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        <ManagementAndGeneralAmt>1399</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>9260</TotalAmt>
        <ProgramServicesAmt>3967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5293</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>39121</TotalAmt>
        <ProgramServicesAmt>33277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4025</ManagementAndGeneralAmt>
        <FundraisingAmt>1819</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>19161</TotalAmt>
        <ManagementAndGeneralAmt>19161</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>20125</TotalAmt>
        <ManagementAndGeneralAmt>20125</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>5330</TotalAmt>
        <ManagementAndGeneralAmt>5330</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>78320</TotalAmt>
        <ProgramServicesAmt>70117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4902</ManagementAndGeneralAmt>
        <FundraisingAmt>3301</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>14241</TotalAmt>
        <ManagementAndGeneralAmt>14170</ManagementAndGeneralAmt>
        <FundraisingAmt>71</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>9379</TotalAmt>
        <ManagementAndGeneralAmt>8968</ManagementAndGeneralAmt>
        <FundraisingAmt>411</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>24753</TotalAmt>
        <ProgramServicesAmt>15996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5999</ManagementAndGeneralAmt>
        <FundraisingAmt>2758</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>50953</TotalAmt>
        <ProgramServicesAmt>43487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6999</ManagementAndGeneralAmt>
        <FundraisingAmt>467</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>12823</TotalAmt>
        <ManagementAndGeneralAmt>6301</ManagementAndGeneralAmt>
        <FundraisingAmt>6522</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>36121</TotalAmt>
        <ProgramServicesAmt>25801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9675</ManagementAndGeneralAmt>
        <FundraisingAmt>645</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>13933</TotalAmt>
        <ProgramServicesAmt>8746</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4723</ManagementAndGeneralAmt>
        <FundraisingAmt>464</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medications</Desc>
        <TotalAmt>112863</TotalAmt>
        <ProgramServicesAmt>112863</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Diagnostic Testing</Desc>
        <TotalAmt>37827</TotalAmt>
        <ProgramServicesAmt>37827</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Fees</Desc>
        <TotalAmt>12173</TotalAmt>
        <ProgramServicesAmt>6057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6070</ManagementAndGeneralAmt>
        <FundraisingAmt>46</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Program Cost</Desc>
        <TotalAmt>11437</TotalAmt>
        <ProgramServicesAmt>11437</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>6342</TotalAmt>
        <ManagementAndGeneralAmt>6342</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>997694</TotalAmt>
        <ProgramServicesAmt>777259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180247</ManagementAndGeneralAmt>
        <FundraisingAmt>40188</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>156486</BOYAmt>
        <EOYAmt>293971</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>88041</BOYAmt>
        <EOYAmt>319510</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>17983</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <EOYAmt>8486</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>24022</BOYAmt>
        <EOYAmt>52796</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>6212</BOYAmt>
        <EOYAmt>3129</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>870263</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>221561</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>682771</BOYAmt>
        <EOYAmt>648702</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>531203</BOYAmt>
        <EOYAmt>616248</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>644</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1506718</BOYAmt>
        <EOYAmt>1943486</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>27310</BOYAmt>
        <EOYAmt>91094</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>27310</BOYAmt>
        <EOYAmt>91094</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1350042</BOYAmt>
        <EOYAmt>1495626</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>129366</BOYAmt>
        <EOYAmt>356766</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1479408</BOYAmt>
        <EOYAmt>1852392</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1506718</BOYAmt>
        <EOYAmt>1943486</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>334085</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>38899</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>539599</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>379399</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>455415</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>332152</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>722456</CurrentTaxYearAmt>
        <TotalAmt>2429021</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>211905</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>310270</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>316372</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>426096</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>572565</CurrentTaxYearAmt>
        <TotalAmt>1837208</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>751504</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>689669</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>771787</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>758248</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1295021</CurrentTaxYearAmt>
        <TotalAmt>4266229</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>63536</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56150</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>248974</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65747</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>137000</CurrentTaxYearAmt>
        <TotalAmt>571407</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>63536</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56150</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>248974</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65747</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>137000</CurrentTaxYearAmt>
        <TotalAmt>571407</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>3694822</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>11489</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7487</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6398</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12956</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24545</CurrentTaxYearAmt>
        <TotalAmt>62875</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>11489</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7487</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6398</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12956</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24545</CurrentTaxYearAmt>
        <TotalAmt>62875</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>15890</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4296</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>6832</CurrentTaxYearAmt>
        <TotalAmt>37041</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>778883</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>707179</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>782481</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>771204</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1326398</CurrentTaxYearAmt>
        <TotalAmt>4366145</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.84620</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.80990</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01440</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>38625</OtherCostOrOtherBasisAmt>
        <BookValueAmt>38625</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>672132</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>116530</DepreciationAmt>
        <BookValueAmt>555602</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>139202</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>97950</DepreciationAmt>
        <BookValueAmt>41252</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>20304</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7081</DepreciationAmt>
        <BookValueAmt>13223</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>648702</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1359006</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>38899</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>38899</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1320107</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>5330</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>6342</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>11672</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1331779</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>986022</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>986022</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>5330</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>6342</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>11672</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>997694</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of Ohio law. However, the Organization is subject to federal income tax on any unrelated business taxable income. The Organization's IRS Form 990 is subject to review and examination by federal and state authorities. The Organization believes it has appropriate support for any tax positions taken and, therefore, does not have any uncertain income tax positions that are material to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclassed to Expenses 6,342.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclassed to Expenses 6,342.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Blue Ash program ceased in 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is provided to the board for review prior to filing. Upon approval, the executive director signs authorization and returns to the CPA firm for electronic filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each member of the board is required to complete and sign a conflict of interest statement each year. The statements are reviewed prior to filing of the 990 to ensure correct reporting on the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Currently executive director services are donated. Compensation for staff is recommended by the executive director and approved by the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 1023, 990's and annual audited financial statements are available on guidestar.com or upon request. Conflicts of interest policy is available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>No changes to the process in the current year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>