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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACK GREGORIN</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY HANNA</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANET MORSE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA PERLIC</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE POPELY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY RICH</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SCHINDLER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR MELVIN CHAVINSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MATONEY</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR(THROUGH 12/22)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>172755</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32055</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAYNA JACKSON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO(BEG.12/22)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>143925</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19702</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG HARGENRADER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>133952</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39642</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICE IDEN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>153082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19754</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD SCHENKELBERG</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>288755</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9017</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PUSHPALATHA VENKATARAM</PersonNm>
        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>166850</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21183</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY SANDERS</PersonNm>
        <TitleTxt>PSYCHIATRIC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>150231</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18890</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA GRAY</PersonNm>
        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129583</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16861</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARRELL LONG</PersonNm>
        <TitleTxt>SENIOR CLOUD/PLATFORM ENGINEER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12913</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMBER THOMAS</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>108800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17239</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1565473</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>207256</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMACY HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24042 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHARMACY MANAGEMENT</ServicesDesc>
        <CompensationAmt>533064</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY HOSPITALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 781887</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48278</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL STAFFING</ServicesDesc>
        <CompensationAmt>455588</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHLAND HOSPITALITY GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25 W SKIPPACK PIKE STE 101</AddressLine1Txt>
            <CityNm>AMBER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19002</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITALITY SERVICES</ServicesDesc>
        <CompensationAmt>188913</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FROM BETTER TO BEST</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2403-D BUNKER LN</AddressLine1Txt>
            <CityNm>WILLOUGHBY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44094</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING SERVICES</ServicesDesc>
        <CompensationAmt>134943</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INFOCLOUD LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7603 FIRST PLACE UNIT B-4</AddressLine1Txt>
            <CityNm>OAKWOOD VILLAGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>I.T. MANAGEMENT</ServicesDesc>
        <CompensationAmt>114348</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>88877</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>15087875</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>275579</AllOtherContributionsAmt>
      <TotalContributionsAmt>15452331</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE AND MEDICAID</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>6958108</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6958108</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES &amp; REIMBURSEMENTS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>3480004</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3480004</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADAMHS BOARD FEE FOR SERVICE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1837275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1837275</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCHOOL COUNSELING FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1511003</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1511003</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13786390</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>380925</TotalRevenueColumnAmt>
        <ExclusionAmt>380925</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>80600</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>80600</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>80600</TotalRevenueColumnAmt>
        <ExclusionAmt>80600</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>10322933</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>12638789</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-2315856</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-2315856</TotalRevenueColumnAmt>
        <ExclusionAmt>-2315856</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>64875</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>51829</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>13046</TotalRevenueColumnAmt>
        <ExclusionAmt>13046</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>3400060</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>3309032</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>91028</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>91028</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>305883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>305883</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>AMORT.OF LOAN FORGIVENESS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>66697</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66697</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>28219</TotalRevenueColumnAmt>
        <ExclusionAmt>28219</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>400799</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>27889263</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14249998</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-1813066</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>942450</TotalAmt>
        <ManagementAndGeneralAmt>942450</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>16725244</TotalAmt>
        <ProgramServicesAmt>15736211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>791246</ManagementAndGeneralAmt>
        <FundraisingAmt>197787</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>389181</TotalAmt>
        <ProgramServicesAmt>332405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54726</ManagementAndGeneralAmt>
        <FundraisingAmt>2050</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2385127</TotalAmt>
        <ProgramServicesAmt>1970673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>402300</ManagementAndGeneralAmt>
        <FundraisingAmt>12154</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1382806</TotalAmt>
        <ProgramServicesAmt>1105817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>270169</ManagementAndGeneralAmt>
        <FundraisingAmt>6820</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>64115</TotalAmt>
        <ProgramServicesAmt>53845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10270</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>73443</TotalAmt>
        <ProgramServicesAmt>61679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11764</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1467553</TotalAmt>
        <ProgramServicesAmt>1232487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235066</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>347343</TotalAmt>
        <ProgramServicesAmt>249016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98327</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>548173</TotalAmt>
        <ProgramServicesAmt>364514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183659</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>312657</TotalAmt>
        <ProgramServicesAmt>190241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121952</ManagementAndGeneralAmt>
        <FundraisingAmt>464</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>497259</TotalAmt>
        <ProgramServicesAmt>108989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>388270</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>650469</TotalAmt>
        <ProgramServicesAmt>421176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229293</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>189373</TotalAmt>
        <ProgramServicesAmt>129417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59956</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; FEES</Desc>
        <TotalAmt>1000385</TotalAmt>
        <ProgramServicesAmt>686436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313389</ManagementAndGeneralAmt>
        <FundraisingAmt>560</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES&amp;CERTIFICATIONS</Desc>
        <TotalAmt>635823</TotalAmt>
        <ProgramServicesAmt>323401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>307634</ManagementAndGeneralAmt>
        <FundraisingAmt>4788</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNICATIONS</Desc>
        <TotalAmt>484031</TotalAmt>
        <ProgramServicesAmt>343591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139240</ManagementAndGeneralAmt>
        <FundraisingAmt>1200</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>355200</TotalAmt>
        <ProgramServicesAmt>314653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36371</ManagementAndGeneralAmt>
        <FundraisingAmt>4176</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>772725</TotalAmt>
        <ProgramServicesAmt>437525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302814</ManagementAndGeneralAmt>
        <FundraisingAmt>32386</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>29223357</TotalAmt>
        <ProgramServicesAmt>24062076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4898896</ManagementAndGeneralAmt>
        <FundraisingAmt>262385</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1787451</BOYAmt>
        <EOYAmt>779858</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1937412</BOYAmt>
        <EOYAmt>3086380</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>197299</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>224135</BOYAmt>
        <EOYAmt>269618</EOYAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163627</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II - ADDITIONAL INFORMATION ABOUT COMPENSATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O NARRATIVE FOR PART VII ABOUT COMPENSATION FROM NEW DIRECTIONS, INC. FOR ALICE IDEN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CROSSROADS HEALTH MERGED WITH AND ASSUMED NEW DIRECTIONS' RESIDENTIAL TREATMENT FACILITY OPERATIONS AS OF JULY 1, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES TO ORGANIZING DOCUMENTS - NEW DIRECTIONS, INC. MERGED INTO CROSSROADS HEALTH ON JULY 1, 2022. THE APPROPRIATE CHANGES WERE MADE TO CROSSROAD HEALTH'S ORGANIZING DOCUMENTS TO ACCOMMODATE THE MERGER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 - FORM 990 DATA INPUTS ARE REVIEWED AND APPROVED BY THE AGENCY'S BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF CONFLICT POLICY - ALL BOARD MEMBERS ARE REQUIRED TO REVIEW THE AGENCY'S CONFLICT OF INTEREST POLICY UPON ACCEPTANCE TO THE BOARD OF TRUSTEES, AND ANNUALLY THEREAFTER. ANY CONFLICTS ARE REQUIRED TO BE DISCLOSED TO THE AGENCY'S MANAGEMENT TEAM AND OTHER BOARD MEMBERS. COMPLETED STATEMENTS ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND FILED IN THE CEO'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL - THE EXECUTIVE COMMITTEE OF THE AGENCY'S BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR PERIODICALLY. WAGE COMPARABILITY DATA IS EXAMINED ALONG WITH EMPLOYEE PERFORMANCE. MEMBERS OF THE EXECUTIVE COMMITTEE ARE INDEPENDENT OF THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS - THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII - ADDITIONAL INFORMATION ABOUT COMPENSATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>TWO OF THE EMPLOYEES LISTED IN PART VII RECEIVED COMPENSATION FROM NEW DIRECTIONS, INC. FOR PART OF CALENDAR YEAR 2022 PRIOR TO THE ENTITY'S MERGER INTO CROSSROADS HEALTH. RATHER THAN SHOW THE REPORTABLE COMPENSATION FROM NEW DIRECTIONS, INC. IN COLUMN E OF PART VII, WE HAVE SHOWN ALL REPORTABLE COMPENSATION IN COLUMN D. WE CHOSE THIS REPORTING CONVENTION TO AVOID THE CONFUSION CAUSED BY LISTING COMPENSATION FROM A RELATED ORGANZIATION IN COLUMN E BUT NOT REPORTING ANY RELATED ORGANIZATIONS ON SCHEDULE R. THESE TWO EMPLOYEES EACH RECEIVED ONE FORM W-2 FROM CROSSROADS HEALTH AND ONE FORM W-2 FROM NEW DIRECTIONS, INC. THE DETAIL OF EACH EMPLOYEE'S REPORTABLE COMPENSATION IS AS FOLLOWS: ALICE IDEN - REPORTABLE COMPENSATION FROM CROSSROADS HEALTH: $79,637; REPORTABLE COMPENSATION FROM NEW DIRECTIONS, INC.: $73,445. DARRELL LONG - REPORTABLE COMPENSATION FROM CROSSROADS HEALTH: $59,414; REPORTABLE COMPENSATION FROM NEW DIRECTIONS, INC.: $58,126.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST RATE SWAP 77,049.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
