﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-01-16T11:25:15-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>520783935</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SMITH ELLIOTT KEARNS &amp; COMPANY LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>19405 EMERALD SQUARE STE 1400</AddressLine1Txt>
        <CityNm>HAGERSTOWN</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21742</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>520968521</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MENTAL HEALTH ASSOCIATION OF</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>FREDERICK COUNTY INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>MENT</BusinessNameControlTxt>
      <PhoneNum>3016630011</PhoneNum>
      <USAddress>
        <AddressLine1Txt>226 S JEFFERSON STREET</AddressLine1Txt>
        <CityNm>FREDERICK</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21701</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ASHLEIGH ROSSI</PersonNm>
      <PersonTitleTxt>IMMED PAST PRESIDENT</PersonTitleTxt>
      <PhoneNum>3016630011</PhoneNum>
      <SignatureDt>2025-01-16</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ERIN CLARK CPA</PreparerPersonNm>
      <PTIN>P01388029</PTIN>
      <PhoneNum>3017335020</PhoneNum>
      <PreparationDt>2025-01-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc4" referenceDocumentId="RetDoc9">
      <PrincipalOfficerNm>ASHLEIGH ROSSI</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>226 S JEFFERSON STREET</AddressLine1Txt>
        <CityNm>FREDERICK</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21701</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>8020251</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.FCMHA.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1975</FormationYr>
      <LegalDomicileStateCd>MD</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO BUILD A STRONG FOUNDATION OF EMOTIONAL WELLNESS FOR THE WHOLE COMMUNITY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>16</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>159</TotalEmployeeCnt>
      <TotalVolunteersCnt>207</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>543272</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>582201</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>5740477</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>7321284</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>9405</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>10124</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-35327</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-11949</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>6257827</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>7901660</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>4865850</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>6342051</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>25123</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1158082</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1460804</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>6023932</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>7802855</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>233895</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>98805</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>4935038</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>5163567</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1600168</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1728316</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>3334870</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>3435251</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>BUILDING A STRONG FOUNDATION OF EMOTIONAL WELLNESS FOR THE WHOLE COMMUNITY BY PREPARING RESILIENT CHILDREN, SECURING VULNERABLE FAMILIES, AND FACING CRISES TOGETHER.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1608004</ExpenseAmt>
      <RevenueAmt>1406907</RevenueAmt>
      <Desc>PREPARING RESILIENT CHILDREN: CHILD CARE PROVIDER TRAINING - TRAINED 3,144 PARTICIPANTS THROUGH 210 WORKSHOPS, SOME AVAILABLE ONLINE, CONDUCTED OR CO-SPONSORED BY CCC. WE CONSTANTLY EXAMINE THE RESULTS OF NEEDS ASSESSMENTS AND ENROLLMENT TO DETERMINE THE NUMBER OF WORKSHOPS OFFERED BASED ON DEMAND. WE ALSO EXPAND COURSE TOPICS WHEN PROVIDERS OR REGULATORY AGENCIES EXPRESS A NEED. CCC CURRENTLY OFFERS COURSES IN ALL SIX CORE OF KNOWLEDGE AREAS RECOGNIZED BY MARYLAND-CHILD DEVELOPMENT, CURRICULUM, HEALTH, SAFETY AND NUTRITION; PROFESSIONALISM; SPECIAL NEEDS; AND COMMUNITY. IN ADDITION, CCC OFFERS COURSEWORK IN FIRST AID, CPR, EMERGENCY PREPAREDNESS, AND SIDS. PROVIDED 721 HOURS OF TRAINING. TECHNICAL ASSISTANCE FOR CHILD CARE PROVIDERS - CCC ASSISTS REGULATED CHILD CARE PROVIDERS WITH TECHNICAL ASSISTANCE AND SUPPORT SO THEY CAN ENTER OR REMAIN IN THE EARLY CARE AND EDUCATION FIELD. CCC STAFF RESPOND TO QUESTIONS ON A VARIETY OF DIFFERENT SUBJECT AREAS-INCLUDING CHILD BEHAVIOR, PROVIDING QUALITY CARE FOR INFANTS AND TODDLERS, IMPROVING QUALITY, CURRICULUM AND COMMUNICATION WITH PARENTS. CCC ALSO SUPPLIES PROGRAMS WITH STATISTICAL INFORMATION PERTINENT TO A CHILD CARE BUSINESS, SUCH AS THE AVERAGE COST OF CARE IN A PARTICULAR SCHOOL DISTRICT OR THE AVERAGE CHILD CARE SALARIES IN THE COUNTY OR THE STATE. CCC RESPONDED TO 890 INQUIRIES. EARLY CHILDHOOD MENTAL HEALTH - PERKS PROGRAM WORKS WITH EARLY CHILD CARE PROGRAMS AS WELL AS INDIVIDUAL CHILDREN AND FAMILIES TO PROMOTE THE SOCIAL/EMOTIONAL DEVELOPMENT OF YOUNG CHILDREN WHILE DECREASING OR PREVENTING CHALLENGING BEHAVIORS. SERVED OVER 93 CHILDREN, CONDUCTED 586 CHILD CARE PROGRAM SITE VISITS. HEALTHY FAMILIES FREDERICK (HFF) - HFF IS A PROGRAM DESIGNED TO SUPPORT FIRST-TIME PARENTS THROUGH THE PROVISION OF QUALITY, STRENGTH-BASED, FAMILY-CENTERED SERVICES AND SUPPORT, AND ACCESS TO COMMUNITY RESOURCES AND AGENCIES TO HELP BUILD STRONGER FAMILIES, HEALTHIER CHILDREN AND A BETTER COMMUNITY. SERVED 68 FAMILIES AND 63 CHILDREN AND COMPLETED 888 HOME VISITS (SERVICES BEGIN PRENATALLY). NONE OF THE FAMILIES SERVED REQUIRED CHILD PROTECTIVE SERVICES INVOLVEMENT.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>616043</ExpenseAmt>
        <RevenueAmt>773370</RevenueAmt>
        <Desc>SECURING VULNERABLE FAMILIES: COURT APPOINTED SPECIAL ADVOCATES FOR CHILDREN (CASA) - 14 NEW VOLUNTEERS WERE GIVEN 30 HOURS OF TRAINING TO PREPARE THEM TO BE SWORN IN BY THE COURT SYSTEM AS A COURT APPOINTED SPECIAL ADVOCATE TO ACT AS BEST INTEREST ADVOCATES FOR CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. A TOTAL OF 77 VOLUNTEERS SERVED ON CASES FOR 83 CHILDREN, 46 IN FREDERICK COUNTY AND 37 IN CARROLL COUNTY. CASA WORKS WITH THE CIRCUIT COURTS OF FREDERICK AND CARROLL COUNTIES, DEPARTMENTS OF SOCIAL SERVICES, TREATMENT FACILITIES, GROUP HOMES, SCHOOLS, PARENTS AND OTHER COMMUNITY RESOURCES. THE GOAL OF A CASA VOLUNTEER IS TO HELP THE COURT TO SECURE A SAFE AND PERMANENT HOME FOR EVERY CHILD. SUPERVISED VISITATION AND MONITORED TRANSFER - THE VISITATION CENTER OFFERED A NEUTRAL SETTING FOR NON-CUSTODIAL PARENTS TO SAFELY MAINTAIN A RELATIONSHIP WITH THEIR CHILD(REN). THE CENTER SERVED 173 PARENTS, GUARDIANS, AND GRANDPARENTS AND 123 CHILDREN FOR SUPERVISED VISITATION, 8 PARENTS, GUARDIANS, AND GRANDPARENTS FOR MONITORED TRANSFER, 31 FAMILIES FOR THERAPEUTIC SUPERVISED VISITATION, AND 12 FAMILIES FOR PARENT COACHING. THE PROGRAM PROVIDED 823 HOURS OF VISITATION, 185 HOURS OF PARENT COACHING, AND COMPLETED 157 EXCHANGES OF CHILDREN. SYSTEMS NAVIGATION - 73 FAMILIES WITH CHILDREN WITH INTENSIVE NEEDS RECEIVED INFORMATION AND REFERRAL, ADVOCACY AND SUPPORT THROUGH THE SYSTEMS NAVIGATION PROGRAM. TRAINED PROFESSIONALS KNOWN AS SYSTEMS NAVIGATORS, ASSISTED FAMILIES WITH IDENTIFICATION OF AND ACCESS TO SUPPORTIVE RESOURCES SUCH AS COUNSELING, HOUSING, FINANCIAL AND JOB ASSISTANCE, AND SPECIALIZED SERVICES THAT BEST MET THEIR FAMILY'S NEEDS. FAMILIES IMPACTED BY INCARCERATION PROGRAM (FIIP) - FIIP IS A PROGRAM THAT WORKED TO SUPPORT THE BOND BETWEEN PARENTS, CARE-GIVERS, OR OTHER FAMILY MEMBERS IMPACTED BY INCARCERATION, AND HELPED TO STRENGTHEN THE PARENT/CHILD RELATIONSHIP. FIIP WORKS IN PARTNERSHIP WITH CHILDREN OF INCARCERATED PARENTS PARTNERSHIP TO PROVIDE SUPPORT IN A VARIETY OF WAYS. THE PROGRAM PROVIDED PARENTING 201 WORKSHOPS HELD IN THE COMMUNITY, WHICH SERVED 71 PARTICIPANTS. ONE-ON-ONE, INDIVIDUALIZED FAMILY ADVOCACY WAS PROVIDED TO 54 PARTICIPANTS, AND PARENTING FROM AFAR CLASSES WERE PROVIDED TO 89 PARTICIPANTS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>4607218</ExpenseAmt>
        <RevenueAmt>5139315</RevenueAmt>
        <Desc>FACING CRISES TOGETHER: COUNSELING SERVICES - PROVIDED PROFESSIONAL OUTPATIENT MENTAL HEALTH TREATMENT ON A SLIDING FEE BASIS FOR INDIVIDUALS WHO HAVE MEDICAID, MEDICARE OR NO INSURANCE. SUPERVISED GRADUATE-LEVEL PSYCHOLOGY AND COUNSELING INTERNS, HELPING THEM COMPLETE THEIR REQUIREMENTS FOR GRADUATION AND ATTAIN THEIR STATE LICENSURE. PROVIDED 6,880 SESSIONS OF THERAPY TO 448 INDIVIDUALS, COUPLES, CHILDREN AND ADOLESCENTS. CALL CENTER - PROVIDED INFORMATION AND REFERRAL FOR HUMAN SERVICE AND MENTAL HEALTH NEEDS, CRISIS INTERVENTION, SUICIDE PREVENTION, AND LISTENING SUPPORT. HOTLINE/988 SERVES AS THE INITIAL INTAKE LINE FOR FREDERICK COUNTY MOBILE CRISIS SERVICES FOR BOTH ADULTS AND CHILD/ADOLESCENTS. HOTLINE/988 PROVIDES SUICIDE AWARENESS AND SUICIDE INTERVENTION TRAININGS. OUR SURVIVORS OF SUICIDE SUPPORT GROUP SERVED 36 PARTICIPANTS (151 SESSIONS) WHO HAVE LOST A LOVED ONE TO SUICIDE. HOTLINE RECEIVED 3,275 CALLS ABOUT SUICIDE AND PERFORMED 7,745 SUICIDE ASSESSMENTS. OUR TELEPHONE REASSURANCE PROGRAM PROVIDED 1,624 SCHEDULED OUTBOUND CALLS TO 10 ELDERLY AND HOMEBOUND RESIDENTS ENROLLED IN THE PROGRAM. THE HOTLINE OPERATES 24/7/365 AND ANSWERED 57,109 CALLS. WALK-IN SERVICES - A FREE SERVICE WHERE A CRISIS SPECIALIST WILL MEET WITH A WALK-IN CLIENT TO HELP RESOLVE A CURRENT CRISIS OR CONCERN AND ASSIST WITH CONNECTIONS TO ONGOING SUPPORT, INCLUDING URGENT MEDICATION APPOINTMENTS. CLIENTS MAY BE EXPERIENCING AN EMOTIONAL, MENTAL, FAMILY OR RELATIONSHIP CRISIS, SUICIDAL THOUGHTS, ANXIETY, GRIEF OR DEPRESSION. WALK-IN SERVICES ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. 1,331 CLIENTS WERE SEEN FOR A TOTAL OF 2,157 VISITS. 25% REPORTED THEY WOULD HAVE GONE TO A HOSPITAL EMERGENCY ROOM IF THIS SERVICE WAS NOT AVAILABLE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>217983</ExpenseAmt>
        <RevenueAmt>1692</RevenueAmt>
        <Desc>ALL OTHER PROGRAMS IN SUPPORT OF THE ORGANIZATION'S MISSION STATEMENT AND EXEMPT PURPOSE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>217983</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>1692</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>7049248</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc10">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc5">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc5">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc5">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc6">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc6">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc6">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc6">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc6">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc6">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc6">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc6">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc6">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc6">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc6">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc6">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc6">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc7">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc7">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc7">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc8">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>6</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>159</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>16</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DANIELLE GETTS</PersonNm>
        <PhoneNum>3016630011</PhoneNum>
        <USAddress>
          <AddressLine1Txt>226 S JEFFERSON STREET</AddressLine1Txt>
          <CityNm>FREDERICK</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21701</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSYANE KENGNI</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>205864</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10311</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY NGENGE</PersonNm>
        <TitleTxt>PSYCHIATRIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>142184</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5536</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA CANN</PersonNm>
        <TitleTxt>PSYCHIATRIC</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124304</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>981</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON ALESHIRE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>99569</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>790</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALAINA STRASBURG</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>27097</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY LUNDY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARIN GOLZE</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LIANG GUO</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT MCCASKILL</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEIGH ROSSI</PersonNm>
        <TitleTxt>IMMED PAST P</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAWANDA BAILEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER HUTT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONYA CHUBB</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL CIOFFI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN DEFIBAUGH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY MCCULLERS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DILLMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGHAN MURPHY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAL SCHITTINO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD HANEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALETA HARRIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>599018</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>17618</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FederatedCampaignsAmt>1250</FederatedCampaignsAmt>
      <FundraisingAmt>232025</FundraisingAmt>
      <AllOtherContributionsAmt>348926</AllOtherContributionsAmt>
      <NoncashContributionsAmt>16802</NoncashContributionsAmt>
      <TotalContributionsAmt>582201</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>GOVERNMENT REIMBURSEMENTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>5504574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5504574</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1764150</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1764150</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>52560</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52560</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7321284</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>11368</TotalRevenueColumnAmt>
        <ExclusionAmt>11368</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1244</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1244</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-1244</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>105398</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>232025</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>117347</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-11949</TotalRevenueColumnAmt>
        <ExclusionAmt>-11949</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7901660</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7320040</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-581</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>109364</TotalAmt>
        <ProgramServicesAmt>100504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8438</ManagementAndGeneralAmt>
        <FundraisingAmt>422</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5523539</TotalAmt>
        <ProgramServicesAmt>5075403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>426758</ManagementAndGeneralAmt>
        <FundraisingAmt>21378</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>296978</TotalAmt>
        <ProgramServicesAmt>281091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15404</ManagementAndGeneralAmt>
        <FundraisingAmt>483</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>412170</TotalAmt>
        <ProgramServicesAmt>378465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32013</ManagementAndGeneralAmt>
        <FundraisingAmt>1692</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>33265</TotalAmt>
        <ManagementAndGeneralAmt>33265</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>717</TotalAmt>
        <ManagementAndGeneralAmt>717</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>402494</TotalAmt>
        <ProgramServicesAmt>368247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33913</ManagementAndGeneralAmt>
        <FundraisingAmt>334</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4707</TotalAmt>
        <ProgramServicesAmt>4707</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>62105</TotalAmt>
        <ProgramServicesAmt>55038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7067</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>123562</TotalAmt>
        <ProgramServicesAmt>113058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10336</ManagementAndGeneralAmt>
        <FundraisingAmt>168</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>155252</TotalAmt>
        <ProgramServicesAmt>140424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14632</ManagementAndGeneralAmt>
        <FundraisingAmt>196</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>65093</TotalAmt>
        <ProgramServicesAmt>64775</ProgramServicesAmt>
        <ManagementAndGeneralAmt>318</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>24861</TotalAmt>
        <ProgramServicesAmt>18295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6566</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>95450</TotalAmt>
        <ProgramServicesAmt>4219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91231</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>41630</TotalAmt>
        <ProgramServicesAmt>38598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2882</ManagementAndGeneralAmt>
        <FundraisingAmt>150</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT</Desc>
        <TotalAmt>148419</TotalAmt>
        <ProgramServicesAmt>146437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1982</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SERVICE EXPENSE</Desc>
        <TotalAmt>118379</TotalAmt>
        <ProgramServicesAmt>118379</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>96976</TotalAmt>
        <ProgramServicesAmt>80571</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16132</ManagementAndGeneralAmt>
        <FundraisingAmt>273</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT TRAINING</Desc>
        <TotalAmt>50879</TotalAmt>
        <ProgramServicesAmt>29637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21242</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>37015</TotalAmt>
        <ProgramServicesAmt>31400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5588</ManagementAndGeneralAmt>
        <FundraisingAmt>27</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7802855</TotalAmt>
        <ProgramServicesAmt>7049248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>728484</ManagementAndGeneralAmt>
        <FundraisingAmt>25123</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>19782</BOYAmt>
        <EOYAmt>649</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>761784</BOYAmt>
        <EOYAmt>798792</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1264368</BOYAmt>
        <EOYAmt>1561597</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>108607</BOYAmt>
        <EOYAmt>127666</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>49757</BOYAmt>
        <EOYAmt>41793</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3777616</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1219561</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2646848</BOYAmt>
        <EOYAmt>2558055</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>16</BOYAmt>
        <EOYAmt>16</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>83876</BOYAmt>
        <EOYAmt>74999</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4935038</BOYAmt>
        <EOYAmt>5163567</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>317467</BOYAmt>
        <EOYAmt>367375</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>306781</BOYAmt>
        <EOYAmt>426784</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>963675</BOYAmt>
        <EOYAmt>934157</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>12245</BOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1600168</BOYAmt>
        <EOYAmt>1728316</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3334870</BOYAmt>
        <EOYAmt>3435251</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3334870</BOYAmt>
        <EOYAmt>3435251</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4935038</BOYAmt>
        <EOYAmt>5163567</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>98805</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1576</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc10">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>489889</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>508526</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>954448</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>543272</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>582201</CurrentTaxYearAmt>
        <TotalAmt>3078336</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearAmt>162142</CurrentTaxYearAmt>
        <TotalAmt>162142</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>489889</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>508526</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>954448</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>543272</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>744343</CurrentTaxYearAmt>
        <TotalAmt>3240478</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>181394</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>3059084</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3592</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8655</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7919</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9405</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11368</CurrentTaxYearAmt>
        <TotalAmt>40939</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>3281417</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>23836473</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.93220</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.94680</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME 0</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OCCASIONALLY ENGAGES IN LOBBYING ACTIVITIES AND HAS PREVIOUSLY FILED FORM 5768 MAKING THE ELECTION TO HAVE LOBBYING EXPENDITURES. HOWEVER, THERE WAS NO LOBBYING ACTIVITY IN THE CURRENT YEAR, AND NO EXPENDITURES WERE MADE FOR LOBBYING ACTIVITIES IN THE CURRENT FISCAL YEAR. THE ORGANIZATION HAS NOT HAD ANY LOBBYING EXPENDITURES IN THE PRECEDING FIVE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc6">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>257481</OtherCostOrOtherBasisAmt>
        <BookValueAmt>257481</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3304939</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1041400</DepreciationAmt>
        <BookValueAmt>2263539</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>204217</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>168565</DepreciationAmt>
        <BookValueAmt>35652</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>10979</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9596</DepreciationAmt>
        <BookValueAmt>1383</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2558055</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>8198375</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1576</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>178509</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>180085</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8018290</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-116630</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-116630</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7901660</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8097994</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>178509</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>116630</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>295139</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7802855</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>7802855</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE ASSOCIATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAX AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSE REPORTED WITH INCOME -117,347 INVESTMENT MGMT FEES 717</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSE REPORTED WITH INCOME 117,347 INVESTMENT MGMT FEES -717</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc7">
      <FundraisingEventInformationGrp>
        <Event1Nm>ANNUAL CATOCTIN</Event1Nm>
        <GrossReceiptsEvent1Amt>337423</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>232025</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>105398</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>16802</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>40518</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>54002</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6025</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>337423</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>232025</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>105398</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>16802</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>40518</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>54002</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6025</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>117347</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-11949</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc8">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSYANE KENGNI</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>205864</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10311</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>216175</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PREPARING RESILIENT CHILDREN: CHILD CARE PROVIDER TRAINING - TRAINED 3,144 PARTICIPANTS THROUGH 210 WORKSHOPS, SOME AVAILABLE ONLINE, CONDUCTED OR CO-SPONSORED BY CCC. WE CONSTANTLY EXAMINE THE RESULTS OF NEEDS ASSESSMENTS AND ENROLLMENT TO DETERMINE THE NUMBER OF WORKSHOPS OFFERED BASED ON DEMAND. WE ALSO EXPAND COURSE TOPICS WHEN PROVIDERS OR REGULATORY AGENCIES EXPRESS A NEED. CCC CURRENTLY OFFERS COURSES IN ALL SIX CORE OF KNOWLEDGE AREAS RECOGNIZED BY MARYLAND-CHILD DEVELOPMENT, CURRICULUM, HEALTH, SAFETY AND NUTRITION; PROFESSIONALISM; SPECIAL NEEDS; AND COMMUNITY. IN ADDITION, CCC OFFERS COURSEWORK IN FIRST AID, CPR, EMERGENCY PREPAREDNESS, AND SIDS. PROVIDED 721 HOURS OF TRAINING. TECHNICAL ASSISTANCE FOR CHILD CARE PROVIDERS - CCC ASSISTS REGULATED CHILD CARE PROVIDERS WITH TECHNICAL ASSISTANCE AND SUPPORT SO THEY CAN ENTER OR REMAIN IN THE EARLY CARE AND EDUCATION FIELD. CCC STAFF RESPOND TO QUESTIONS ON A VARIETY OF DIFFERENT SUBJECT AREAS-INCLUDING CHILD BEHAVIOR, PROVIDING QUALITY CARE FOR INFANTS AND TODDLERS, IMPROVING QUALITY, CURRICULUM AND COMMUNICATION WITH PARENTS. CCC ALSO SUPPLIES PROGRAMS WITH STATISTICAL INFORMATION PERTINENT TO A CHILD CARE BUSINESS, SUCH AS THE AVERAGE COST OF CARE IN A PARTICULAR SCHOOL DISTRICT OR THE AVERAGE CHILD CARE SALARIES IN THE COUNTY OR THE STATE. CCC RESPONDED TO 890 INQUIRIES. EARLY CHILDHOOD MENTAL HEALTH - PERKS PROGRAM WORKS WITH EARLY CHILD CARE PROGRAMS AS WELL AS INDIVIDUAL CHILDREN AND FAMILIES TO PROMOTE THE SOCIAL/EMOTIONAL DEVELOPMENT OF YOUNG CHILDREN WHILE DECREASING OR PREVENTING CHALLENGING BEHAVIORS. SERVED OVER 93 CHILDREN, CONDUCTED 586 CHILD CARE PROGRAM SITE VISITS. HEALTHY FAMILIES FREDERICK (HFF) - HFF IS A PROGRAM DESIGNED TO SUPPORT FIRST-TIME PARENTS THROUGH THE PROVISION OF QUALITY, STRENGTH-BASED, FAMILY-CENTERED SERVICES AND SUPPORT, AND ACCESS TO COMMUNITY RESOURCES AND AGENCIES TO HELP BUILD STRONGER FAMILIES, HEALTHIER CHILDREN AND A BETTER COMMUNITY. SERVED 68 FAMILIES AND 63 CHILDREN AND COMPLETED 888 HOME VISITS (SERVICES BEGIN PRENATALLY). NONE OF THE FAMILIES SERVED REQUIRED CHILD PROTECTIVE SERVICES INVOLVEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SECURING VULNERABLE FAMILIES: COURT APPOINTED SPECIAL ADVOCATES FOR CHILDREN (CASA) - 14 NEW VOLUNTEERS WERE GIVEN 30 HOURS OF TRAINING TO PREPARE THEM TO BE SWORN IN BY THE COURT SYSTEM AS A COURT APPOINTED SPECIAL ADVOCATE TO ACT AS BEST INTEREST ADVOCATES FOR CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. A TOTAL OF 77 VOLUNTEERS SERVED ON CASES FOR 83 CHILDREN, 46 IN FREDERICK COUNTY AND 37 IN CARROLL COUNTY. CASA WORKS WITH THE CIRCUIT COURTS OF FREDERICK AND CARROLL COUNTIES, DEPARTMENTS OF SOCIAL SERVICES, TREATMENT FACILITIES, GROUP HOMES, SCHOOLS, PARENTS AND OTHER COMMUNITY RESOURCES. THE GOAL OF A CASA VOLUNTEER IS TO HELP THE COURT TO SECURE A SAFE AND PERMANENT HOME FOR EVERY CHILD. SUPERVISED VISITATION AND MONITORED TRANSFER - THE VISITATION CENTER OFFERED A NEUTRAL SETTING FOR NON-CUSTODIAL PARENTS TO SAFELY MAINTAIN A RELATIONSHIP WITH THEIR CHILD(REN). THE CENTER SERVED 173 PARENTS, GUARDIANS, AND GRANDPARENTS AND 123 CHILDREN FOR SUPERVISED VISITATION, 8 PARENTS, GUARDIANS, AND GRANDPARENTS FOR MONITORED TRANSFER, 31 FAMILIES FOR THERAPEUTIC SUPERVISED VISITATION, AND 12 FAMILIES FOR PARENT COACHING. THE PROGRAM PROVIDED 823 HOURS OF VISITATION, 185 HOURS OF PARENT COACHING, AND COMPLETED 157 EXCHANGES OF CHILDREN. SYSTEMS NAVIGATION - 73 FAMILIES WITH CHILDREN WITH INTENSIVE NEEDS RECEIVED INFORMATION AND REFERRAL, ADVOCACY AND SUPPORT THROUGH THE SYSTEMS NAVIGATION PROGRAM. TRAINED PROFESSIONALS KNOWN AS SYSTEMS NAVIGATORS, ASSISTED FAMILIES WITH IDENTIFICATION OF AND ACCESS TO SUPPORTIVE RESOURCES SUCH AS COUNSELING, HOUSING, FINANCIAL AND JOB ASSISTANCE, AND SPECIALIZED SERVICES THAT BEST MET THEIR FAMILY'S NEEDS. FAMILIES IMPACTED BY INCARCERATION PROGRAM (FIIP) - FIIP IS A PROGRAM THAT WORKED TO SUPPORT THE BOND BETWEEN PARENTS, CARE-GIVERS, OR OTHER FAMILY MEMBERS IMPACTED BY INCARCERATION, AND HELPED TO STRENGTHEN THE PARENT/CHILD RELATIONSHIP. FIIP WORKS IN PARTNERSHIP WITH CHILDREN OF INCARCERATED PARENTS PARTNERSHIP TO PROVIDE SUPPORT IN A VARIETY OF WAYS. THE PROGRAM PROVIDED PARENTING 201 WORKSHOPS HELD IN THE COMMUNITY, WHICH SERVED 71 PARTICIPANTS. ONE-ON-ONE, INDIVIDUALIZED FAMILY ADVOCACY WAS PROVIDED TO 54 PARTICIPANTS, AND PARENTING FROM AFAR CLASSES WERE PROVIDED TO 89 PARTICIPANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>FACING CRISES TOGETHER: COUNSELING SERVICES - PROVIDED PROFESSIONAL OUTPATIENT MENTAL HEALTH TREATMENT ON A SLIDING FEE BASIS FOR INDIVIDUALS WHO HAVE MEDICAID, MEDICARE OR NO INSURANCE. SUPERVISED GRADUATE-LEVEL PSYCHOLOGY AND COUNSELING INTERNS, HELPING THEM COMPLETE THEIR REQUIREMENTS FOR GRADUATION AND ATTAIN THEIR STATE LICENSURE. PROVIDED 6,880 SESSIONS OF THERAPY TO 448 INDIVIDUALS, COUPLES, CHILDREN AND ADOLESCENTS. CALL CENTER - PROVIDED INFORMATION AND REFERRAL FOR HUMAN SERVICE AND MENTAL HEALTH NEEDS, CRISIS INTERVENTION, SUICIDE PREVENTION, AND LISTENING SUPPORT. HOTLINE/988 SERVES AS THE INITIAL INTAKE LINE FOR FREDERICK COUNTY MOBILE CRISIS SERVICES FOR BOTH ADULTS AND CHILD/ADOLESCENTS. HOTLINE/988 PROVIDES SUICIDE AWARENESS AND SUICIDE INTERVENTION TRAININGS. OUR SURVIVORS OF SUICIDE SUPPORT GROUP SERVED 36 PARTICIPANTS (151 SESSIONS) WHO HAVE LOST A LOVED ONE TO SUICIDE. HOTLINE RECEIVED 3,275 CALLS ABOUT SUICIDE AND PERFORMED 7,745 SUICIDE ASSESSMENTS. OUR TELEPHONE REASSURANCE PROGRAM PROVIDED 1,624 SCHEDULED OUTBOUND CALLS TO 10 ELDERLY AND HOMEBOUND RESIDENTS ENROLLED IN THE PROGRAM. THE HOTLINE OPERATES 24/7/365 AND ANSWERED 57,109 CALLS. WALK-IN SERVICES - A FREE SERVICE WHERE A CRISIS SPECIALIST WILL MEET WITH A WALK-IN CLIENT TO HELP RESOLVE A CURRENT CRISIS OR CONCERN AND ASSIST WITH CONNECTIONS TO ONGOING SUPPORT, INCLUDING URGENT MEDICATION APPOINTMENTS. CLIENTS MAY BE EXPERIENCING AN EMOTIONAL, MENTAL, FAMILY OR RELATIONSHIP CRISIS, SUICIDAL THOUGHTS, ANXIETY, GRIEF OR DEPRESSION. WALK-IN SERVICES ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. 1,331 CLIENTS WERE SEEN FOR A TOTAL OF 2,157 VISITS. 25% REPORTED THEY WOULD HAVE GONE TO A HOSPITAL EMERGENCY ROOM IF THIS SERVICE WAS NOT AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER PROGRAMS IN SUPPORT OF THE ORGANIZATION'S MISSION STATEMENT AND EXEMPT PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FEDERAL 990 IS SENT ELECTRONICALLY TO THE ENTIRE BOARD FOR REVIEW WITH A DEADLINE FOR QUESTIONS AND COMMENTS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE DISCLOSURE STATEMENT ANNUALLY. POTENTIAL CONFLICTS ARE BROUGHT TO LIGHT WHEN APPROPRIATE AND NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES CEO COMPENSATION AND EMPLOYEE PAY SCALE ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES OTHER OFFICER'S AND KEY EMPLOYEE'S COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSE REPORTED WITH INCOME 117,347 INVESTMENT MGMT FEES -717 DIRECT FUNDRAISING EXPENSE REPORTED WITH INCOME -117,347 INVESTMENT MGMT FEES 717</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <AveragingAttachment documentId="RetDoc3">
      <ExplanationTxt>THE ORGANIZATION OCCASIONALLY ENGAGES IN LOBBYING ACTIVITIES AND HAS PREVIOUSLY FILED FORM 5768 MAKING THE ELECTION TO HAVE LOBBYING EXPENDITURES. HOWEVER, THERE WAS NO LOBBYING ACTIVITY IN THE CURRENT YEAR, AND NO EXPENDITURES WERE MADE FOR LOBBYING ACTIVITIES IN THE CURRENT FISCAL YEAR. THE ORGANIZATION HAS NOT HAD ANY LOBBYING EXPENDITURES IN THE PRECEDING FIVE YEARS.</ExplanationTxt>
    </AveragingAttachment>
  </ReturnData>
</Return>