServicesAmt>2130239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85118</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>81565</TotalAmt>
        <ProgramServicesAmt>68969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12596</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>331124</TotalAmt>
        <ProgramServicesAmt>289040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42084</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>78584</TotalAmt>
        <ProgramServicesAmt>78365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>115792</TotalAmt>
        <ProgramServicesAmt>99896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15896</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>240690</TotalAmt>
        <ProgramServicesAmt>228117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12573</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>124716</TotalAmt>
        <ProgramServicesAmt>108743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15973</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASES - REINVESTMEN</Desc>
        <TotalAmt>114802</TotalAmt>
        <ProgramServicesAmt>114802</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>100800</TotalAmt>
        <ProgramServicesAmt>100800</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASES - COUNTY FUND</Desc>
        <TotalAmt>84246</TotalAmt>
        <ProgramServicesAmt>84246</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>148895</TotalAmt>
        <ProgramServicesAmt>113643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35252</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>11098789</TotalAmt>
        <ProgramServicesAmt>9688189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1410600</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2643229</BOYAmt>
        <EOYAmt>3713624</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>99399</BOYAmt>
        <EOYAmt>125000</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2101968</BOYAmt>
        <EOYAmt>1672441</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>92885</BOYAmt>
        <EOYAmt>104849</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3301394</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2293609</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>989111</BOYAmt>
        <EOYAmt>1007785</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>5926592</BOYAmt>
        <EOYAmt>6623699</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>832352</BOYAmt>
        <EOYAmt>1077449</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>832352</BOYAmt>
        <EOYAmt>1077449</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>5034991</BOYAmt>
        <EOYAmt>5395667</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>59249</BOYAmt>
        <EOYAmt>150583</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5094240</BOYAmt>
        <EOYAmt>5546250</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5926592</BOYAmt>
        <EOYAmt>6623699</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>452010</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2167625</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2054120</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2207022</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2610159</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2321546</CurrentTaxYearAmt>
        <TotalAmt>11360472</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2167625</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2054120</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2207022</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2610159</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2321546</CurrentTaxYearAmt>
        <TotalAmt>11360472</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>189490</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11170982</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>19692</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19692</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19692</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8801</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7160</CurrentTaxYearAmt>
        <TotalAmt>75037</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>25165</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>147306</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54056</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16532</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16864</CurrentTaxYearAmt>
        <TotalAmt>259923</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>11695432</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>43037021</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95520</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95360</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>121671</OtherCostOrOtherBasisAmt>
        <BookValueAmt>121671</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2183912</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1374033</DepreciationAmt>
        <BookValueAmt>809879</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>508399</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>494346</DepreciationAmt>
        <BookValueAmt>14053</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>487412</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>425230</DepreciationAmt>
        <BookValueAmt>62182</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1007785</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>11550799</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11550799</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11550799</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11098789</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11098789</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>11098789</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CASH EXPENDITURES FOR ITEMS AND SERVICES PROVIDED TO CONSUMERS</GrantTypeTxt>
        <RecipientCnt>175</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>51939</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>ACTUAL COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD, CLOTHING AND REHABILITATIVE SUPPLIES</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, SCHEDULE I - PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ASSISTANCE TO DOMESTIC INDIVIDUALS ARE MONITORED AS FOLLOWS: 1) THE DESIGNATED GENERAL LEDGER ACCOUNT IS USED TO RECORD AND MONITOR EXPENDITURES. 2) ALL EXPENDITURES REQUIRE THE REVIEW AND APPROVAL OF A SUPERVISOR. 3) DETERMINATION OF EXPENDITURES IS BASED UPON EACH CONSUMER'S TREATMENT AND RECOVERY PLAN TO ENSURE EACH PERSON IS MAKING PROGRESS AND IMPROVING OR MAINTAINING BETTER MENTAL HEALTH. 4) RECORDS OF EXPENDITURES ARE MAINTAINED IN THE PROGRAM DEPARTMENT AND THE ACCOUNTING DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALARIE O'CONNOR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>166606</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166606</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE MARIE WOLF-SCHATZ MD</PersonNm>
        <TitleTxt>STAFF PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>159927</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6716</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166643</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANICE A LYBRAND MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>161708</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>161708</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND A DRAFT COPY IS REVIEWED BY EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICIES ARE INCLUDED IN THE BOARD OF DIRECTORS BY-LAWS AND IN THE AGENCY EMPLOYEE MANUAL. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO SIGN A DOCUMENT ACKNOWLEDGING THEIR UNDERSTANDING AND COMPLIANCE WITH THE POLICY. UPON HIRING, EMPLOYEES ARE REQUIRED TO SIGN A DOCUMENT ACKNOWLEDGING RECEIPT AND UNDERSTANDING OF THE EMPLOYEE MANUAL. A COMPLIANCE OFFICER IS DESIGNATED WITH THE RESPONSIBILITY OF RECEIVING AND INVESTIGATING ALL REPORTED CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN REQUIRED, THE BOARD OF DIRECTORS RESEARCHES, VETS, AND APPROVES THE HIRING AND COMPENSATION OF THE AGENCY CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO APPROPRIATE ENTITIES/PEOPLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,130,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,130,239. IT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 50,472. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,472. PAYROLL PROCESSING AND RETIRMENT PLAN SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 34,646. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,646.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>