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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELTA-T OF WESTERN PA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 884</AddressLine1Txt>
            <CityNm>BRYN MAWR</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19010</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED EMPLOYEES</ServicesDesc>
        <CompensationAmt>775242</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAPITAL HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 799</AddressLine1Txt>
            <CityNm>GLOUCESTER</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23061</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED EMPLOYEES</ServicesDesc>
        <CompensationAmt>518921</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENOA TELEPSYCHIATRY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 84019</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60689</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED EMPLOYEES</ServicesDesc>
        <CompensationAmt>208913</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATC HEALTHCARE SERVICES LLC-CONTRACT EM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 REMITTANCE DRIVE DEPT 6773</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60675</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED EMPLOYEES</ServicesDesc>
        <CompensationAmt>203861</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>2626</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>5038034</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>116500</AllOtherContributionsAmt>
      <TotalContributionsAmt>5157160</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PA WAIVER CONTRACT INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>13802809</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13802809</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL ASSISTANCE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2298896</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2298896</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ROOM AND BOARD</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>663696</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>663696</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>115906</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>115906</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>43052</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43052</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16924359</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>50616</TotalRevenueColumnAmt>
        <ExclusionAmt>50616</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>172110</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>83438</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>88672</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>88672</TotalRevenueColumnAmt>
        <ExclusionAmt>88672</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>154438</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>115256</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>39182</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>154438</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22375245</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17039615</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>39182</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>139288</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>166315</TotalAmt>
        <ManagementAndGeneralAmt>166315</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10646622</TotalAmt>
        <ProgramServicesAmt>10224081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422541</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>244381</TotalAmt>
        <ProgramServicesAmt>224128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20253</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1368350</TotalAmt>
        <ProgramServicesAmt>1312287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56063</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>808709</TotalAmt>
        <ProgramServicesAmt>764462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44247</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <AdvertisingGrp>
        <TotalAmt>587</TotalAmt>
        <ManagementAndGeneralAmt>587</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>353580</TotalAmt>
        <ProgramServicesAmt>273024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80556</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1448769</TotalAmt>
        <ProgramServicesAmt>1384899</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63870</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>74518</TotalAmt>
        <ProgramServicesAmt>67338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7180</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>38354</TotalAmt>
        <ProgramServicesAmt>34858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3496</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>2113152</TotalAmt>
        <ManagementAndGeneralAmt>2113152</ManagementAndGeneralAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>222795</TotalAmt>
        <ProgramServicesAmt>211689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11106</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>277104</TotalAmt>
        <ProgramServicesAmt>143594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133510</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED PERS. SRVS.</Desc>
        <TotalAmt>3119005</TotalAmt>
        <ProgramServicesAmt>2810084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>308921</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>574967</TotalAmt>
        <ProgramServicesAmt>551240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23727</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>VEHICLE AND EQUIPMENT R</Desc>
        <TotalAmt>570312</TotalAmt>
        <ProgramServicesAmt>545483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24829</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>128033</TotalAmt>
        <ProgramServicesAmt>97854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30179</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22155553</TotalAmt>
        <ProgramServicesAmt>18645021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3510532</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2500235</BOYAmt>
        <EOYAmt>2240723</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>324181</BOYAmt>
        <EOYAmt>309376</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>3745005</BOYAmt>
        <EOYAmt>2550554</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>189038</BOYAmt>
        <EOYAmt>192283</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>6834429</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2554276</BOYAmt>
        <EOYAmt>2570488</EOYAmt>
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        <EOYAmt>2258519</EOYAmt>
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        <EOYAmt>2424748</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>12546691</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1387366</EOYAmt>
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        <EOYAmt>944296</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>5086410</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>7324538</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>135743</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>7460281</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11369336</BOYAmt>
        <EOYAmt>12546691</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>219692</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>102751</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>5167642</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6420134</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6036181</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8760646</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5157160</CurrentTaxYearAmt>
        <TotalAmt>31541763</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>15209273</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13256582</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16321781</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16924359</CurrentTaxYearAmt>
        <TotalAmt>79941165</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>23396812</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21629407</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19292763</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25082427</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22081519</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>111482928</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>92379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>37181</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39908</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50616</CurrentTaxYearAmt>
        <TotalAmt>255407</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>92379</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>37181</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39908</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50616</CurrentTaxYearAmt>
        <TotalAmt>255407</TotalAmt>
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      <NetIncomeFromOtherUBIGrp>
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        <CurrentTaxYearMinus3YearsAmt>34113</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>37742</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>37157</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39182</CurrentTaxYearAmt>
        <TotalAmt>191305</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>512554</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>414258</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>397025</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>369726</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>115256</CurrentTaxYearAmt>
        <TotalAmt>1808819</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>24044856</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22114959</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19762853</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25529218</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22286573</CurrentTaxYearAmt>
        <TotalAmt>113738459</TotalAmt>
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      <PublicSupportCY509Pct>0.98020</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97860</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00220</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00190</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2018 AMOUNT: $ 512,554. 2019 AMOUNT: $ 414,258. 2020 AMOUNT: $ 397,025. 2021 AMOUNT: $ 369,726. 2022 AMOUNT: $ 115,256.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
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        <BookValueAmt>138883</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3123780</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1067789</DepreciationAmt>
        <BookValueAmt>2055991</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>2571083</DepreciationAmt>
        <BookValueAmt>176214</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>625069</DepreciationAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE OPERATING LEASE</Desc>
        <BookValueAmt>2424748</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>2424748</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>2445372</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2445372</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>22477996</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>102751</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>102751</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>22375245</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>22375245</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22155553</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>22155553</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>22155553</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>MILESTONE CENTERS HAS FIDUCIARY RESPONSIBILITY TO CONTROL PERSONAL FUNDS OF CERTAIN INTELLECTUALLY DISABLED RESIDENTS' ACCOUNTS.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET ROTHENBERGER</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>252666</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19995</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>272661</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL CHRISTMAN</PersonNm>
        <TitleTxt>CFO THROUGH 6/2/2023</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>176596</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6602</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7720</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>190918</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PRESENTS THE COMPLETED 990, PREPARED BY THE INDEPENDENT TAX PREPARERS, TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL FOR SUBMISSION ON THE REQUIRED DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY ALL BOARD MEMBERS ARE REQUIRED TO REVIEW, COMPLETE AND SUBMIT THE AGENCY'S APPROVED CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT IS IDENTIFIED, CONSULTATION WITH LEGAL COUNSEL TO DETERMINE THE INDIVIDUAL'S LEVEL OF PARTICIPATION WOULD BE INITIATED. THE DECISION OR RECOMMENDATION FROM LEGAL COUNSEL WOULD BE PRESENTED TO THE FULL BOARD FOR A DECISION REGARDING THE BOARD MEMBER'S LEVEL OF INVOLVEMENT REGARDING THE POTENTIAL CONFLICT OF INTEREST. THE SIGNED DOCUMENT WILL BE KEPT ON FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO, EXECUTIVE DIRECTOR, AND/OR TOP MANAGEMENT OFFICIALS PERFORMANCE IS REVIEWED ANNUALLY, BY THE FULL BOARD WHEN POSSIBLE AND COMPENSATION ADJUSTED CONSISTENT WITH COMPARABILITY DATA USED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MILESTONE CENTERS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2 C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 CLEVER ROAD</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>550886515</EIN>
        <PrimaryActivitiesTxt>SUPPORTING AGENCY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIFEWAYS INC DBA EXCEPTIONAL ADVENTURES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 CLEVER ROAD</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>550886516</EIN>
        <PrimaryActivitiesTxt>PROVIDES TRAVEL SERVICES TO PEOPLE WITH DISABILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CITIZENS CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 CLEVER ROAD</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>241266401</EIN>
        <PrimaryActivitiesTxt>PROVIDES RESIDENTIAL AND NON-RESIDENTIAL SERVICES TO PEOPLE / DISABILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 CLEVER ROAD</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>300285288</EIN>
        <PrimaryActivitiesTxt>COORDINATING AND DAVILITATES FUND RAISING EFFORTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLEGHENY CHILDREN'S INITATIVE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>CLEVER ROAD</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>251728407</EIN>
        <PrimaryActivitiesTxt>PROVIDES BEHAVIORAL HEALTH SERVICES TO CHILDREN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PARTNERS FOR QUALITY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>2113152</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE M AND N: PFQF ASSUMES THE FUNDRAISING ACTIVITIES OF ITSELF AND EACH OF THE FOLLOWING AFFILIATED COMPANIES: PFQ, ACI, CCI, MILESTONE AND LIFEWAYS. FACILITIES, EQUIPMENT, AND OTHER ASSETS ARE ALSO SHARED BY PFQ AND ITS AFFILIATES. THERE IS NO DOLLAR AMOUNT ATTACHED TO THESE TRANSACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
