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      <BenefitsToMembers>
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      <FeesForServicesLegal>
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        <EOY>3770105</EOY>
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      <ReconcilationRevenueExpenses>884129</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-12017</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus2Years>14171394</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14234825</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14495785</CurrentTaxYear>
        <Total>68472344</Total>
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      <Total170>
        <CurrentTaxYearMinus4Years>12314373</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13255967</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>14171394</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14234825</CurrentTaxYearMinus1Year>
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        <Total>68472344</Total>
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      <PublicSupportTotal170>68472344</PublicSupportTotal170>
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        <CurrentTaxYearMinus1Year>98699</CurrentTaxYearMinus1Year>
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        <Total>459963</Total>
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        <CurrentTaxYearMinus1Year>343456</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>462289</CurrentTaxYear>
        <Total>1974268</Total>
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      <TotalSupport>70906575</TotalSupport>
      <PublicSupportPertcentage170>0.96570</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.96460</PublicSupportPertcentPriorYear>
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      <AdditionsDuringYear>1908043</AdditionsDuringYear>
      <DistributionsDuringYear>1988438</DistributionsDuringYear>
      <EndingBalance>198921</EndingBalance>
      <IncludedOnFS>false</IncludedOnFS>
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        <OtherCostOrOtherBasis>271873</OtherCostOrOtherBasis>
        <BookValue>271873</BookValue>
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      <Buildings>
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        <BookValue>3378685</BookValue>
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      <Equipment>
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        <Depreciation>921191</Depreciation>
        <BookValue>20255</BookValue>
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      <OtherLandBuildings>
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        <Depreciation>290714</Depreciation>
        <BookValue>190344</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>3861157</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Advanced from State of Ohio-Current</Description>
        <Amount>83706</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>111671</Amount>
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      <OtherLiabilities>
        <Description>Medicaid Payback</Description>
        <Amount>399430</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Advances-Non Current</Description>
        <Amount>1013838</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1608645</TotalOfAmounts>
      <TotalRevenue>15003731</TotalRevenue>
      <TotalExpenses>14119602</TotalExpenses>
      <ExcessOrDeficitForYear>884129</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-12017</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-12017</TotalAdjustments>
      <ExcessOrDeficitPerFS>872112</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>14991714</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>14991714</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>12017</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>12017</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>15003731</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>14119602</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>14119602</ExpensesSubtotal>
      <TotalExpensesPerForm990>14119602</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>NCHMS has adopted provisions of FASB ASC 740-10-25, which requires tax positions be recognized or derecognized based on a more likely than not threshold. This applies to positions taken or expected to be taken in a tax return. NCHMS doesnt believe that its financial statements include any uncertain tax positions. NCHMSs open tax periods are 2009 through 2011 based on filed 990 forms.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="11000218" softwareVersion="2011.0.0">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Donald R Wood</NamePerson>
        <BaseCompensationFilingOrg>233121</BaseCompensationFilingOrg>
        <BonusFilingOrg>33461</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>6755</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>273337</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Joseph J Niedzwiedski</NamePerson>
        <BaseCompensationFilingOrg>170921</BaseCompensationFilingOrg>
        <BonusFilingOrg>6587</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>20688</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>198196</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert M Loar</NamePerson>
        <BaseCompensationFilingOrg>139287</BaseCompensationFilingOrg>
        <BonusFilingOrg>4992</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>14990</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>159269</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>William R Silliman</NamePerson>
        <BaseCompensationFilingOrg>163544</BaseCompensationFilingOrg>
        <BonusFilingOrg>6653</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>14990</NontaxableBenefitsFilingOrg>
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        <NamePerson>Prasad K Potaraju</NamePerson>
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        <NontaxableBenefitsFilingOrg>5724</NontaxableBenefitsFilingOrg>
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        <BonusFilingOrg>3985</BonusFilingOrg>
        <TotalCompensationFilingOrg>97575</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Ajay Bhatia</NamePerson>
        <BaseCompensationFilingOrg>100616</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>2592</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>103208</TotalCompensationFilingOrg>
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    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part X</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>Unrealized loss of 12,017</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>E-mail prior to filing and approved at a subsequent board meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>Board members prepare an annual conflict of interest form.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15</ReturnReference>
        <Explanation>Reviewed by the board of trustees. The CEo reviews other officers and key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part V</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>The agency services plan and budget are filed each year with the Franklin County ADAMH Board. Annual financial audits are also filed with the Franklin County ADAMH Board and with the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 279,190, Grants and allocations 0, Revenue 0 IDDT Program</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 220,817, Grants and allocations 0, Revenue 0 Suicide Prevention</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 279,190, Grants and allocations 0, Revenue 0 IDDT Program Form 990, Part III, Line 4d Program Service Expenses 220,817, Grants and allocations 0, Revenue 0 Suicide Prevention Form 990 Part X Line 5 Unrealized loss of 12,017 Form 990 Part VI Section B Line 11b E-mail prior to filing and approved at a subsequent board meeting. Form 990 Part VI Section B Line 12c Board members prepare an annual conflict of interest form. Form 990 Part VI Section B Line 15 Reviewed by the board of trustees. The CEo reviews other officers and key employees. Form 990 Part V Section C Line 19 The agency services plan and budget are filed each year with the Franklin County ADAMH Board. Annual financial audits are also filed with the Franklin County ADAMH Board and with the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Services.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>