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      <TotalReportableCompFromOrgAmt>681997</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>145418</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>543324</AllOtherContributionsAmt>
      <TotalContributionsAmt>543324</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INTERMED.CARE FACILITIES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>13078714</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13078714</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WAIVER SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1957775</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1957775</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15036489</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>33261</TotalRevenueColumnAmt>
        <ExclusionAmt>33261</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>667919</SecuritiesAmt>
        <OtherAmt>2905</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>594640</SecuritiesAmt>
        <OtherAmt>44586</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>73279</SecuritiesAmt>
        <OtherAmt>-41681</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>31598</TotalRevenueColumnAmt>
        <ExclusionAmt>31598</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC.SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>40</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>40</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15644712</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15036529</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>64859</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>827417</TotalAmt>
        <ProgramServicesAmt>464514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>362903</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>8519358</TotalAmt>
        <ProgramServicesAmt>7842975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>676383</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1088374</TotalAmt>
        <ProgramServicesAmt>972178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116196</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>844569</TotalAmt>
        <ProgramServicesAmt>757842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86727</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>82382</TotalAmt>
        <ManagementAndGeneralAmt>82382</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>49070</TotalAmt>
        <ManagementAndGeneralAmt>49070</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18964</TotalAmt>
        <ManagementAndGeneralAmt>18964</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>321483</TotalAmt>
        <ProgramServicesAmt>155584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157305</ManagementAndGeneralAmt>
        <FundraisingAmt>8594</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>75445</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1069119</TotalAmt>
        <ProgramServicesAmt>933081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136038</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>95969</TotalAmt>
        <ProgramServicesAmt>92360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3609</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>27171</TotalAmt>
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        <ManagementAndGeneralAmt>4017</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>38645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188975</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAID PROVIDER FEES</Desc>
        <TotalAmt>540810</TotalAmt>
        <ProgramServicesAmt>540810</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES AND EQUIPMENT</Desc>
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        <ManagementAndGeneralAmt>71234</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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        <ProgramServicesAmt>330309</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>13625</TotalAmt>
        <ProgramServicesAmt>5344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8281</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>14736931</TotalAmt>
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        <FundraisingAmt>8607</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1994845</EOYAmt>
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        <EOYAmt>4048451</EOYAmt>
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        <EOYAmt>197508</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>2019113</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>967610</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1459547</EOYAmt>
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        <EOYAmt>393885</EOYAmt>
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        <EOYAmt>7696767</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>871004</EOYAmt>
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        <EOYAmt>8567771</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>10832024</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>907781</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>98916</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>35143</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>3008693</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3540259</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3396984</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>543324</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>12382652</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12523221</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13920944</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15036489</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>15391345</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16063480</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17317928</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15579813</CurrentTaxYearAmt>
        <TotalAmt>79471048</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus2YearsAmt>257631</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>40</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>17412740</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomePYPct>0.00190</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC SERVICES - 2020 AMOUNT: $ 33,197. 2021 AMOUNT: $ 38,762. 2022 AMOUNT: $ 20. 2023 AMOUNT: $ 60. 2024 AMOUNT: $ 40. REAL ESTATE TAX REFUND - 2022 AMOUNT: $ 257,611.</ExplanationTxt>
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        <ContributorBusinessName>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <InvestmentEarningsOrLossesAmt>40332</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>393885</EndYearBalanceAmt>
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        <OtherExpendituresAmt>17726</OtherExpendituresAmt>
        <EndYearBalanceAmt>369456</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-56458</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>18509</OtherExpendituresAmt>
        <EndYearBalanceAmt>337782</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>43044</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>18488</OtherExpendituresAmt>
        <EndYearBalanceAmt>412749</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT TO USE ASSET</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESCROW ACCOUNT LIABILITY - THE ORGANIZATION HOLDS FUNDS FOR CLIENTS SERVED IN VARIOUS PROGRAMS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>USE OF ENDOWMENT FUNDS - ROSE-MARY MAY USE THE TEMPORARILY RESTRICTED ENDOWMENTS FOR ITS GENERAL OPERATING NEEDS. PERMANENTLY RESTRICTED ENDOWMENT FUNDS MUST REMAIN INVESTED IN PERPETUITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 (ASC 740 FOOTNOTE) - TAX STATUS: ROSE-MARY AND RMHC (A RELATED ENTITY) ARE TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CONTRIBUTIONS TO ROSE-MARY AND RMHC QUALIFY AS CHARITABLE CONTRIBUTIONS. THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) PROVIDES GUIDANCE FOR HOW UNCERTAIN INCOME TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, DISCLOSED, AND PRESENTED IN THE FINANCIAL STATEMENTS. THIS REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ROSE-MARY'S AND RMHC'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE-LIKELY-THAN-NOT OF BEING SUSTAINED WHEN CHALLENGED OR WHEN EXAMINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE AND LIABILILTY IN THE CURRENT YEAR. FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, MANAGEMENT HAS DETERMINED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>GINA KERMAN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>185308</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10647</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21560</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219515</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE ORLOWSKI</PersonNm>
        <TitleTxt>DIRECTOR OF HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>135182</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8346</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25327</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171355</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE PICARD</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>125015</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8329</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30327</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166171</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 - THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS GIVEN A DRAFT OF FORM 990 FOR REVIEW AND COMMENT. RECOMMENDED CHANGES ARE DISCUSSED AND MADE WHERE APPROPRIATE AND A FINAL COPY OF FORM 990 IS PRESENTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF CONFLICT POLICY - THE ORGANIZATION REQUIRES ANNUAL DISLCOSURE OF CONFLICTS OF INTEREST. WHEN A CONFLICT ARISES, THE PERSON IS NOT PERMITTED TO PARTICIPATE IN THE DISCUSSION OF THE PROPOSED TRANSACTION OR TO VOTE ON THE MATTER. PEOPLE WHO ARE INDEPENDENT OF THE PERSON WITH THE CONFLICT MAKE THE DECISION ON THE MATTER AND ENSURE THAT THE DECISION IS MADE IN THE BEST INTERESTS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL - COMPENSATION OF THE EXECUTIVE DIRECTOR IS ESTABLISHED BY THE BOARD OF DIRECTORS UPON HIRE AND MAY BE ADJUSTED AS THE BOARD SEES FIT. OTHER KEY EMPLOYEES ARE HIRED INTO THE ORGANIZATION BASED ON CURRENT MARKET FORCES IN THE CLEVELAND AREA AT THE TIME OF HIRE. ANNUAL INCREASES ARE BASED ON BUDGETED COST OF LIVING INCREASES APPROVED BY THE BOARD OF DIRECTORS AND WERE LAST ADJUSTED IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS - THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH IN INTERNAL REVENUE CODE SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN CHARITABLE PERPETUAL TRUST 35,143.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROSE-MARY HOUSING CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5500 S MARGINAL RD STE 110</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>341963245</EIN>
        <PrimaryActivitiesTxt>OWNER OF INTERMEDIATE CARE FACILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROSE-MARY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ROSE-MARY HOUSING CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>580940</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>