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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>135677</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIDGET MIKULA</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106557</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14523</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA BARONE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>127499</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9139</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1361968</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>127990</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRENNAN MANNA &amp; DIAMOND LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 EAST MARKET ST</AddressLine1Txt>
            <CityNm>AKRON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44308</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>120000</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3462166</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>26968</AllOtherContributionsAmt>
      <TotalContributionsAmt>3489134</TotalContributionsAmt>
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        <Desc>MEDICAID FUNDING</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>12983944</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12983944</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>549600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>549600</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT AND THIRD PARTY FEES</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>529157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>529157</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>WORKLIFE &amp; EAP</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>436028</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>436028</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME HOUSING PROJECT</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>36775</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36775</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>14535504</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>77151</TotalRevenueColumnAmt>
        <ExclusionAmt>77151</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>144823</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>144823</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>144823</TotalRevenueColumnAmt>
        <ExclusionAmt>144823</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>34540</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>20081</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>14459</TotalRevenueColumnAmt>
        <ExclusionAmt>14459</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>701284</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>701284</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FORGIVENESS OF DEBT</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>40000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>741284</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>19002355</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>236433</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>731542</TotalAmt>
        <ProgramServicesAmt>331283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>400259</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>10874700</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1785925</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>144399</TotalAmt>
        <ProgramServicesAmt>98088</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>18884</ProgramServicesAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>31454</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>10356</ProgramServicesAmt>
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        <ProgramServicesAmt>27770</ProgramServicesAmt>
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        <ProgramServicesAmt>302982</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS/RENTAL/MAINTENA</Desc>
        <TotalAmt>1112445</TotalAmt>
        <ProgramServicesAmt>951659</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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        <ProgramServicesAmt>214883</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
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        <ProgramServicesAmt>171670</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
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        <ProgramServicesAmt>116811</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>81537</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>15313017</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>414501</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2321985</EOYAmt>
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        <EOYAmt>562258</EOYAmt>
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        <EOYAmt>17394</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>67680</BOYAmt>
        <EOYAmt>85490</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>12771754</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>6826628</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2827125</EOYAmt>
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        <EOYAmt>533475</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>195974</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <CurrentTaxYearMinus1YearAmt>3159884</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>18877613</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.95920</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00280</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00240</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 69,293. 2019 AMOUNT: $ 113,357. 2020 AMOUNT: $ 103,940. 2021 AMOUNT: $ 2,980,721. 2022 AMOUNT: $ 775,824.</ExplanationTxt>
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        <BookValueAmt>971249</BookValueAmt>
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      <RevenueNotReportedAmt>-1094</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19002355</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19002355</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18370443</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>10279</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>10279</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>18360164</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>11373</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>11373</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT EXPENSE -31,454. FUNDRAISING EXPENSE 20,081.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT EXPENSE 31,454. FUNDRAISING EXPENSE -20,081.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <GrossRevenueEvent1Amt>34540</GrossRevenueEvent1Amt>
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        <GrossRevenueTotalEventsAmt>34540</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>20081</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>20081</DirectExpenseSummaryEventsAmt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <PersonNm>DR LUIS VILLAPLANA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>331283</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <PersonNm>DR GARY KRAKER</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAWRENCE J MOLITERNO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>221166</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARLA GALLAGHER</PersonNm>
        <TitleTxt>SENIOR VP/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157535</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179093</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR THEIR REVIEW AND ANY ADJUSTMENTS OR CORRECTIONS ARE MADE BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST IMMEDIATELY. A NEW CONFLICT OF INTEREST STATEMENT HAS TO BE SIGNED EVERY YEAR AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE OHIO COUNCIL SALARY SURVEY AS A GUIDE FOR SETTING SALARIES. THE CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED AND SALARY INCREASE IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL KEY EMPLOYEES HAVE AN ANNUAL SALARY PERFORMANCE EVALUATION COMPLETED BY THEIR SUPERVISOR AND ALL SALARY INCREASES ARE APPROVED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST BY CONTACTING THE MAIN OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>GLENPARK MANOR DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>8255 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEAL DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>8255 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>341767141</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERIDIAN PLACE DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8255 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>341767066</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>
