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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Lewis Immell</PersonNm>
        <TitleTxt>Co-Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>827165</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>39218</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>4276632</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>161324</AllOtherContributionsAmt>
      <TotalContributionsAmt>4437956</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Client fees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>262366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>262366</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicaid</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1298848</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1298848</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>323834</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>323834</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Local Contracts</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>784641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>784641</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2669689</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>72827</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72827</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>21222</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21222</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>21222</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7201694</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2763738</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>827164</TotalAmt>
        <ProgramServicesAmt>745267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81801</ManagementAndGeneralAmt>
        <FundraisingAmt>96</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4703215</TotalAmt>
        <ProgramServicesAmt>4237550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>465116</ManagementAndGeneralAmt>
        <FundraisingAmt>549</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>831703</TotalAmt>
        <ProgramServicesAmt>781007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50527</ManagementAndGeneralAmt>
        <FundraisingAmt>169</FundraisingAmt>
      </PayrollTaxesGrp>
      <OfficeExpensesGrp>
        <TotalAmt>86433</TotalAmt>
        <ProgramServicesAmt>57499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28878</ManagementAndGeneralAmt>
        <FundraisingAmt>56</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>456609</TotalAmt>
        <ProgramServicesAmt>440846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15582</ManagementAndGeneralAmt>
        <FundraisingAmt>181</FundraisingAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>40702</TotalAmt>
        <ProgramServicesAmt>36956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3715</ManagementAndGeneralAmt>
        <FundraisingAmt>31</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>91494</TotalAmt>
        <ProgramServicesAmt>83077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8326</ManagementAndGeneralAmt>
        <FundraisingAmt>91</FundraisingAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>Operating Expenses</Desc>
        <TotalAmt>560388</TotalAmt>
        <ProgramServicesAmt>519957</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40176</ManagementAndGeneralAmt>
        <FundraisingAmt>255</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7597708</TotalAmt>
        <ProgramServicesAmt>6902159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>694121</ManagementAndGeneralAmt>
        <FundraisingAmt>1428</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1811186</BOYAmt>
        <EOYAmt>2440284</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>632133</BOYAmt>
        <EOYAmt>443998</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>44110</BOYAmt>
        <EOYAmt>39039</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3371818</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1253412</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2199401</BOYAmt>
        <EOYAmt>2118406</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1176877</BOYAmt>
        <EOYAmt>589049</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>640181</BOYAmt>
        <EOYAmt>522417</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>6503888</BOYAmt>
        <EOYAmt>6153193</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>419818</BOYAmt>
        <EOYAmt>435476</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>42300</BOYAmt>
        <EOYAmt>241886</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1559000</BOYAmt>
        <EOYAmt>1389075</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2021118</BOYAmt>
        <EOYAmt>2066437</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4482770</BOYAmt>
        <EOYAmt>4086756</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4482770</BOYAmt>
        <EOYAmt>4086756</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6503888</BOYAmt>
        <EOYAmt>6153193</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-396014</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5117866</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4597607</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5071894</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5157534</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4437956</CurrentTaxYearAmt>
        <TotalAmt>24382857</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5117866</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4597607</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5071894</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5157534</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4437956</CurrentTaxYearAmt>
        <TotalAmt>24382857</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>24382857</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14573</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6138</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1739</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>44655</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>72827</CurrentTaxYearAmt>
        <TotalAmt>139932</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>24522789</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99430</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99680</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>53800</OtherCostOrOtherBasisAmt>
        <BookValueAmt>53800</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>594520</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>221871</DepreciationAmt>
        <BookValueAmt>372649</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2161579</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>765905</DepreciationAmt>
        <BookValueAmt>1395674</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>561919</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>265636</DepreciationAmt>
        <BookValueAmt>296283</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2118406</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Marketable securities</Desc>
        <BookValueAmt>589049</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>589049</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Unamortized Loan Costs</Desc>
        <BookValueAmt>8608</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease</Desc>
        <BookValueAmt>513809</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>522417</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Mortgage Payable current portion</Desc>
        <Amt>35788</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Mortgage Payable long term portion</Desc>
        <Amt>839479</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Obligation current portion</Desc>
        <Amt>126668</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Obligation long term portion</Desc>
        <Amt>387140</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1389075</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>7201694</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>7201694</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>7201694</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7597708</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>7597708</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>7597708</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>Concord adopted guidance relating to accounting for uncertainty in income taxes, which requires Concord to annually evaluate tax positions taken with regard to unrelated business income, related deductions applied or other activities that may jeopardize their tax exempt status and thus would meet the definitions of an uncertain tax position. Concords open audit periods are 2020 thru 2023 based on filed Forms 990, no tax accural liability was recorded as management believes there are no uncertain tax positions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G" />
    <IRS990ScheduleJ documentId="990J">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dena Gost</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>277089</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9141</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>286230</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lukasz Lozanski</PersonNm>
        <TitleTxt>Director of Medical EduPsychiatry</TitleTxt>
        <BaseCompensationFilingOrgAmt>229266</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1476</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230742</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by the Finance committee (a sub committee of the board), then presented for review and approval by the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of the annual audit process internal management presents a conflict of interest questionnaire to each board member. They are asked to read it and answer the conflict of interest questions, sign and date.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Review and approval by governing body, comparison to other salaries for comparable positions and documentation of the deliberations and decisions regarding the compensation decisions. The Executive Compensation Governance policy addresses executive compensation, philosophy, independent review, compensation mix and the related documentations process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Review and approval by governing body, comparison to other salaries for comparable positions and documentation of the deliberations and decisions regarding the compensation decisions. The Executive Compensation Governance policy addresses executive compensation, philosophy, independent review, compensation mix and the related documentations process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 availability to public Part VI line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Available upon request and it is posted on several websites.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available upon request and it is posted on several websites.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Audited by an independent accountant Part XII line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a finance committee that assumes responaibility for oversight of the audit and the election of an independent accountant.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>