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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Campanella</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>882427</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>768777</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>148482</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>University Hospitals</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11100 Euclid Ave</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contract Labor</ServicesDesc>
        <CompensationAmt>896200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Tabula Rasa Healthcare</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>MOORESTOWN</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08057</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>carekinesis</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08057</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>737995</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>John G Johnson Construction Compan</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>2157898</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44113</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MDS Services</ServicesDesc>
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      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>58924676</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58924676</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>58924676</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>730585</ExclusionAmt>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>43199</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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        <ExclusionAmt>774081</ExclusionAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>240196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20180</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8951958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>766997</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>120147</ProgramServicesAmt>
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        <ProgramServicesAmt>533558</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>851067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74670</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>1263770</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>13448</TotalAmt>
        <ProgramServicesAmt>3300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10148</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3524848</TotalAmt>
        <ProgramServicesAmt>3517951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6897</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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        <ProgramServicesAmt>13706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147304</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>3736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193555</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>268900</TotalAmt>
        <ProgramServicesAmt>268900</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>83574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45474</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>35499</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>97623</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>727434</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>250302</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>34540197</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>358091</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>114094</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>53511710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3142309</ManagementAndGeneralAmt>
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        <EOYAmt>619390</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>12784580</EOYAmt>
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        <EOYAmt>38350</EOYAmt>
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        <EOYAmt>14570285</EOYAmt>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus4YearsAmt>40821958</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>49174337</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56283069</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56423057</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59655558</CurrentTaxYearAmt>
        <TotalAmt>262357979</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99715</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99992</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00282</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00006</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8434509</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>539629</DepreciationAmt>
        <BookValueAmt>7894880</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>6074810</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2670567</DepreciationAmt>
        <BookValueAmt>3404243</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4098732</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1457773</DepreciationAmt>
        <BookValueAmt>2640959</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>7534</OtherCostOrOtherBasisAmt>
        <BookValueAmt>7534</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>13947616</TotalBookValueLandBuildingsAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>38350</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>38350</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
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          <BusinessNameLine1Txt>The McGregor Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14900 Private Dr</AddressLine1Txt>
          <CityNm>East Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <RecipientEIN>340714356</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>1315333</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>To Support Programs</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>McGregor Senior Assisted Living Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14900 Private Dr</AddressLine1Txt>
          <CityNm>East Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <RecipientEIN>820676864</RecipientEIN>
        <CashGrantAmt>684667</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>To Support Programs</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ann Conn</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>396953</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7854</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18819</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>423626</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Hayes</PersonNm>
        <TitleTxt>CFO/Assistant Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>248831</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18819</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>274377</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tangi McCoy</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>245009</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10467</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>260376</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Svetlana Dicesare</PersonNm>
        <TitleTxt>CSO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157184</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4716</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10467</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172367</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, #4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANN CONN $19,500</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION C, #19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S BUSINESS OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICIES BY COMPLETING ANNUAL CONFLICT QUESTIONNAIRES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DETERMINES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BY HAVING A COMPENSATION SURVEY COMPLETED EVERY THREE YEARS VIA THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE THEN VOTES ON A CONTRACT AND THE PERCENTAGE OF SALARY INCREASE FOR THE CEO. THESE PROCESSES ARE DOCUMENTED AT THE TIME THE DECISIONS ARE MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS THE RETURNS ARE PREPARED BY AN OUTSIDE CPA AND THEN REVIEWED BY THE CFO. THE FORM 990 IS THEN DISTRIBUTED VIA EMAIL TO THE BOARD OF DIRECTORS FOR THEIR REVIEW IN ADVANCE OF THE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER CLASSES THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS ONLY, WHICH CLASS SHALL CONSIST OF NOT LESS THAN TWO NOR MORE THAN FIVE MEMBERS, EACH OF WHOM SHALL BE CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE OHIO NON-PROFIT CORPORATION LAW OR GOVERNMENTAL ENTITY. THE POWERS OF THE MEMBERS REQUIRE APPROVAL OF THE MEMBERS BY MAJORITY VOTE AND INCLUDE: A) ANY MODIFICATION IN THE ESSENTIAL NATURE, PURPOSE OR MISSION OF THE CORPORATION. B) THE ADOPTION OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR THE CODE OF REGULATIONS OF THE CORPORATION. C) UPON RECOMMENDATION OF THE BOARD OF TRUSTEES, APPROVE NEW MEMBERS OF THE CORPORATION. D) ANY AFFILIATION, MERGER OR CONSOLIDATION OF THE CORPORATION WITH AN UNRELATED ENTITY. E) THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION. F) THE DISSOLUTION OR LIQUIDATION OF ANY SUBSIDIARY, IF THE ASSETS UPON SUCH DISSOLUTION OR LIQUIDATION ARE NOT DISTRIBUTED EXCLUSIVELY TO THE CORPORATION OR ITS MEMBERS. G) THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. H) APPOINTMENT, ELECTION OR REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES OF THIS CORPORATION, PROVIDED, HOWEVER, THAT MEMBERS OF THE BOARD OF TRUSTEES SHALL BE APPOINTED, ELECTED, OR REMOVED PURSUANT TO THE TERMS OF THE CODE OF REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS WHO MAY ELECT MEMBERS SEE SCHEDULE O DISCLOSURE ENTITLED "MEMBER CLASSES".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY DECISION APPROVAL SEE SCHEDULE O DISCLOSURE ENTITLED "MEMBER CLASSES".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 7, PART VII, SECTION A, #1A, COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOCATION OF HOURS WORKED HOURS WORKED PER WEEK ARE ALLOCATED BETWEEN THE FILING ORGANIZATION AND RELATED ORGANIZATION AS FOLLOWS FOR THE INDIVIDUALS LISTED WITHIN PART VII: ANN M. CONN - TOTAL HOURS PER WEEK = 40, SPLIT: THE MCGREGOR FOUNDATION - 15.00 HRS MCGREGOR AT OVERLOOK - 4.00 HRS MCGREGOR PACE - 12.00 HRS MCGREGOR SENIOR ASSISTED LIVING - 0.50 HRS MCGREGOR INDEPENDENT SENIOR HOUSING - 0.50 HRS New Projects - 8.00 HRS Jennifer Hayes - TOTAL HOURS PER WEEK = 40, SPLIT: THE MCGREGOR FOUNDATION - 8.50 HRS MCGREGOR PACE - 20.00 HRS MCGREGOR SENIOR ASSISTED LIVING - 2.00 HRS MCGREGOR AT OVERLOOK - 1.00 HRS McGregor Independent Senior Housing - 0.50 HRS New Projects - 8.00 HRS SUSAN O ALTHANS - TOTAL HOURS PER WEEK = 40, SPLIT: MCGREGOR INDEPENDENT SENIOR HOUSING - 4.00 HRS THE MCGREGOR FOUNDATION - 28.00 HRS MCGREGOR AT OVERLOOK - 4.00 HRS MCGREGOR PACE - 4.00 HRS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>THE MCGREGOR FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>14900 PRIVATE DRIVE</AddressLine1Txt>
          <CityNm>EAST CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>340714356</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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        <USAddress>
          <AddressLine1Txt>14900 PRIVATE DRIVE</AddressLine1Txt>
          <CityNm>EAST CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>364545139</EIN>
        <PrimaryActivitiesTxt>SNR HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <EIN>900506109</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MCGREGOR SENIOR ASSISTED LIVING LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>14900 PRIVATE DRIVE</AddressLine1Txt>
          <CityNm>EAST CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>820771384</EIN>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>MGRE SR AL INC</BusinessNameLine1Txt>
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        <OwnershipPct>0.00000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>McGregor Independent Living LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>14900 Private Dr</AddressLine1Txt>
          <CityNm>East Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>853919462</EIN>
        <PrimaryActivitiesTxt>Low Inc Housi</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <CityNm>EAST CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>201062062</EIN>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>820676864</EIN>
        <PrimaryActivitiesTxt>HOLDING CO.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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        <USAddress>
          <AddressLine1Txt>14900 Private Dr</AddressLine1Txt>
          <CityNm>East Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>853879229</EIN>
        <PrimaryActivitiesTxt>Holding Co</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>McGregor Fdtn</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.00000</OwnershipPct>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>