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      <Form990PartVIISectionAGrp>
        <PersonNm>JODY CROWLEY</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BETSEY ELTONHEAD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRISH FARNSWORTH</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN FEDERICO</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN GATTO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA IDELSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT PENA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY SELBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1127963</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRINITY HEALTH SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 MAIN STREET D</AddressLine1Txt>
            <CityNm>WALTHAM</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02451</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECT CARE CONSULTANTS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GLOBAL CARE PROVIDERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>56 CENTRAL AVENUE 308/310</AddressLine1Txt>
            <CityNm>LYNN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01901</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECT CARE CONSULTANTS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALL STAFF LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1565 MAIN STREET 307</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>DIRECT CARE CONSULTANTS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELTA-T GROUP MASSACHUSETTS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>140 GOULD STREET SUITE 230</AddressLine1Txt>
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            <ZIPCd>02494</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FRANK VANARIA</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>724 CONCORD ROAD</AddressLine1Txt>
            <CityNm>SUDBURY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01776</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>29167792</GovernmentGrantsAmt>
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      <TotalContributionsAmt>29266911</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID/MEDICARE</Desc>
        <BusinessCd>624310</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3976524</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>623990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2571880</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>6548404</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>51986</TotalRevenueColumnAmt>
        <ExclusionAmt>51986</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>12876</RealAmt>
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        <RealAmt>12876</RealAmt>
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      <RentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>90366</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>203446</ManagementAndGeneralAmt>
        <FundraisingAmt>887</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>116029</TotalAmt>
        <ManagementAndGeneralAmt>116029</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>62150</TotalAmt>
        <ManagementAndGeneralAmt>62150</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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      <OfficeExpensesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2963993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248333</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>738841</ProgramServicesAmt>
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        <ProgramServicesAmt>413476</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>114195</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEALS</Desc>
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      <OtherExpensesGrp>
        <Desc>STAFF TRAINING</Desc>
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        <ManagementAndGeneralAmt>64255</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DUES</Desc>
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        <ManagementAndGeneralAmt>94682</ManagementAndGeneralAmt>
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        <EOYAmt>60537</EOYAmt>
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      <DeferredRevenueGrp>
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      <TotalLiabilitiesGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>28023519</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29266911</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>115900</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82700</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>29373167</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>64862</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2018 AMOUNT: $ 126,508. 2019 AMOUNT: $ 132,928. 2020 AMOUNT: $ 180,289. 2021 AMOUNT: $ 44,214. 2022 AMOUNT: $ 90,366. CONSULTING - 2018 AMOUNT: $ 5,281.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>4477900</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4477900</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8659004</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3124903</DepreciationAmt>
        <BookValueAmt>5534101</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2702841</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1160002</DepreciationAmt>
        <BookValueAmt>1542839</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>446793</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>420437</DepreciationAmt>
        <BookValueAmt>26356</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>423889</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>423889</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11581196</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>10022993</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10022993</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>36277998</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>307455</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>12876</OtherRevenueAmt>
      <RevenueNotReportedAmt>320331</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35957667</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>35957667</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>34671374</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>307455</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>12876</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>320331</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>34351043</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>34351043</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE AGENCY AND HAS CONCLUDED THAT, AS OF JUNE 30, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, THE AGENCY'S INFORMATION/TAX RETURNS REMAIN OPEN FOR POSSIBLE FEDERAL INCOME TAX EXAMINATION FOR THREE YEARS AFTER THE FILING DATE. WHILE NO INFORMATION/TAX RETURNS ARE CURRENTLY BEING EXAMINED, TAX YEARS SINCE 2020 REMAIN OPEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES RECLASSED TO REVENUE 12,876.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES RECLASSED TO REVENUE 12,876.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA MAGUIRE</PersonNm>
        <TitleTxt>CEO &amp; PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>236270</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2989</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>244259</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIRIAM C GOODMAN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>194070</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22298</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220118</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD MAIO</PersonNm>
        <TitleTxt>CFO (UNTIL 12/22)</TitleTxt>
        <BaseCompensationFilingOrgAmt>173749</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5030</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1760</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180539</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BELOW INDIVIDUALS RECEIVED BONUSES IN CALENDAR YEAR 2022. THESE BONUSES WERE NOT CONTINGENT ON THE REVENUES OR NET EARNINGS OF THE ORGANIZATION: PATRICIA MAGUIRE - $5,000 MIRIAM GOODMAN - $3,750 TODD MAIO - $5,030 KATHLEEN DOHERTY - $5,030 KIMBERLY ANDERSON - $3,030 VICKI KELLAM - $5,000 LYNN BISHOP - $5,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS RUSSELL KOPP AND PAULA KOPP HAVE A FAMILIAL RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE ON BEHALF OF THE GOVERNING BODY, WILL REVIEW THE FORM 990 BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR MANAGEMENT AND BOARD MEMBERS ANNUALLY COMPLETE A RELATED PARTY QUESTIONNAIRE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS ANNUAL GOALS AND PERFORMANCE OF THE CEO IN CONJUNCTION WITH REVIEW OF COMPARABLE AGENCY COMPENSATION DATA. THE CEO REVIEWS ANNUAL GOALS AND PERFORMANCE OF OTHER OFFICERS AND KEY EMPLOYEES IN CONJUNCTION WITH REVIEW OF COMPARABLE AGENCY COMPENSATION DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT CARE CONSULTANTS: PROGRAM SERVICE EXPENSES 4,988,548. MANAGEMENT AND GENERAL EXPENSES 270,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,258,812. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 84,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,236. RECRUITING CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 700,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 700,386.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
