<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-03-27T19:20:02-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>460952065</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BOUNTIFUL PEAK ADVISORS</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1564 SOUTH 500 WEST SUITE 201</AddressLine1Txt>
        <CityNm>BOUNTIFUL</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>840107400</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>870292487</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ODYSSEY HOUSE INC - UTAH</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ODYS</BusinessNameControlTxt>
      <PhoneNum>8013224257</PhoneNum>
      <USAddress>
        <AddressLine1Txt>117 W 400 S</AddressLine1Txt>
        <CityNm>SALT LAKE CITY</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>841011916</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ADAM COHEN</PersonNm>
      <PersonTitleTxt>CHIEF EXEC. OFFICER</PersonTitleTxt>
      <PhoneNum>8013224257</PhoneNum>
      <SignatureDt>2024-03-06</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>ADAM</PersonFirstNm>
        <PersonLastNm>COHEN</PersonLastNm>
      </PersonFullName>
      <SSN>XXX-XX-XXXX</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JUSTIN R SHAW CPA CFE CGMA</PreparerPersonNm>
      <PTIN>P00081558</PTIN>
      <PhoneNum>8012943155</PhoneNum>
      <PreparationDt>2024-03-27</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc9">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>ODYSSEY HOUSE</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>ADAM COHEN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>344 EAST 100 SOUTH SUITE 301</AddressLine1Txt>
        <CityNm>SALT LAKE CITY</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>841111727</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>48828508</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ODYSSEYHOUSE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1970</FormationYr>
      <LegalDomicileStateCd>UT</LegalDomicileStateCd>
      <ActivityOrMissionDesc>EMPOWERING PEOPLE TO HEAL AND BUILD BETTER LIVES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>660</TotalEmployeeCnt>
      <TotalVolunteersCnt>30</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>8015144</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>14991627</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>26745247</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>33821334</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>8948</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>15547</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>34769339</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>48828508</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>600000</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>19600752</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>25371018</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>303968</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>13524647</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>16390252</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>33125399</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>42361270</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1643940</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>6467238</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>13529980</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>27742366</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1925244</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>9670392</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>11604736</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>18071974</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>EMPOWERING PEOPLE TO HEAL AND BUILD BETTER LIVES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>19869170</ExpenseAmt>
      <GrantAmt>600000</GrantAmt>
      <RevenueAmt>23513448</RevenueAmt>
      <Desc>1. RESIDENTIAL A. ADULTS: 1636 SERVED I. SERVING MEN AND WOMEN AGES 18+ II. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS IN THE STATE III. EMPHASIS ON SKILL DEVELOPMENT AND INDEPENDENCE IV. SPECIALTY PROGRAMMING FOR PEOPLE IN INCARCERATION V. FACT: 50% OF ADULTS REPORTED IV DRUG USE AT ADMISSION B. PARENTS AND CHILDREN: 92 PARENTS AND 58 CHILDREN SERVED I. SINGLE MOTHERS AND FATHERS WITH CHILDREN II. THERAPEUTIC DAYCARE FOR KIDS AGES 0-10 III. EMPHASIS ON ENDING THE MULTIGENERATIONAL CYCLE OF ADDICTION IV. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS AND YOUTH IN THE STATE C. YOUTH: 89 SERVED I. AGES KINDERGARTEN THROUGH 12TH GRADE II. EMPHASIS ON EDUCATION, TRAUMA, FAMILY III. LARGEST CONTINUUM OF CARE FOR YOUTH IN THE STATE IV. PROGRAMMING IN UTAH, IDAHO AND NEVADA</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>5374061</ExpenseAmt>
        <RevenueAmt>4650412</RevenueAmt>
        <Desc>MARTINDALE CLINIC A. 3721 SERVED B. 38159 VISITS MEDICATION ASSISTED TREATMENT: 8057 SERVED USING MAT</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>3768796</ExpenseAmt>
        <RevenueAmt>3454456</RevenueAmt>
        <Desc>OUTPATIENT SERVICES A. ADULTS: 1588 SERVED B. CRIMINAL JUSTICE SERVICES: 438 SERVED I. PROGRAMMING SERVES INCARCERATED PEOPLE C. YOUTH 41 SERVED</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>9437166</ExpenseAmt>
        <RevenueAmt>2203018</RevenueAmt>
        <Desc>SOBER HOUSING: 224 SERVED HARM REDUCTION A. 1975 SYRINGE EXCHANGE ENCOUNTERS B. 178106 SYRINGES EXCHANGES C. 2831 SAFER INJECTION KITS DISTRIBUTED D. 689 SAFER SEX KITS DISTRIBUTED E. 531 NARCAN KITS DISTRIBUTED F. 1586 SHARPS CONTAINERS DISTRIBUTED G. 603 MENSTRAL SUPPLY KITS DISTRIBUTED H. 2365 FENTANYL TEST STRIPS DISTRIBUTED OTHER COMMUNITY OUTREACH: 2327 SERVED ADULT MENTAL HEALTH: 150 SERVED IN RESIDENTIAL AND OUTPATIENT MENTAL HEALTH SERVICES SCHOOL BASED SERVICES: 398 SERVED A. EARLY INTERVENTION SCHOOL-BASED THERAPY IN SALT LAKE COUNTY FORENSIC ASSERTIVE COMMUNITY TREATMENT: 105 ADULTS SERVED. A. OUTPATIENT CARE WITH INTENSIVE CASE MANAGEMENT AND PSYCHIATRIC SUPPORT BOARDING HOMES: 44 PEOPLE SERVED A. SUPPORTIVE HOUSING FOR PEOPLE WITH SERIOUS PERSISTENT MENTAL ILLNESS (SPMI)</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>9437166</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>2203018</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>38449193</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc11">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc7">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 referenceDocumentId="RetDoc8">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc8">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc10">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc10">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc10">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc10">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>27</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>660</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>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</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>UT</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>BRIAN PILCHER</PersonNm>
        <PhoneNum>8013224257</PhoneNum>
        <USAddress>
          <AddressLine1Txt>344 E 100 S 301</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>841111727</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM COHEN</PersonNm>
        <TitleTxt>CHIEF EXEC.</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>413309</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30749</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DALE COX</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARY DUNN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY ELDREDGE</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE HACKETT</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REP ERIC HUTCHINGS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROD JULANDER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEN KAREN MAYNE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE NELSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE PYRAH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOB SLINGERLAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRAVIS WOOD</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>413309</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>30749</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>12534191</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2457436</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2049020</NoncashContributionsAmt>
      <TotalContributionsAmt>14991627</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID FEE FOR SERVICE</Desc>
        <TotalRevenueColumnAmt>27434453</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27434453</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEE FOR SERVICE</Desc>
        <TotalRevenueColumnAmt>6386881</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6386881</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>33821334</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>15547</TotalRevenueColumnAmt>
        <ExclusionAmt>15547</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>48828508</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33821334</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>15547</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>600000</TotalAmt>
        <ProgramServicesAmt>600000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>401700</TotalAmt>
        <ProgramServicesAmt>321360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40170</ManagementAndGeneralAmt>
        <FundraisingAmt>40170</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19634709</TotalAmt>
        <ProgramServicesAmt>17977892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1506641</ManagementAndGeneralAmt>
        <FundraisingAmt>150176</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>292892</TotalAmt>
        <ProgramServicesAmt>267499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22611</ManagementAndGeneralAmt>
        <FundraisingAmt>2782</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3593940</TotalAmt>
        <ProgramServicesAmt>3282345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>277452</ManagementAndGeneralAmt>
        <FundraisingAmt>34143</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1447777</TotalAmt>
        <ProgramServicesAmt>1322255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111768</ManagementAndGeneralAmt>
        <FundraisingAmt>13754</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>39568</TotalAmt>
        <ManagementAndGeneralAmt>39568</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23750</TotalAmt>
        <ManagementAndGeneralAmt>23750</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1213423</TotalAmt>
        <ProgramServicesAmt>351259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>858510</ManagementAndGeneralAmt>
        <FundraisingAmt>3654</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>343886</TotalAmt>
        <ProgramServicesAmt>113346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>230540</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>339141</TotalAmt>
        <ProgramServicesAmt>309738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26181</ManagementAndGeneralAmt>
        <FundraisingAmt>3222</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>4081499</TotalAmt>
        <ProgramServicesAmt>3727633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>315092</ManagementAndGeneralAmt>
        <FundraisingAmt>38774</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>189478</TotalAmt>
        <ProgramServicesAmt>173050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14628</ManagementAndGeneralAmt>
        <FundraisingAmt>1800</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>179866</TotalAmt>
        <ProgramServicesAmt>164271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13886</ManagementAndGeneralAmt>
        <FundraisingAmt>1709</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>397428</TotalAmt>
        <ProgramServicesAmt>362971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30681</ManagementAndGeneralAmt>
        <FundraisingAmt>3776</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT CARE</Desc>
        <TotalAmt>7465689</TotalAmt>
        <ProgramServicesAmt>7465689</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAID RESERVE</Desc>
        <TotalAmt>715646</TotalAmt>
        <ProgramServicesAmt>715646</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>609786</TotalAmt>
        <ProgramServicesAmt>556918</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47075</ManagementAndGeneralAmt>
        <FundraisingAmt>5793</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>269723</TotalAmt>
        <ProgramServicesAmt>269723</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>521369</TotalAmt>
        <ProgramServicesAmt>467598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49556</ManagementAndGeneralAmt>
        <FundraisingAmt>4215</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>42361270</TotalAmt>
        <ProgramServicesAmt>38449193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3608109</ManagementAndGeneralAmt>
        <FundraisingAmt>303968</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3409329</BOYAmt>
        <EOYAmt>6417516</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>941859</BOYAmt>
        <EOYAmt>798590</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>7852808</BOYAmt>
        <EOYAmt>13053901</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>48000</BOYAmt>
        <EOYAmt>28543</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>410024</BOYAmt>
        <EOYAmt>185780</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1745858</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>913884</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>867960</BOYAmt>
        <EOYAmt>831974</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>6426062</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13529980</BOYAmt>
        <EOYAmt>27742366</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1080293</BOYAmt>
        <EOYAmt>1900158</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>844951</BOYAmt>
        <EOYAmt>7770234</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1925244</BOYAmt>
        <EOYAmt>9670392</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11402753</BOYAmt>
        <EOYAmt>17894991</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>201983</BOYAmt>
        <EOYAmt>176983</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11604736</BOYAmt>
        <EOYAmt>18071974</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13529980</BOYAmt>
        <EOYAmt>27742366</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>6467238</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc11">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>6242433</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7548174</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8767321</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8015144</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14991627</CurrentTaxYearAmt>
        <TotalAmt>45564699</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12924658</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18952271</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19526840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26745247</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>33821334</CurrentTaxYearAmt>
        <TotalAmt>111970350</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>19167091</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26500445</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28294161</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34760391</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48812961</CurrentTaxYearAmt>
        <TotalAmt>157535049</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>157535049</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>7122</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5740</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2948</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15547</CurrentTaxYearAmt>
        <TotalAmt>34107</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>7122</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5740</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2948</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15547</CurrentTaxYearAmt>
        <TotalAmt>34107</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>19174213</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26506185</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28296911</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34763339</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48828508</CurrentTaxYearAmt>
        <TotalAmt>157569156</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99980</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99920</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>30000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>30000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EMPLOYEE OF THE ORGANIZATION ADVOCATED ON BEHALF OF THE ORGANIZATION FOR ISSUES IMPORTANT TO OUR CLIENTS SUCH AS JUSTICE REINVESTMENT INITIATIVES AND ACCESS TO HEALTHCARE COVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>896556</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>512006</DepreciationAmt>
        <BookValueAmt>384550</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>209172</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>120983</DepreciationAmt>
        <BookValueAmt>88189</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>640130</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>280895</DepreciationAmt>
        <BookValueAmt>359235</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>831974</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>6426062</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6426062</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>6579934</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE RESERVE</Desc>
        <Amt>654302</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAID RESERVE</Desc>
        <Amt>535998</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7770234</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>48828508</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>48828508</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>48828508</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>42361270</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>42361270</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>42361270</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>344 EAST 100 SOUTH 301</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84111</ZIPCd>
        </USAddress>
        <RecipientEIN>942896787</RecipientEIN>
        <IRCSectionDesc>2</IRCSectionDesc>
        <CashGrantAmt>600000</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING PURCHASE</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>ADAM COHEN</PersonNm>
        <TitleTxt>CHIEF EXEC. OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>363309</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30749</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>444058</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc8">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>428008</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1313955</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>8145</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MISC SUPPLIES</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>298912</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>ODYSSEY HOUSE ODYSSEY HOUSE OF UTAH ODYSSEY HOUSE OF NEVADA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>1. RESIDENTIAL A. ADULTS: 1636 SERVED I. SERVING MEN AND WOMEN AGES 18+ II. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS IN THE STATE III. EMPHASIS ON SKILL DEVELOPMENT AND INDEPENDENCE IV. SPECIALTY PROGRAMMING FOR PEOPLE IN INCARCERATION V. FACT: 50% OF ADULTS REPORTED IV DRUG USE AT ADMISSION B. PARENTS AND CHILDREN: 92 PARENTS AND 58 CHILDREN SERVED I. SINGLE MOTHERS AND FATHERS WITH CHILDREN II. THERAPEUTIC DAYCARE FOR KIDS AGES 0-10 III. EMPHASIS ON ENDING THE MULTIGENERATIONAL CYCLE OF ADDICTION IV. LARGEST CONTINUUM OF CARE AVAILABLE FOR ADULTS AND YOUTH IN THE STATE C. YOUTH: 89 SERVED I. AGES KINDERGARTEN THROUGH 12TH GRADE II. EMPHASIS ON EDUCATION, TRAUMA, FAMILY III. LARGEST CONTINUUM OF CARE FOR YOUTH IN THE STATE IV. PROGRAMMING IN UTAH, IDAHO AND NEVADA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>SOBER HOUSING: 224 SERVED HARM REDUCTION A. 1975 SYRINGE EXCHANGE ENCOUNTERS B. 178106 SYRINGES EXCHANGES C. 2831 SAFER INJECTION KITS DISTRIBUTED D. 689 SAFER SEX KITS DISTRIBUTED E. 531 NARCAN KITS DISTRIBUTED F. 1586 SHARPS CONTAINERS DISTRIBUTED G. 603 MENSTRAL SUPPLY KITS DISTRIBUTED H. 2365 FENTANYL TEST STRIPS DISTRIBUTED OTHER COMMUNITY OUTREACH: 2327 SERVED ADULT MENTAL HEALTH: 150 SERVED IN RESIDENTIAL AND OUTPATIENT MENTAL HEALTH SERVICES SCHOOL BASED SERVICES: 398 SERVED A. EARLY INTERVENTION SCHOOL-BASED THERAPY IN SALT LAKE COUNTY FORENSIC ASSERTIVE COMMUNITY TREATMENT: 105 ADULTS SERVED. A. OUTPATIENT CARE WITH INTENSIVE CASE MANAGEMENT AND PSYCHIATRIC SUPPORT BOARDING HOMES: 44 PEOPLE SERVED A. SUPPORTIVE HOUSING FOR PEOPLE WITH SERIOUS PERSISTENT MENTAL ILLNESS (SPMI)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE 990 IS PREPARED IT IS REVIEWED BY THE DIRECTOR OF FINANCE AND BY THE EXECUTIVE DIRECTOR FOR ACCURACY. THE NUMBERS ARE COMPARED TO THE AUDITED FINANCIAL STATEMENTS FOR ACCURACY. THE 990 IS THEN DISTRIBUTED TO THE BOARD MEMBERS FOR THEIR REVIEW. IF NO PROBLEMS ARE IDENTIFIED, THEN THE 990 IS CONSIDERED CORRECT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND ALL FULL-TIME EMPLOYEES ARE REQUIRED TO ANNUALLY FILL OUT A CONFLICT OF INTEREST DECLARATION FORM. THESE FORMS ARE REVIEWED BY APPROPRIATE MANAGEMENT STAFF OR BY THE CHAIRMAN OF THE BOARD IN ORDER TO IDENTIFY AND ELIMINATE ANY CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY OF THE EXECUTIVE DIRECTOR IS REVIEWED BY THE BOARD OF DIRECTORS AND THAT LEVEL IS SET BASED ON THE BOARD OF DIRECTORS REVIEW OF APPROPRIATE COMPARABLE INDUSTRY AND REGIONAL SALARY LEVELS. DELIBERATION IS DOCUMENTED IN BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY LEVELS FOR ALL OTHER EMPLOYEES ARE REVIEWED AND SET BY THE APPROPRIATE MANAGEMENT TEAM INCLUDING THE EXECUTIVE DIRECTOR, THE DIRECTOR OF THEIR WORK AREA AND THEN FINAL APPROVAL IS GIVEN BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>344 EAST 100 SOUTH 301</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84111</ZIPCd>
        </USAddress>
        <EIN>942896787</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>UT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>2</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>6764919</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1050649</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>60000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTERN ODYSSEY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>600000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
