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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>SENIOR MEDICAL ASSOCIATES INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2810 CAMINO DEL RIO SOUTH SUITE 10</AddressLine1Txt>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92108</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LOCUMTENENS HOLDING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 405547</AddressLine1Txt>
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            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>816647</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VISTA STAFFING SOLUTIONS INC DBA WHITA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 209452</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>363656</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THY AI LAM</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>550 VISTA WAY 407</AddressLine1Txt>
            <CityNm>VISTA</CityNm>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>326228</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DORIS T TAN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2772 E BRANDON LANE</AddressLine1Txt>
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            <ZIPCd>93720</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>97996306</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>212238</AllOtherContributionsAmt>
      <TotalContributionsAmt>98208544</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1296877</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1296877</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1000483</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1000483</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2297360</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>740</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>100506644</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>808455</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <PersonNm>DR WENDY BROUGHTON</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <PersonNm>DR OLUSHOLA OLAOSHEBIKAN</PersonNm>
        <TitleTxt>SENIOR VICE/PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>176126</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR LAURA OTIS MILES</PersonNm>
        <TitleTxt>SENIOR VICE/PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>164629</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEIGH ANN CARDELFE</PersonNm>
        <TitleTxt>SENIOR VICE/PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>162329</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL BEHNKE</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>159235</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID TANNER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>147796</BaseCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MENTAL HEALTH SERVICES: MHS PROVIDES SPECIALTY MENTAL HEALTH SERVICES TO CHILDREN, TRANSITION AGED YOUTH, ADULTS, AND FAMILIES THROUGH A VARIETY OF TREATMENT MODALITIES, ALL OF WHICH ARE BASED ON BIO-PSYCHOSOCIAL REHABILITATION AND TREATMENT OF EACH PERSON AS AN INDIVIDUAL WITH UNIQUE NEEDS, PERSPECTIVES, AND CHALLENGES. ALONG WITH STABILIZATION OF MENTAL HEALTH CONDITIONS, OUR MENTAL HEALTH CLINICS AND ASSERTIVE COMMUNITY TREATMENT PROGRAMS ADDRESS THE VARIOUS FACTORS THAT PERPETUATE AN INDIVIDUAL'S STRUGGLES IN ORDER TO BOLSTER RESILIENCY AND MINIMIZE VULNERABILITY. SERVICES ARE GEARED TOWARD SUPPORTING CLIENTS' AUTONOMY, MASTERY, AND CONFIDENCE IN LIVING A HEALTHY, PRODUCTIVE, SATISFYING LIFE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSTANCE ABUSE SERVICES MHS'S TREATMENT FOCUS RECOGNIZES THAT SUBSTANCE USE DISORDERS ARE OFTEN A SYMPTOM OF AN UNDERLYING PROBLEM. FOR MANY INDIVIDUALS STRUGGLING WITH ALCOHOLISM AND ADDICTION, ALCOHOL AND DRUGS ARE NOT THE PROBLEM THEMSELVES, BUT RATHER AN ATTEMPTED SOLUTION TO DEEPER ISSUES. MHS UNDERSTANDS THE IMPORTANCE OF EFFECTIVE ENGAGEMENT IN SUPPORTING A CLIENT'S ACTIVE PARTICIPATION IN PROGRAM SERVICES. ENGAGEMENT BEGINS AT THE FIRST POINT OF CONTACT, AND EARLY ENGAGEMENT AND SUPPORT ARE CRITICAL TO IMPROVING OUTCOMES AND INCREASING THE PROMISE OF RECOVERY. TREATMENT EFFORTS FOCUS ON RESOLVING THE UNDERLYING ISSUES THAT LEAD TO SUBSTANCE USE WHILE ASSISTING CLIENTS IN DEVELOPING HEALTHY COPING MECHANISMS. THE MHS TREATMENT PHILOSOPHY IS GROUNDED IN A COGNITIVEBEHAVIORAL RESTRUCTURING MODEL AND BIOPSYCHOSOCIAL REHABILITATION, ADDRESSING CHANGES IN THE ABILITY TO PROCESS AFFECT AND BUILD ESSENTIAL LIFE SKILLS SUCH AS COMMUNICATION, PROBLEM SOLVING, AND RELAPSE PREVENTION. MHS TREATS THE WHOLE PERSON BY PROVIDING EDUCATION, MOTIVATION, AND ONGOING SUPPORT THROUGHOUT THE CHANGE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSING SERVICES MHS UNDERSTANDS THAT SAFE AND STABLE HOUSING IS A CRITICAL PLATFORM FOR CLIENT STABILITY. SERVICES THAT INTEGRATE ELEMENTS ADDRESSING AN INDIVIDUAL'S IMMEDIATE NEEDS OFTEN ENHANCE ENGAGEMENT. ADDRESSING THESE BARRIERS AS SPECIFIC COMPONENTS OF CLINICAL CARE CAN SIGNIFICANTLY IMPROVE PARTICIPATION AND OUTCOMES. MHS'S UNPARALLELED EXPERTISE AND LEADERSHIP IN DEVELOPING HOUSING OPTIONS FOR INDIVIDUALS WHO ARE HOMELESS OR AT RISK OF HOMELESSNESS IS A KEY RESOURCE FOR THE COMMUNITY. MHS RECOGNIZES THE RESOURCES, TIME, AND SIGNIFICANCE REQUIRED TO EFFECTIVELY SERVE THIS TARGET POPULATION. MHS ALSO UNDERSTANDS THAT INDIVIDUALS WHO HAVE EXPERIENCED HOMELESSNESS AS A BARRIER TO MENTAL HEALTH AND SUBSTANCE USE TREATMENTAND TO PROGRESS TOWARD RECOVERYARE OFTEN DIFFICULT TO ENGAGE. THESE INDIVIDUALS FREQUENTLY FACE CHALLENGES OBTAINING NECESSARY MEDICAL AND PSYCHIATRIC SERVICES, CREATING A SIGNIFICANT IMPACT ON AVAILABLE COMMUNITY RESOURCES. BASED ON MHS'S DEEP UNDERSTANDING OF THESE CHALLENGES AND ITS DEMONSTRATED ABILITY TO SUCCESSFULLY IMPLEMENT AND MANAGE SUBSIDIZED HOUSING RESOURCES, SERVICES ARE FURTHER STRENGTHENED THROUGH MHS'S EXTENSIVE EXPERIENCE DEVELOPING MASTER LEASES FOR HOUSING UNITS WHERE SUBSIDIES CAN BE UTILIZED. THIS PROGRAM MODEL PROVIDES CLIENTS WITH A PERMANENT SUPPORTIVE HOUSING PLATFORM UPON WHICH RELEVANT TREATMENT AND SUPPORT SERVICES CAN BE ACCESSED, PROMOTING OPTIMAL RECOVERY AND AN IMPROVED QUALITY OF LIFE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MAY APPOINT AN EXECUTIVE COMMITTEE AND SUCH OTHER STANDING OR SPECIAL AD HOC COMMITTEES AS THE BOARD FROM TIME TO TIME DEEMS NECESSARY OR APPROPRIATE TO CONDUCT THE BUSINESS AND FURTHER THE OBJECTIVES OF THE CORPORATION. THE APPOINTMENT BY THE BOARD OF AN EXECUTIVE COMMITTEE AND ANY OTHER COMMITTEE HAVING THE AUTHORITY OF THE BOARD SHALL BE BY RESOLUTION ADOPTED BY A MAJORITY OF DIRECTORS THEN IN OFFICE. EXECUTIVE COMMITTEE AND ANY OTHER COMMITTEE HAVING AUTHORITY OF THE BOARD SHALL CONSIST OF TWO (2) OR MORE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT TAX RETURN IS REVIEWED BY THE CFO AND THE CEO BEFORE IT IS SENT TO THE BOARD AUDIT COMMITTEE. THE AUDIT COMMITTEE WILL REVIEW AND APPROVE THE FINAL TAX RETURN AND AUTHORIZE THE CFO OR THE CEO TO SIGN AND SUBMIT THE RETURN. THE AUDIT COMMITTEE WILL THEN COMMUNICATE THE RESULTS WITH THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES ARE COVERED BY THE MHS CONFLICT OF INTEREST POLICY. BOARD MEMBERS MUST COMPLETE AN INITIAL CONFLICT OF INTEREST POLICY AND UPDATE IT ANNUALLY. HUMAN RESOURCES AND CORPORATE ETHICS AND COMPLIANCE ARE RESPONSIBLE FOR REVIEWING AND RESOLVING POTENTIAL CONFLICTS OF INTEREST. CORRECTIVE ACTIONS ARE MADE WHENEVER POSSIBLE, HOWEVER MHS RESERVES THE RIGHT TO DENY APPROVAL OF ANY SITUATION THAT CREATES UNDUE RISK TO THE ORGANIZATION. FAILURE TO DISCLOSE SUCH INFORMATION CAN RESULT IN DENIAL OR EMPLOYMENT OR OTHER ACTION INCLUDING AND LEADING TO TERMINATION. ALL FORMS COMPLETED BY MEMBERS OF THE BOD ARE REVIEWED BY THE PRESIDENT/CEO AND ANY POTENTIAL CONFLICTS ARE ADDRESSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD ONLY REVIEWS/APPROVES COMPENSATION FOR CEO. CEO MAY BRING FORWARD DISCUSSION ON KEY EMPLOYEES COMPENSATION, BUT BOARD HAS GIVEN AUTHORITY TO CEO TO MAKE COMPENSATION DECISIONS FOR KEY EMPLOYEES. CEO MAY WORK WITH HR DIRECTOR ON OBTAINING MARKET/COMPARABILITY DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MHS' GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BY INTERESTED PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES WERE MADE TO THE OVERSIGHT PROCESS OR SELECTIONS PROCESS DURING THE TAX YEAR AS COMPARED TO THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>