﻿<?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="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-03-14T12:14:46-05:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>MAHER DUESSEL CPA'S</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>THREE GATEWAY CENTER SIX WEST</AddressLine1>
        <City>PITTSBURGH</City>
        <State>PA</State>
        <ZIPCode>15222</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>251250510</EIN>
      <Name>
        <BusinessNameLine1>TURTLE CREEK VALLEY</BusinessNameLine1>
        <BusinessNameLine2>MENTAL HEALTH / MENTAL RETARDATION INC</BusinessNameLine2>
      </Name>
      <NameControl>TURT</NameControl>
      <Phone>4123510222</Phone>
      <USAddress>
        <AddressLine1>723 BRADDOCK AVENUE</AddressLine1>
        <City>BRADDOCK</City>
        <State>PA</State>
        <ZIPCode>15104</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>FRAN SHEEDY BOST</Name>
      <Title>EXECUTIVE DIRECTOR</Title>
      <Phone>4123510222</Phone>
      <DateSigned>2012-03-14</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>4124715500</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>FRAN SHEEDY BOST</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>723 BRADDOCK AVENUE</AddressLine1>
        <City>BRADDOCK</City>
        <State>PA</State>
        <ZIPCode>15104</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>17824481</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.TCV.NET</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1973</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>PROVIDING DRUG AND ALCOHOL, MENTAL HEALTH, AND MENTAL RETARDATION SERVICES</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>11</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>11</NbrIndependentVotingMembers>
      <TotalNbrEmployees>493</TotalNbrEmployees>
      <TotalNbrVolunteers>11</TotalNbrVolunteers>
      <TotalGrossUBI>52848</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>40611</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>9383220</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>10194612</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>7725498</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>7402419</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>27120</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>7555</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>18655</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>71938</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>17154493</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>17676524</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>12697288</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>13348573</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>3402</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>4183898</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>4346369</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>16881186</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>17694942</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>273307</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-18418</RevenuesLessExpensesCY>
      <TotalAssetsBOY>6446930</TotalAssetsBOY>
      <TotalAssetsEOY>6566193</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2547993</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2685674</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>3898937</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3880519</NetAssetsOrFundBalancesEOY>
      <MissionDescription>PROVIDING A CONTINUUM OF SERVICES, CARE, AND SUPPORT THAT EMPOWERS INDIVIDUALS, FAMILIES, AND COMMUNITIES WITH BEHAVIORAL, MENTAL HEALTH, SUBSTANCE ABUSE, AND/OR DEVELOPMENTAL ISSUES TO SUSTAIN THEIR RECOVERY AND ACHIEVE THE IMPORTANT POSSIBILITIES IN THEIR LIVES.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>15657861</Expense>
      <Revenue>7402419</Revenue>
      <Description>THROUGH ITS CONTINUUM OF PROGRAM OFFERINGS, TURTLE CREEK VALLEY MH/MR, INC. SERVED THE FOLLOWING NUMBER OF UNDUPLICATED INDIVIDUALS DURING THE FISCAL YEAR:SERVICE COORDINATION UNIT - 3251; MENTAL HEALTH SERVICES - 2311; DRUG &amp; ALCOHOL SERVICES - 991; DRIVING UNDER THE INFLUENCE - 1885 IDD - 160; AND CHILDREN &amp; FAMILY SERVICES 7000.EXPENSES WERE AS FOLLOWS:MH $7,930,155IDD $3,980,308D&amp;A $1,154,964OTHER RELATED EXPENSES $2,592,434</Description>
      <TotalProgramServiceExpense>15657861</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">1</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>1</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>54</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>493</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>11</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>11</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>1</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>0</WrittenPolicyOrProcedure>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>DANELL R COOPER CPA</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>4123510222</TelephoneNumber>
        <AddressUS>
          <AddressLine1>723 BRADDOCK AVE</AddressLine1>
          <City>BRADDOCK</City>
          <State>PA</State>
          <ZIPCode>15104</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>RAYMOND LOGAN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL WITTMAN</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUDITH STEVENSON</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL O'DONNELL</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ERROL MILLER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK BUKOWSKI</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SEAN O'CONNOR</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA TRAVISANO</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KRISTINA HAHN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANDRA KOGUT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILFORD PAYNE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRAN SHEEDY BOST</NamePerson>
        <Title>EXECUTIVE DIREC</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>108732</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16282</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANELL COOPER</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>75379</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MANOHAR SHETTY</NamePerson>
        <Title>PSYCHIATRIST</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>197843</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20127</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>381954</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>36409</TotalOtherCompensation>
      <NumberIndividualsGT100K>2</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DELTA-T GROUP WESTERN PA INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 884</AddressLine1>
            <City>BRYN MAWR</City>
            <State>PA</State>
            <ZIPCode>19010</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>TEMP STAFF SVC</DescriptionOfServices>
        <Compensation>184885</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>QUALIFACTS SYSTEMS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>200 2ND AVENUE</AddressLine1>
            <City>SOUTH NASHVILLE</City>
            <State>TN</State>
            <ZIPCode>372012308</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE LIC &amp; DEVEL</DescriptionOfServices>
        <Compensation>148512</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <GovernmentGrants>9604504</GovernmentGrants>
      <AllOtherContributions>590108</AllOtherContributions>
      <TotalContributions>10194612</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PRIVATE INSUR &amp; MED A</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>7085679</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7085679</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER PROGRAM SERVICE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>316740</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>316740</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>7402419</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>7555</TotalRevenueColumn>
        <ExclusionAmount>7555</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>192125</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>139277</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>52848</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>52848</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>52848</UnrelatedBusinessRevenue>
      </NetRentalIncomeOrLoss>
      <GrossIncomeFundraisingEvents>27770</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>8680</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>19090</TotalRevenueColumn>
        <ExclusionAmount>19090</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <TotalRevenue>
        <TotalRevenueColumn>17676524</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7402419</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>52848</UnrelatedBusinessRevenue>
        <ExclusionAmount>26645</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>554598</Total>
        <ProgramServices>532414</ProgramServices>
        <ManagementAndGeneral>22184</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>10101418</Total>
        <ProgramServices>9031185</ProgramServices>
        <ManagementAndGeneral>1066831</ManagementAndGeneral>
        <Fundraising>3402</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>268472</Total>
        <ProgramServices>210219</ProgramServices>
        <ManagementAndGeneral>58253</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1660406</Total>
        <ProgramServices>1489329</ProgramServices>
        <ManagementAndGeneral>171077</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>763679</Total>
        <ProgramServices>685703</ProgramServices>
        <ManagementAndGeneral>77976</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>7189</Total>
        <ProgramServices>1189</ProgramServices>
        <ManagementAndGeneral>6000</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>42517</Total>
        <ManagementAndGeneral>42517</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>839384</Total>
        <ProgramServices>765169</ProgramServices>
        <ManagementAndGeneral>74215</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>418124</Total>
        <ProgramServices>372392</ProgramServices>
        <ManagementAndGeneral>45732</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>367123</Total>
        <ProgramServices>291735</ProgramServices>
        <ManagementAndGeneral>75388</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>1166257</Total>
        <ProgramServices>1118407</ProgramServices>
        <ManagementAndGeneral>47850</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>114177</Total>
        <ProgramServices>111225</ProgramServices>
        <ManagementAndGeneral>2952</ManagementAndGeneral>
      </Travel>
      <DepreciationDepletion>
        <Total>134594</Total>
        <ProgramServices>130069</ProgramServices>
        <ManagementAndGeneral>4525</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>305327</Total>
        <ProgramServices>11504</ProgramServices>
        <ManagementAndGeneral>293823</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>369517</Total>
        <ProgramServices>360654</ProgramServices>
        <ManagementAndGeneral>8863</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT AND MAINT.</Description>
        <Total>253761</Total>
        <ProgramServices>233482</ProgramServices>
        <ManagementAndGeneral>20279</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD AND CLOTHING</Description>
        <Total>231704</Total>
        <ProgramServices>228919</ProgramServices>
        <ManagementAndGeneral>2785</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CLIENT TRANSPORTATION</Description>
        <Total>67689</Total>
        <ProgramServices>67689</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>STAFF DEVELOPMENT</Description>
        <Total>29006</Total>
        <ProgramServices>16577</ProgramServices>
        <ManagementAndGeneral>12429</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17694942</Total>
        <ProgramServices>15657861</ProgramServices>
        <ManagementAndGeneral>2033679</ManagementAndGeneral>
        <Fundraising>3402</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>586794</BOY>
        <EOY>552305</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2263988</BOY>
        <EOY>2266611</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1130659</BOY>
        <EOY>1291098</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>400642</BOY>
        <EOY>360852</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2857620</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>762293</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2064847</BOY>
        <EOY>2095327</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>6446930</BOY>
        <EOY>6566193</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1333965</BOY>
        <EOY>1578436</EOY>
      </AccountsPayableAccruedExpenses>
      <EscrowAccountLiability>
        <BOY>69097</BOY>
        <EOY>37132</EOY>
      </EscrowAccountLiability>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1144931</BOY>
        <EOY>1070106</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>2547993</BOY>
        <EOY>2685674</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3898937</BOY>
        <EOY>3869864</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <EOY>10655</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3898937</BOY>
        <EOY>3880519</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>6446930</BOY>
        <EOY>6566193</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-18418</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>9449376</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9806999</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9682862</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9383220</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10194612</CurrentTaxYear>
        <Total>48517069</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>9449376</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9806999</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9682862</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9383220</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10194612</CurrentTaxYear>
        <Total>48517069</Total>
      </Total170>
      <PublicSupportTotal170>48517069</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>80133</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>835928</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>56911</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>27120</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7555</CurrentTaxYear>
        <Total>1007647</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <CurrentTaxYear>52848</CurrentTaxYear>
        <Total>52848</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>24786</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>27009</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>22157</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>22060</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27770</CurrentTaxYear>
        <Total>123782</Total>
      </OtherIncome170>
      <TotalSupport>49701346</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>33885815</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.97620</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.97580</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtc>0</AgentTrusteeEtc>
      <IncludedOnFS>1</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>275421</OtherCostOrOtherBasis>
        <BookValue>275421</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1881004</OtherCostOrOtherBasis>
        <Depreciation>232400</Depreciation>
        <BookValue>1648604</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>701195</OtherCostOrOtherBasis>
        <Depreciation>529893</Depreciation>
        <BookValue>171302</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2095327</TotalOfBookValueLandBuildings>
      <TotalRevenue>17676524</TotalRevenue>
      <TotalExpenses>17694942</TotalExpenses>
      <ExcessOrDeficitForYear>-18418</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-18418</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>17824481</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>147957</OtherRevenues>
      <RevenueNotRptdF990>147957</RevenueNotRptdF990>
      <RevenueSubtotal>17676524</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>17676524</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17842899</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>147957</OtherExpensesIncluded>
      <ExpensesNotRptdF990>147957</ExpensesNotRptdF990>
      <ExpensesSubtotal>17694942</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>17694942</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART IV, LINE 2B:</ReturnReference>
        <Explanation>TURTLE CREEK VALLEY MH/MR, INC. HAS FIDUCIARY RESPONSIBILITY TO CONTROL PERSONAL FUNDS OF CERTAIN RESIDENTS' ACCOUNTS. A RESTRICTED CASH ACCOUNT HAS BEEN RECOGNIZED AS AN ASSET WITH A CORRESPONDING LIABILITY.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL PROPERTY EXPENSES 139,277. SPECIAL EVENT EXPENSES 8,680.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL PROPERTY EXPENSES 139,277. SPECIAL EVENT EXPENSES 8,680.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>GOLF OUTING</NameOfEvent1>
        <GrossReceiptsEvent1>27770</GrossReceiptsEvent1>
        <GrossRevenueEvent1>27770</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>8680</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>27770</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>27770</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>8680</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>8680</DirectExpenseSummaryEvents>
        <NetIncomeSummary>19090</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MANOHAR SHETTY</NamePerson>
        <BaseCompensationFilingOrg>172818</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>25025</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6148</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13979</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>217970</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE DRAFT OF THE 990 AS PREPARED BY THE INDEPENDENT TAX PREPARERS IS REVIEWED IN DETAIL BY THE CHIEF FINANICAL OFFICER, WHO CONFIRMS ANY ISSUES OR QUESTIONS WITH THE EXECUTIVE DIRECTOR. THE PERSONNEL/FINANCE COMMITTEE OF THE BOARD OF DIRECTORS THEN REVIEWS THE DRAFT BEFORE IT IS FILED. THE FINAL RETURN AS IT IS FILED WITH THE IRS IS MAILED IN HARD COPY TO ALL MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF DIRECTORS. DISCLOSURES OF THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST ARE MADE ANNUALLY IN WRITING. IF A CONFLICT WERE TO ARISE THE BOARD MEMBER WOULD STATE FOR THE RECORD THE ACTUAL OR POTENTIAL CONFLICT. SUCH BOARD MEMBERS WOULD NOT BE PERMITTED TO ACTIVELY ENGAGE IN A DISCUSSION OF THE ISSUE OR VOTE ON THE ISSUE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>UPON A CHANGE IN AN EMPLOYEE IN A KEY POSITION (DEFINED AS PART OF THE EXECUTIVE TEAM), THE SALARY IS REVIEWED BY MANAGEMENT AND APPROVED BY THE PERSONNEL/FINANCE COMMITTEE IF THE CHANGE IS DEEMED SIGNIFICANT FROM THE PAST SALARY. OTHERWISE, SALARIES ARE CHANGED ONLY THROUGH THE COURSE OF NORMAL COST OF LIVING OR MERIT INCREASES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AVAILABLE UPON REQUEST FORM 990, PART IX, COLUMN D - STATEMENT OF FUNCTIONAL EXPENSES, FUNDRAISING EXPENSES AS INDICATED IN PART I OF FORM 990, SUBSTANTIALLY ALL OF THE ORGANIZATION'S REVENUE STEMS FROM GOVERNMENT GRANTS AND PROGRAM SERVICE REVENUE. AS THE GOVERNMENT IS MANDATED TO PROVIDE THESE SOCIAL SERVICES TO THE GENERAL PUBLIC, MINIMAL EFFORTS OF THE ORGANIZATION ARE DEVOTED TO FUNDRAISING. FUNDRAISING EXPENSES RELATED TO THE ORGANIZATION'S SPECIAL EVENT ARE REPORTED AT FORM 990, PART VIII, LINE 8B.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>