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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amanda Peden</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ann Pugh</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thato Ratsebe</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mat Robitaille</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rep Trevor Squirrell</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gail Stevenson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christina DeGraff-Murphy</PersonNm>
        <TitleTxt>Past Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Catherine Simonson</PersonNm>
        <TitleTxt>Past CCSO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>197968</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39027</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Bick</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>194160</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62827</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sandra McGuire</PersonNm>
        <TitleTxt>CFOO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>194990</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48418</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Simha Ravven</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>285744</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53139</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Suzan White</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>207750</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2079</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tsering Khang-Ghongma</PersonNm>
        <TitleTxt>Acute Residential Counselor</TitleTxt>
        <AverageHoursPerWeekRt>75.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>135277</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42589</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jenny Shen</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>156365</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35857</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Pearce</PersonNm>
        <TitleTxt>Dir of Information Mgmt &amp; Compliance</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>130218</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34105</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Brodeur</PersonNm>
        <TitleTxt>Prescriber</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131456</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22621</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1633928</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>340662</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TLC Nursing Associates Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 2244</AddressLine1Txt>
            <CityNm>So Burlington</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>054072244</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Nursing Services</ServicesDesc>
        <CompensationAmt>622480</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Averhealth</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2916 W Marshall St Suite A</AddressLine1Txt>
            <CityNm>Richmond</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23230</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Services</ServicesDesc>
        <CompensationAmt>385510</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Upper Valley Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>c/o Aris Solutions 72 Main St</AddressLine1Txt>
            <CityNm>White River Jct</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Services</ServicesDesc>
        <CompensationAmt>378566</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Sparkle Klean</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 43</AddressLine1Txt>
            <CityNm>Highgate Center</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05459</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contracted Cleaning Services</ServicesDesc>
        <CompensationAmt>252205</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Winston Chung</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1546 S Bundy Dr Unit 203</AddressLine1Txt>
            <CityNm>Los Angeles</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90025</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Counseling Services</ServicesDesc>
        <CompensationAmt>215988</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>105000</FederatedCampaignsAmt>
      <FundraisingAmt>25000</FundraisingAmt>
      <GovernmentGrantsAmt>14295043</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2872213</AllOtherContributionsAmt>
      <NoncashContributionsAmt>29081</NoncashContributionsAmt>
      <TotalContributionsAmt>17297256</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Waiver Services</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>53529530</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>53529530</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Fees</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>51293096</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51293096</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Non-Medical Fees</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>4839896</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4839896</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Local &amp; Other Revenue</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>4483104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4483104</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>114145626</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>299909</TotalRevenueColumnAmt>
        <ExclusionAmt>299909</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>220704</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>213615</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>7089</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>7089</TotalRevenueColumnAmt>
        <ExclusionAmt>7089</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3523283</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3603804</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-80521</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-80521</TotalRevenueColumnAmt>
        <ExclusionAmt>-80521</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>25000</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>18378</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-18378</TotalRevenueColumnAmt>
        <ExclusionAmt>-18378</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>131650981</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>114145626</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>208099</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1076273</TotalAmt>
        <ManagementAndGeneralAmt>1076273</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>62866239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5566341</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>15723138</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>466496</ManagementAndGeneralAmt>
        <FundraisingAmt>3</FundraisingAmt>
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        <ProgramServicesAmt>158584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64258</ManagementAndGeneralAmt>
        <FundraisingAmt>719</FundraisingAmt>
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        <ProgramServicesAmt>11500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106975</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>24398</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
        <TotalAmt>42000</TotalAmt>
        <FundraisingAmt>42000</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>25311</TotalAmt>
        <ManagementAndGeneralAmt>25311</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>22772243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>385468</ManagementAndGeneralAmt>
        <FundraisingAmt>29</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>288588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59693</ManagementAndGeneralAmt>
        <FundraisingAmt>192</FundraisingAmt>
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        <TotalAmt>2388991</TotalAmt>
        <ProgramServicesAmt>2053886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330413</ManagementAndGeneralAmt>
        <FundraisingAmt>4692</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1978376</TotalAmt>
        <ProgramServicesAmt>177214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1801162</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>3665935</TotalAmt>
        <ProgramServicesAmt>2540397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>912575</ManagementAndGeneralAmt>
        <FundraisingAmt>212963</FundraisingAmt>
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        <TotalAmt>1451226</TotalAmt>
        <ProgramServicesAmt>1401722</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49504</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>322</TotalAmt>
        <ProgramServicesAmt>48</ProgramServicesAmt>
        <ManagementAndGeneralAmt>274</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>461887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>662708</ManagementAndGeneralAmt>
        <FundraisingAmt>25778</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>674722</TotalAmt>
        <ProgramServicesAmt>222698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437166</ManagementAndGeneralAmt>
        <FundraisingAmt>14858</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Program Supplies</Desc>
        <TotalAmt>2419366</TotalAmt>
        <ProgramServicesAmt>2419366</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>444125</TotalAmt>
        <ProgramServicesAmt>444125</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
        <TotalAmt>344935</TotalAmt>
        <ProgramServicesAmt>344935</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
        <TotalAmt>7704</TotalAmt>
        <ManagementAndGeneralAmt>6667</ManagementAndGeneralAmt>
        <FundraisingAmt>1037</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>134433817</TotalAmt>
        <ProgramServicesAmt>120357007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13774486</ManagementAndGeneralAmt>
        <FundraisingAmt>302324</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>5858866</BOYAmt>
        <EOYAmt>5293933</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>14461909</BOYAmt>
        <EOYAmt>3550772</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>4180975</BOYAmt>
        <EOYAmt>5427924</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>6804936</BOYAmt>
        <EOYAmt>7817182</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2360906</BOYAmt>
        <EOYAmt>3850012</EOYAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 is distributed annually to the Board Finance Committee members for review and discussion and made available to the full Board to vote and approve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members read and sign off on the Conflicts of Interest Policy annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 15a: The Human Resources Committee is charged with working with the Board President and Chief Officer to recommend a Chief Executive Officer contract to the full Board of Directors for review and approval. The Chief Executive Officer contract outlines total compensation to include salary and benefits for the term of the contract. Line 15b: Salary Authority The Chief Executive Officer or his designee has final authority for the assignment of salaries. The Chief Executive Officer is hired by the Board of Trustees who assigns his/her salary. Salary on Appointment Chief Medical Officer, Chief Client Services Officer and the Chief Financial and Operations Officer, are hired by the Chief Executive Officer who assigns appropriate salaries. All other individuals are hired according to their assigned pay scale. Individuals are typically hired at the minimum of the appropriate pay scale. Exceptions to this may be made by the Chief Executive Officer or designee as a result of prevailing market conditions or other factors as deemed relevant in the sole discretion of the Chief Executive Officer.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents are made available to the public through the maintenance of a public file available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contracted Services: Program service expenses 22,772,243. Management and general expenses 385,468. Fundraising expenses 29. Total expenses 23,157,740.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10; Land, Buildings and Equipment:</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: HowardCenter, Inc. 208 Flynn Avenue, Suite 3J Burlington, VT 05401 EIN: 03-0179433 HowardCenter, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
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          <BusinessNameLine1Txt>Help is Here LLC</BusinessNameLine1Txt>
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          <CityNm>Burlington</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
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          <CityNm>Burlington</CityNm>
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          <CityNm>Burlington</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05401</ZIPCd>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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