﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-06-27T12:01:31-04:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>450491842</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BLANKENSHIP CPA GROUP PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>2672 NORTH MT JULIET RD</AddressLine1Txt>
        <CityNm>MT JULIET</CityNm>
        <StateAbbreviationCd>TN</StateAbbreviationCd>
        <ZIPCd>371228015</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>621718638</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>SPECIAL KIDS INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SPEC</BusinessNameControlTxt>
      <PhoneNum>6158092632</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2132 E MAIN STREET</AddressLine1Txt>
        <CityNm>MURFREESBORO</CityNm>
        <StateAbbreviationCd>TN</StateAbbreviationCd>
        <ZIPCd>37310</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CHRIS TRUELOVE</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>6158092632</PhoneNum>
      <SignatureDt>2025-06-26</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JESSICA FREEMAN CPA</PreparerPersonNm>
      <PTIN>P01261457</PTIN>
      <PhoneNum>6158891153</PhoneNum>
      <PreparationDt>2025-06-26</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc8">
      <PrincipalOfficerNm>CHRIS TRUELOVE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2132 E MAIN STREET</AddressLine1Txt>
        <CityNm>MURFREESBORO</CityNm>
        <StateAbbreviationCd>TN</StateAbbreviationCd>
        <ZIPCd>37130</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3549335</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>SPECIALKIDSTN.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1998</FormationYr>
      <LegalDomicileStateCd>TN</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE THERAPEUTIC REHABILITATION AND PROFESSIONAL NURSING SERVICES TO CHILDREN WITH SPECIAL NEEDS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>81</TotalEmployeeCnt>
      <TotalVolunteersCnt>410</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1274211</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1391632</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1708889</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1770289</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>82638</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>140199</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>132057</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>131635</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3197795</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3433755</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>755000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>7873</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>2787877</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2843748</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>347031</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>701710</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>762276</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4244587</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>3613897</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-1046792</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-180142</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>7043342</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>7059340</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>348700</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>344925</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>6694642</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>6714415</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>PROVIDE THERAPEUTIC REHABILITATION AND PROFESSIONAL NURSING SERVICES TO CHILDREN WITH SPECIAL NEEDS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1664584</ExpenseAmt>
      <GrantAmt>7873</GrantAmt>
      <RevenueAmt>1330036</RevenueAmt>
      <Desc>PROVIDE THERAPEUTIC REHABILITATION TO CHILDREN WITH SPECIAL NEEDS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>887105</ExpenseAmt>
        <RevenueAmt>380588</RevenueAmt>
        <Desc>PROVIDE PROFESSIONAL NURSING SERVICES TO CHILDREN WITH SPECIAL NEEDS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>103192</ExpenseAmt>
        <RevenueAmt>59665</RevenueAmt>
        <Desc>CAMPABILITY - FOUR WEEK DAY CAMP THAT ENCOURAGES CAMPERS, CHILDREN AND YOUTH AGES 6-25, TO PARTICIPATE IN AN INTERACTIVE, SOCIAL, AND FUN ENVIRONMENT.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>2654881</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc10">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc5">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc5">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc5">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc7">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc7">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc9">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc9">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc9">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc9">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>35</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>81</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>TN</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>CHRISTY BELL</PersonNm>
        <PhoneNum>6158934565</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2132 E MAIN STREET</AddressLine1Txt>
          <CityNm>MURFREESBORO</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37130</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS TRUELOVE</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>115947</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23746</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE LUDWIG</PersonNm>
        <TitleTxt>CLINICAL DIR</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>121191</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1811</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAN PARKER</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>34.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>99603</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>777</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH SMITH</PersonNm>
        <TitleTxt>CHAIRMAN &amp; H</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDA MORGAN</PersonNm>
        <TitleTxt>CHAIRMAN-ELE</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ELAM POLK</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MACK BARRETT</PersonNm>
        <TitleTxt>PARLIAMENTAR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JERRY COLLINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY SHARP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE GOODWIN</PersonNm>
        <TitleTxt>DIRECTOR/CO-</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM WILLIAMES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>336741</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>26334</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IMAGEQUEST LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 306475</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37230</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>220739</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>41277</FundraisingAmt>
      <AllOtherContributionsAmt>1350355</AllOtherContributionsAmt>
      <NoncashContributionsAmt>91857</NoncashContributionsAmt>
      <TotalContributionsAmt>1391632</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1635442</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1635442</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THERAPY MANAGEMENT FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>134847</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>134847</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1770289</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>47320</TotalRevenueColumnAmt>
        <ExclusionAmt>47320</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>98963</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>6084</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>98963</SecuritiesAmt>
        <OtherAmt>-6084</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>92879</TotalRevenueColumnAmt>
        <ExclusionAmt>92879</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>239849</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>41277</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>109496</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>130353</TotalRevenueColumnAmt>
        <ExclusionAmt>130353</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>282</GrossSalesOfInventoryAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>282</TotalRevenueColumnAmt>
        <ExclusionAmt>282</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>BAD DEBT RECOVERY</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>550</TotalRevenueColumnAmt>
        <ExclusionAmt>550</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>450</TotalRevenueColumnAmt>
        <ExclusionAmt>450</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1000</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3433755</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1770289</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>271834</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>7873</TotalAmt>
        <ProgramServicesAmt>7873</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>363075</TotalAmt>
        <ProgramServicesAmt>265432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65387</ManagementAndGeneralAmt>
        <FundraisingAmt>32256</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2177690</TotalAmt>
        <ProgramServicesAmt>1594141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>383093</ManagementAndGeneralAmt>
        <FundraisingAmt>200456</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>116206</TotalAmt>
        <ProgramServicesAmt>83517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27136</ManagementAndGeneralAmt>
        <FundraisingAmt>5553</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>186777</TotalAmt>
        <ProgramServicesAmt>136007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33060</ManagementAndGeneralAmt>
        <FundraisingAmt>17710</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>22150</TotalAmt>
        <ManagementAndGeneralAmt>22150</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>16838</TotalAmt>
        <ManagementAndGeneralAmt>16838</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>24796</TotalAmt>
        <ProgramServicesAmt>9938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10911</ManagementAndGeneralAmt>
        <FundraisingAmt>3947</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>27662</TotalAmt>
        <ProgramServicesAmt>7139</ProgramServicesAmt>
        <FundraisingAmt>20523</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>41598</TotalAmt>
        <ProgramServicesAmt>23236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7950</ManagementAndGeneralAmt>
        <FundraisingAmt>10412</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>146955</TotalAmt>
        <ProgramServicesAmt>115512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14370</ManagementAndGeneralAmt>
        <FundraisingAmt>17073</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>105332</TotalAmt>
        <ProgramServicesAmt>80846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10687</ManagementAndGeneralAmt>
        <FundraisingAmt>13799</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>3909</TotalAmt>
        <ProgramServicesAmt>938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1736</ManagementAndGeneralAmt>
        <FundraisingAmt>1235</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>576</TotalAmt>
        <ProgramServicesAmt>135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161</ManagementAndGeneralAmt>
        <FundraisingAmt>280</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>123423</TotalAmt>
        <ProgramServicesAmt>107249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4307</ManagementAndGeneralAmt>
        <FundraisingAmt>11867</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>53088</TotalAmt>
        <ProgramServicesAmt>40952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8579</ManagementAndGeneralAmt>
        <FundraisingAmt>3557</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>136532</TotalAmt>
        <ProgramServicesAmt>131543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1059</ManagementAndGeneralAmt>
        <FundraisingAmt>3930</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUBSCRIPTIONS</Desc>
        <TotalAmt>51506</TotalAmt>
        <ProgramServicesAmt>46726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2527</ManagementAndGeneralAmt>
        <FundraisingAmt>2253</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LEASE EXPENSES</Desc>
        <TotalAmt>7393</TotalAmt>
        <ProgramServicesAmt>3677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1774</ManagementAndGeneralAmt>
        <FundraisingAmt>1942</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>518</TotalAmt>
        <ProgramServicesAmt>20</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260</ManagementAndGeneralAmt>
        <FundraisingAmt>238</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3613897</TotalAmt>
        <ProgramServicesAmt>2654881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>611985</ManagementAndGeneralAmt>
        <FundraisingAmt>347031</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>269375</BOYAmt>
        <EOYAmt>509311</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1465970</BOYAmt>
        <EOYAmt>992016</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>148251</BOYAmt>
        <EOYAmt>98026</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>38975</BOYAmt>
        <EOYAmt>64511</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>43835</BOYAmt>
        <EOYAmt>60824</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3568101</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1317981</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2318758</BOYAmt>
        <EOYAmt>2250120</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>75068</BOYAmt>
        <EOYAmt>80383</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <EOYAmt>6816</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2683110</BOYAmt>
        <EOYAmt>2997333</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>7043342</BOYAmt>
        <EOYAmt>7059340</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>221653</BOYAmt>
        <EOYAmt>283964</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>127047</BOYAmt>
        <EOYAmt>60961</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>348700</BOYAmt>
        <EOYAmt>344925</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3935852</BOYAmt>
        <EOYAmt>3803611</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2758790</BOYAmt>
        <EOYAmt>2910804</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6694642</BOYAmt>
        <EOYAmt>6714415</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7043342</BOYAmt>
        <EOYAmt>7059340</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-180142</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>199915</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc10">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1778043</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2534020</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1889276</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1274211</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1391632</CurrentTaxYearAmt>
        <TotalAmt>8867182</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>1219408</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1726931</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2031712</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1708889</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1770289</CurrentTaxYearAmt>
        <TotalAmt>8457229</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>2997451</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4260951</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3920988</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2983100</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3161921</CurrentTaxYearAmt>
        <TotalAmt>17324411</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>21750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28788</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>316337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>69525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>73929</CurrentTaxYearAmt>
        <TotalAmt>510329</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>21750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28788</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>316337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>69525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>73929</CurrentTaxYearAmt>
        <TotalAmt>510329</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>16814082</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>128376</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>121957</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47959</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>78687</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47320</CurrentTaxYearAmt>
        <TotalAmt>424299</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>128376</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>121957</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47959</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>78687</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47320</CurrentTaxYearAmt>
        <TotalAmt>424299</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus1YearAmt>131057</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>130635</CurrentTaxYearAmt>
        <TotalAmt>261692</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>784239</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>523000</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>1307239</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3910066</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4905908</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3968947</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3192844</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3339876</CurrentTaxYearAmt>
        <TotalAmt>19317641</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.87040</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.88420</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>1,307,239</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc4">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2787226</BeginningYearBalanceAmt>
        <ContributionsAmt>18080</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>322318</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>128282</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>16721</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2982621</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2389667</BeginningYearBalanceAmt>
        <ContributionsAmt>117396</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>295104</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>14941</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2787226</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2613347</BeginningYearBalanceAmt>
        <ContributionsAmt>155712</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-364765</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>14627</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2389667</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1798750</BeginningYearBalanceAmt>
        <ContributionsAmt>610905</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>216956</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>13264</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2613347</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1317747</BeginningYearBalanceAmt>
        <ContributionsAmt>296869</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>194059</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>9925</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1798750</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.03520</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.96480</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>358340</OtherCostOrOtherBasisAmt>
        <BookValueAmt>358340</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2509070</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>834280</DepreciationAmt>
        <BookValueAmt>1674790</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>244896</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>88129</DepreciationAmt>
        <BookValueAmt>156767</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>455795</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>395572</DepreciationAmt>
        <BookValueAmt>60223</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2250120</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS HELD BY COMMUNITY FDN MID TN</Desc>
        <BookValueAmt>2982621</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM SK THERAPY ASSOCIATES</Desc>
        <BookValueAmt>14712</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2997333</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3571941</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>199915</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>79950</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>10556</OtherRevenueAmt>
      <RevenueNotReportedAmt>290421</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3281520</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>16838</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>135397</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>152235</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3433755</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3776905</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>79950</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>235293</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>315243</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3461662</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>16838</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>135397</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>152235</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3613897</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SK THERAPY ASSOCIATES REVENUE INCLUDED IN AUDIT 10,556</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT RECOVERY NETTED AGAINST REVENUE PER AUDIT 550 MGMT FEE REVENUE NETTED AGAINST EXPENSE PER AUDIT 134,847</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SK THERAPY ASSOCIATES EXPENSE INCLUDED IN AUDIT 235,293</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT RECOVERY NETTED AGAINST REVENUE PER AUDIT 550 MGMT FEE REVENUE NETTED AGAINST EXPENSE PER AUDIT 134,847</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME TAXES THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED IN SECTION 512(A)(1) OF THE IRC IS SUBJECT TO FEDERAL INCOME TAX. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL TAX POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION; THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <FundraisingEventInformationGrp>
        <Event1Nm>RACE</Event1Nm>
        <GrossReceiptsEvent1Amt>168372</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>29003</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>139369</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>250</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>6497</NonCashPrizesEvent1Amt>
        <FoodAndBeverageEvent1Amt>16295</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>48401</OtherDirectExpensesEvent1Amt>
        <Event2Nm>SPRING GOLF</Event2Nm>
        <GrossReceiptsEvent2Amt>64931</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>8561</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>56370</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>400</CashPrizesEvent2Amt>
        <NonCashPrizesEvent2Amt>3153</NonCashPrizesEvent2Amt>
        <FoodAndBeverageEvent2Amt>3869</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>10710</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>10359</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>47823</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>3713</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>44110</GrossRevenueOtherEventsAmt>
        <CashPrizesOtherEventsAmt>300</CashPrizesOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>1238</NonCashPrizesOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>3361</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>4663</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>281126</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>41277</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>239849</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>950</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>10888</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>23525</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>10710</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>63423</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>109496</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>130353</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SK THERAPY ASSOCIATES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>316 MCBRIEN ROAD</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37411</ZIPCd>
        </USAddress>
        <RecipientEIN>834013645</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7873</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="RetDoc7">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>15451</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>20</ContributionCnt>
        <NoncashContributionsRptF990Amt>26511</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PROGRAM IN-KIND</Desc>
        <ContributionCnt>59</ContributionCnt>
        <NoncashContributionsRptF990Amt>39383</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EVENT IN-KIND</Desc>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>10512</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONTROLLER AND DIRECTOR OF ADMINISTRATION REVIEW THE 990 PRIOR TO PROVIDING IT TO THE FULL BOARD. THE 990 IS FILED WITH THE IRS AFTER THE BOARD REVIEWS AND APPROVES THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE GOVERNANCE AND BY-LAW COMMITTEE REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY APPROVES SALARY AND SALARY CHANGES FOR THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY APPROVES SALARY AND SALARY CHANGES FOR ALL OFFICERS &amp; KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC ON GIVING MATTERS AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPECIAL KIDS REAL ESTATE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>202 ARNETTE STREET</AddressLine1Txt>
          <CityNm>MURFREESBORO</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37130</ZIPCd>
        </USAddress>
        <EIN>611615479</EIN>
        <PrimaryActivitiesTxt>REAL ESTAT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>8248</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2760971</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SPECIAL KI</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SPECIAL KIDS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SK THERAPY ASSOCIATES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6221 SHALLOWFORD ROAD SUITE 101</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37421</ZIPCd>
        </USAddress>
        <EIN>834013645</EIN>
        <PrimaryActivitiesTxt>THERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SK THERAPY ASSOCIATES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>134847</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SK THERAPY ASSOCIATES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>7873</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>