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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELANA SMITH</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEE M LIBERTINE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2667285</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>24287</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>53</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Macman Management Healthcare Servic</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>SACRAMENTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>950724</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dale J Brent MD</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>91403</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ONGUARD</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>91303</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY GUARD SVCS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SCHAEPPER PSYCHIATRY APC</PersonNm>
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          <USAddress>
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            <CityNm>REDLANDS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92373</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINIC PROVIDER</ServicesDesc>
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      <GovernmentGrantsAmt>6129323</GovernmentGrantsAmt>
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      <TotalContributionsAmt>6276682</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>42144879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42144879</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4159499</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>ADULT DAY CARE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>360528</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>192496</ExclusionAmt>
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        <PersonalAmt>0</PersonalAmt>
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        <ManagementAndGeneralAmt>309190</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>521827</ProgramServicesAmt>
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        <USAddress>
          <AddressLine1Txt>268 MCARTHUR WAY</AddressLine1Txt>
          <CityNm>UPLAND</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91786</ZIPCd>
        </USAddress>
        <EIN>263522465</EIN>
        <PrimaryActivitiesTxt>ADULT DAY CAR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <TotalIncomeAmt>360528</TotalIncomeAmt>
        <EndOfYearAssetsAmt>198372</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCCHC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>