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      <PreparerPersonNm>JENNIFER COLEMAN</PreparerPersonNm>
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      <ActivityOrMissionDesc>TO PROVIDE A QUALITY, AFFORDABLE, AND COMPASSIONATE HEALTH HOME FOR EVERY PATIENT ALONG WITH OTHER SERVICES THAT MEET THE NEEDS OF THE COMMUNITY.</ActivityOrMissionDesc>
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      <MissionDesc>TO OPEN PATHWAYS TO WELLBEING BY CONNECTING COMMUNITIES TO HEALTH AND SUPPORTIVE SERVICES.</MissionDesc>
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      <Desc>HEALTHCARE PROGRAMSMEDICAL SERVICES PROVIDES COMMUNITY-BASED COMPREHENSIVE ACCESSIBLE PRIMARY CARE FOR ALL AGES IN SUMMIT, PORTAGE, TRUMBULL, AND MAHONING COUNTIES. THIS COMPREHENSIVE MEDICAL CARE INCLUDES ADULT, PEDIATRIC, AND GERIATRIC CARE, AND SERVICES INCLUDE ACUTE CARE, PREVENTIVE SCREENINGS, ROUTINE PHYSICALS, CHRONIC DISEASE MANAGEMENT, GERIATRIC CARE, STD/HIV TESTING AND TREATMENT, AND MEDICATION-ASSISTED TREATMENT. LAST YEAR, AXESSPOINTE HAD 31,744 MEDICAL ENCOUNTERS WITH PATIENTS ACROSS ALL COUNTIES.BEHAVIORAL HEALTH SERVICES OFFERS COMPREHENSIVE MENTAL AND BEHAVIORAL HEALTH CARE IN SUMMIT, PORTAGE, TRUMBULL, AND MAHONING COUNTIES. THIS CARE INCLUDES DIAGNOSTIC ASSESSMENTS, INDIVIDUAL PSYCHOTHERAPY FOR CONDITIONS SUCH AS DEPRESSION, ANXIETY, TRAUMA, GRIEF, AND STRESS MANAGEMENT, CRISIS INTERVENTION, SUPPORT FOR COPING WITH CHRONIC ILLNESS, AND TREATMENT FOR SUBSTANCE USE DISORDERS INCLUDING MEDICATION-ASSISTED TREATMENT (MAT). LICENSED BEHAVIORAL HEALTH PROVIDERS WORK IN COORDINATION WITH MEDICAL STAFF TO ENSURE WHOLE-PERSON CARE. LAST YEAR, AXESSPOINTE PROVIDED BEHAVIORAL HEALTH SERVICES TO 9,275 PATIENTS ACROSS ALL COUNTIES.DENTAL SERVICES - OFFERS COMPREHENSIVE DENTAL CARE FOR ALL AGES IN SUMMIT, PORTAGE, TRUMBULL, AND MAHONING COUNTIES, AND ACCEPTS MEDICAID, MEDICARE, MOST PRIVATE INSURANCE, AND PROVIDES A SLIDING FEE SCALE FOR UNINSURED OR UNDERINSURED PATIENTS. OUR DENTAL CARE INCLUDES ROUTINE CLEANINGS, ADULT AND PEDIATRIC EXAMS, DIAGNOSTIC X RAYS, ENDODONTICS, EXTRACTIONS, FILLINGS, FLUORIDE TREATMENTS, AND SEALANTS. ADVANCED SERVICES AVAILABLE AT SELECT LOCATIONS INCLUDE CROWNS, COMPLETE OR PARTIAL DENTURES, IMMEDIATE DENTURES, MOUTHGUARDS, AND WHITENING. WE ALSO REFER TO ORAL SURGEONS AS NEEDED AND CAN PROVIDE TELEHEALTH SERVICES. LAST YEAR, WE HAD 15,181 DENTAL INTERACTIONS.OPTOMETRY SERVICES - PROVIDES COMPREHENSIVE VISION CARE FOR ALL AGES IN SUMMIT AND PORTAGE COUNTIES AND ACCEPTS MEDICAID, MEDICARE, MOST PRIVATE INSURANCES, AND PROVIDES A SLIDING FEE SCALE FOR UNINSURED OR UNDERINSURED PATIENTS. THIS INCLUDES ADULT AND PEDIATRIC ANNUAL EYE EXAMS, VISION TESTING, AND SPECIALIZED DIABETIC EYE EXAMS TO MONITOR FOR RETINOPATHY. LAST YEAR, OUR OPTOMETRY TEAM HAS 1,081 PATIENT INTERACTIONS. PHARMACY SERVICES OFFERS PHARMACEUTICAL CARE, MEDICATION THERAPY MANAGEMENT, AND SPECIALTY PHARMACY SERVICES THROUGHOUT SUMMIT, PORTAGE, TRUMBULL, AND MAHONING COUNTIES. OUR PHARMACEUTICAL SERVICES INCLUDE AFFORDABLE PRESCRIPTION PROGRAMS, HEPATITIS C TREATMENT, PRE-EXPOSURE PROPHYLAXIS, MEDICATION DELIVERY, MEDICATION SYNCHRONIZATION, MEDICARE PART D ASSISTANCE, AND VACCINATIONS INCLUDING THE FLU AND SHINGLES VACCINES. THE PHARMACY ALSO OFFERS CHRONIC DISEASE MANAGEMENT FOR DIABETES, ASTHMA, AND HEART DISEASE AND DISCOUNTED DIABETIC SUPPLIES AND OVER-THE-COUNTER MEDICATIONS. ADDITIONALLY, OUR PHARMACY UTILIZES THE 340B PROGRAM, WHICH IS A FEDERAL PROGRAM THAT ALLOWS US TO OFFER DISCOUNTED PRESCRIPTIONS TO ELIGIBLE PATIENTS. IN TOTAL, THE PHARMACY FILLED 90,236 PRESCRIPTIONS AND HAD 4,426 CLINICAL ENCOUNTERS.</Desc>
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        <Desc>CLINICAL PROGRAMSVALLEY HEALTH SERVICES - LOCATED IN WARREN, VALLEY HEALTH SERVICES IS A COMMUNITY BEHAVIORAL HEALTH PROVIDER PRIMARILY SERVING THE RESIDENTS OF TRUMBULL COUNTY, AND EXTENDING SERVICES TO THE RESIDENTS OF PORTAGE, MAHONING, AND COLUMBIANA COUNTIES. VALLEY HEALTH SERVICES IS CERTIFIED TO PROVIDE BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES BY THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES. DURING FY2024, VALLEY HEALTH SERVICES PROVIDED SERVICES TO APPROXIMATELY 6,284 CHILDREN, ADOLESCENTS, AND ADULTS THROUGH VARIOUS PROGRAMS AND SERVICE LINES AT THEIR FOUR LOCATIONS. SOME OF THE SERVICES PROVIDED ARE DIAGNOSTIC ASSESSMENT, INDIVIDUAL AND GROUP COUNSELING, INDIVIDUAL AND GROUP CASE MANAGEMENT, CRISIS INTERVENTION, AND MEDICATION MANAGEMENT. VALLEY HEALTH SERVICES CONTINUES TO INCREASE ACCESSIBILITY TO SERVICES BY CREATING WALK-IN CLINICS AND BY STRATEGICALLY LOCATING SERVICES WITHIN SCHOOLS, THE LOCAL CHILDREN'S SERVICES BOARD, THE JUVENILE AND FAMILY COURT SYSTEMS, THE LOCAL DOMESTIC VIOLENCE SHELTER, AND MULTIPLE CHILD DAYCARE CENTERS. ADDITIONALLY, COOPERATIVE RELATIONSHIPS HAVE BEEN ESTABLISHED WITH PROBATE COURT, LOCAL COALITIONS TO END HOMELESSNESS AND WITH AREA INPATIENT PSYCHIATRIC UNITS TO ASSIST CLIENTS IN REMAINING IN THEIR LOCAL COMMUNITIES. THE INTENTION HAS BEEN TO BE AN ACTIVE PARTICIPANT IN PROVIDING A CONTINUUM OF CARE FOR THE MENTALLY-ILL.GOULGER COUNSELING- OFFERS A LARGE ARRAY OF SERVICES TO HELP FAMILIES AND INDIVIDUALS ATTAIN OPTIMUM MENTAL HEALTH FUNCTIONING, INCLUDING INDIVIDUAL PSYCHOTHERAPY, GROUP COUNSELING, AND PSYCHIATRIC SERVICES. THROUGH OUR IN-HOME BEHAVIORAL HEALTH COUNSELING AND CASE MANAGEMENT SERVICES, WE ASSIST IN FAMILY AND INDIVIDUAL STABILIZATION. WE OFFER SEVERAL DIVERSION PROGRAMS, DRIVER INTERVENTION PROGRAM FOR OFFENDERS WITH OVI'S, THINK ABOUT YOUR FUTURE FOR ADULT OFFENDERS CHARGED WITH UNDER AGED DRINKING, AND BIC 60 FOR FIRST TIME MARIJUANA OFFENDERS. PARTICIPANTS IN THESE PROGRAMS ENGAGE IN DRUG AND ALCOHOL EDUCATION THROUGH INDIVIDUAL AND GROUP SESSIONS, PAY COURT COSTS AND ENGAGE IN COMMUNITY SERVICE AS THEIR SENTENCE FOR THEIR OFFENSES. THE COUNSELING DEPARTMENT ALSO OFFERS SPECIALIZED GROUPS THAT INCLUDE PARENTING, ANGER MANAGEMENT, AND GENDER SPECIFIC TRAUMA GROUPS. GROUP AND INDIVIDUAL SESSIONS ARE OFFERED FOR THESE PROGRAMS AS WELL. WE ALSO OFFER EXTENSIVE PROGRAMMING FOR INDIVIDUALS IN RECOVERY, INCLUDING AN INTENSIVE OUTPATIENT PROGRAM, MEDICATION ASSISTED TREATMENT, INPATIENT SUD TREATMENT AND OUTPATIENT TREATMENT. AXESS FAMILY SERVICES HAS FOUR SOBER LIVING HOUSES AND TWO RECOVERY HOUSES CERTIFIED THROUGH OHIO RECOVERY HOUSING. ON TRACK TO RECOVERY PROGRAM (OTTR) IS A CERTIFIED RECOVERY HOUSE FOR MEN WHO ARE STRUGGLING WITH HOUSING AS THEY WORK ON THEIR SOBRIETY. PARC IS ALSO A CERTIFIED RECOVERY HOUSE THAT OFFERS CASE MANAGEMENT, PEER SUPPORT, INDIVIDUAL AND GROUP COUNSELING. PARC HAS 23-BEDS THAT SERVE WOMEN IN RECOVERY. ROOT HOUSE IS OUR MALE SUD INPATIENT TREATMENT PROGRAM THAT HAS 10 BEDS TO SERVE MALE CLIENTS. IN FY 2020, WE ALSO EXPANDED OUR FOOTPRINT IN THE COMMUNITY BY ADDING A NEW RECOVERY/REUNIFICATION HOUSE IN PORTAGE COUNTY. GOUGLER COUNSELING SERVED APPROXIMATELY 919 INDIVIDUALS THROUGH ITS RECOVERY PROGRAMS, AND APPROXIMATELY 418 THROUGH ITS MENTAL HEALTH PROGRAMS IN FY 2024.ENOUGH IS ENOUGH A REENTRY PROGRAM THAT SUPPORTS INDIVIDUALS TRANSITIONING FROM INCARCERATION BACK INTO THE COMMUNITY BY PROVIDING COMPREHENSIVE CASE MANAGEMENT, HOUSING ASSISTANCE, AND EMPLOYMENT SUPPORT. THE PROGRAM HELPS PARTICIPANTS ADDRESS BARRIERS SUCH AS SUBSTANCE USE, MENTAL HEALTH NEEDS, AND LEGAL CHALLENGES, PROMOTING SUCCESSFUL REINTEGRATION AND REDUCING RECIDIVISM. DURING THIS FISCAL PERIOD, 1,000 HOURS OF SCREENING, INDIVIDUAL SESSIONS, FELLOWSHIP ENGAGEMENT, REFERRALS WERE PROVIDED TO 150 INDIVIDUALS.FOSTER CARE AND ADOPTION SERVICES A FULL-SERVICE FOSTER CARE AND ADOPTION PROGRAM SERVING CHILDREN (AGES 0-18), THEIR FAMILIES AND FOSTER FAMILIES THROUGHOUT MICHIGAN. DURING FISCAL YEAR 2024, APPROXIMATELY 350 CHILDREN AND THEIR FAMILIES RECEIVED FOSTER CARE SERVICES AND APPROXIMATELY 120 CHILDREN AND THEIR FAMILIES RECEIVED ADOPTION SERVICES.</Desc>
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        <Desc>VETERANS PROGRAMSFREEDOM HOUSE PROVIDES TRANSITIONAL HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS MALE VETERANS IN PORTAGE COUNTY. LAST YEAR, 44 VETERANS WERE PROVIDED WITH CASE MANAGEMENT SERVICES AND SHELTER FOR A TOTAL OF 3,441 BED NIGHTS. VALOR HOME SUMMIT PROVIDES TRANSITIONAL HOUSING TO HOMELESS VETERANS IN SUMMIT COUNTY. IN FY24, 120 VETERANS WERE PROVIDED WITH SHELTER FOR A TOTAL OF 8,862 BED NIGHTS. VALOR HOME LORAIN PROVIDES TRANSITIONAL HOUSING TO HOMELESS VETERANS IN LORAIN COUNTY. IN LAST YEAR, 68 VETERANS WERE PROVIDED WITH SHELTER FOR A TOTAL OF 7,053 BED NIGHTS. VETERAN'S HAVEN PROVIDES TRANSITION-IN-PLACE PERMANENT SUPPORTIVE HOUSING AND CASE MANAGEMENT SERVICES FOR HOMELESS VETERANS. LAST YEAR, 35 VETERANS WERE PROVIDED WITH SHELTER FOR A TOTAL OF 2,431 BED NIGHTS.SUPPORTIVE SERVICES FOR VETERAN FAMILIES (SSVF) - PROVIDES HOUSING STABILIZATION SUPPORT AND TEMPORARY FINANCIAL ASSISTANCE TO VETERAN FAMILIES AND INDIVIDUALS. IN FY24, A TOTAL 228 VETERANS WERE SERVED.AMERICAN LEGION HOUSE #331, G. STREET VETERAN'S HOME, RIDDLE STREET, NEW FRONTIER HOMES, WHITE HOUSE, MISS LIBERTY HOUSE, SUMMIT LIBERTY HOUSE VETERANS PERMANENT HOUSING PROGRAMS THAT PROVIDE STABLE, LONG-TERM HOUSING SOLUTIONS FOR VETERANS EXPERIENCING HOMELESSNESS. THE PROGRAM ALSO OFFERS CASE MANAGEMENT AND SUPPORT SERVICES TO HELP VETERANS SECURE AND MAINTAIN PERMANENT HOUSING. THE GOAL IS TO PROMOTE HOUSING STABILITY AND INDEPENDENCE WHILE ADDRESSING BARRIERS SUCH AS MENTAL HEALTH, EMPLOYMENT, AND ACCESS TO BENEFITS. HONOR HOME PROVIDES STABILITY BY MEETING THE VETERANS WHERE THEY ARE ON THEIR JOURNEY TO PERMANENT HOUSING BY OFFERING TRANSITIONAL HOUSING SUPPORT, CLOTHING, FOOD, SUPPORTIVE CASE MANAGEMENT, AND ACCESS TO BOTH VETERAN'S PROGRAMING AND COMMUNITY RESOURCES. LAST YEAR, HONOR HOME SERVED 69 VETERANS WITH 6 CHILDREN FOR A TOTAL OF 6,228 BED NIGHTS.</Desc>
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        <Desc>VOLUNTEER AND SERVICE PROGRAMSRETIRED AND SENIOR VOLUNTEER PROGRAM (RSVP) THIS AMERICORPS SENIORS PROGRAM (FUNDED THROUGH THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE) RECRUITS AND PLACES INDIVIDUALS AGE 55 AND OLDER IN MEANINGFUL VOLUNTEER POSITIONS TO ADDRESS IMPORTANT COMMUNITY NEEDS IN ASHTABULA, TRUMBULL, MAHONING, COLUMBIANA, JEFFERSON, PORTAGE, STARK, SENECA, WYANDOT, HURON, MARION, MORROW, CRAWFORD, MONTGOMERY, AND GREEN COUNTIES IN OHIO. THE BENEFITS OF THE PROGRAM INCLUDE BUILDING COMMUNITY ASSETS AND THE VOLUNTEERS ARE SHOWN TO EXHIBIT BETTER HEALTH PARAMETERS THAN NON-VOLUNTEERS OF THE SAME AGE GROUP. FROM JANUARY 1, 2024 TO DECEMBER 31, 2024, 672 VOLUNTEERS SERVED 66,759 HOURS ADDRESSING THE NEEDS CLIENTS IN LOCAL NON-PROFITS AND SCHOOLS. VOLUNTEERS IN SERVICE TO AMERICA (VISTA) THIS AMERICORPS PROGRAM (FUNDED THROUGH THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE) PLACES VOLUNTEERS, WHO SERVE EITHER A SUMMER TERM OR A FULL YEAR TERM, WITH NON-PROFITS AND SCHOOLS TO ADDRESS POVERTY, INCREASE CAPACITY AND DEVELOP PROGRAM SUSTAINABILITY. FROM JANUARY 1, 2024 TO DECEMBER 31, 2024, VISTA MEMBERS RESULTED IN 854 VOLUNTEERS RECRUITED OR MANAGED AND THEY SERVED 7,075 HOURS AT VARIOUS COMMUNITY ORGANIZATIONS AND EVENTS. THESE RESULTS ARE THROUGH THE EFFORTS OF THE 19 FULL YEAR AND VISTA MEMBERS WHO SERVED. SENIOR COMPANION PROGRAM - THIS AMERICORPS PROGRAM (FUNDED THROUGH THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE) RECRUITS INDIVIDUALS 55 AND BETTER TO PROVIDE COMPANIONSHIP SERVICES TO SENIORS WHO EXPERIENCE FEELINGS OF LONELINESS AND SOCIAL ISOLATION AS WELL AS RESPITE SERVICES FOR CAREGIVERS. LAST YEAR, 40 VOLUNTEERS PROVIDED COMPANIONSHIP AND RESPITE SERVICES FOR A TOTAL OF 38,262 HOURS OF SERVICE IN CLARK, GREENE, MONTGOMERY, MIAMI, PREBLE, PORTAGE, SUMMIT AND STARK. FOSTER GRANDPARENT PROGRAM - THIS AMERICORPS PROGRAM (FUNDED THROUGH THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE) RECRUITS INDIVIDUALS 55 AND BETTER TO CONNECT WITH STUDENTS WITH EXCEPTIONAL NEEDS. LAST YEAR, FGP SAW 62 VOLUNTEERS MENTOR, SUPPORT, AND TUTOR SOME OF THE MOST VULNERABLE CHILDREN IN MAHONING, MONTGOMERY, PORTAGE, STARK, TRUMBULL, GEAUGA, GREENE AND CLARK COUNTIES. FGP VOLUNTEERS SERVED 51,156.5 HOURS. BIG BROTHERS &amp; SISTERS A ONE-ON-ONE MENTORING PROGRAM THAT MATCHES YOUTH AGED 6-17 WITH ADULT VOLUNTEERS WHO ACT AS FRIENDS, ROLE MODELS AND MENTORS IN RELATIONSHIPS FACILITATED BY PROFESSIONAL STAFF. LAST YEAR, 10,656 HOURS OF VOLUNTEER SERVICE WERE PROVIDED TO 148 CHILDREN IN PORTAGE, JEFFERSON, MAHONING, AND TRUMBULL COUNTIES.</Desc>
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        <Desc>DOMESTIC VIOLENCE &amp; VISITATION PROGRAMSSAFER FUTURES - OFFERS EMERGENCY SHELTER, OUTREACH, CASE MANAGEMENT, SUPPORT GROUPS, CLIENT ADVOCACY, CHILD ADVOCACY AND SERVICES FOR BOTH CHILDREN AND ADULT VICTIMS OF DOMESTIC VIOLENCE. IN 2024, 26 ADULTS AND 24 CHILDREN WERE SHELTERED AND RECEIVED SUPPORT SERVICES WITH A TOTAL OF 3,366 SHELTER NIGHTS, AND ANOTHER 5 SURVIVORS RECEIVED OUTREACH AND OTHER PROGRAM SERVICES. PLACE OF PEACE PROVIDES A SAFE ENVIRONMENT FOR FAMILIES EXPERIENCING DOMESTIC VIOLENCE TO ENGAGE IN SUPERVISED VISITATION WITH THEIR CHILDREN. NON-CUSTODIAL PARENTS CAN VISIT WITH THEIR CHILDREN AT THE CENTER IF THEY HAVE COURT ORDERED SUPERVISED VISITS OR THEY CAN PICK THEM UP FOR STANDARD VISITATION. VICTIMS OF DOMESTIC VIOLENCE CAN FEEL SAFER BECAUSE THEY NEVER HAVE TO SEE OR SPEAK WITH THE ABUSER DURING THE EXCHANGE OR VISITATION OF CHILDREN. ARRIVAL AND DEPARTURE TIMES ARE STAGGERED SO THAT THE VICTIMS CAN ARRIVE AND DEPART SAFELY. LAST YEAR, 40 CHILDREN AND THEIR FAMILIES BENEFITED FROM THE SERVICES OF 500 SUPERVISED VISITS AND 287 SAFE EXCHANGES FOR VISITATION. SAFE PATH TRANSITIONAL HOUSING PROGRAM FOR CHILDREN AND ADULT SURVIVORS OF DOMESTIC VIOLENCE THAT ALLOWS THEM TO PURSUE SAFE AND HEALTHY LIVES. THE SAFE PATH FACILITY IS AT AN UNDISCLOSED, SECURED LOCATION TO ENSURE THE SAFETY AND PRIVACY OF ITS RESIDENTS. IN 2024, 14 WOMEN AND 29 CHILDREN RECEIVED SERVICES WITH A TOTAL OF 2,695 TRANSITIONAL NIGHTS. SOMEPLACE SAFE - THE EXCLUSIVE PROVIDER OF COMPREHENSIVE SERVICES FOR CHILDREN AND ADULT SURVIVORS OF DOMESTIC VIOLENCE IN TRUMBULL COUNTY. OFFERS EMERGENCY SHELTER, OUTREACH, CASE MANAGEMENT, SUPPORT GROUPS, CLIENT ADVOCACY, CHILD ADVOCACY AND SERVICES FOR BOTH CHILDREN AND ADULT VICTIMS OF DOMESTIC VIOLENCE. IN 2024, 62 ADULTS AND 72 CHILDREN WERE SHELTERED AND RECEIVED SUPPORT SERVICES WITH A TOTAL OF 13,780 SHELTER NIGHTS, RECEIVED 636 HOTLINE CALLS, 306 SAFE CHATS, 124 PEOPLE WITH CIVIL PROTECTION ORDERS, 172 PEOPLE WITH VICTIMS' RIGHTS AND 333 PEOPLE WITH COURT ACCOMPANIMENT. SOLACE CENTER - PROVIDES A SAFE ENVIRONMENT FOR FAMILIES EXPERIENCING DOMESTIC VIOLENCE TO ENGAGE IN SUPERVISED VISITATION WITH THEIR CHILDREN. SOLACE CENTER IS THE ONLY PRIVATE, NON-PROFIT SAFE-EXCHANGE, SUPERVISED VISITATION PROGRAM IN TRUMBULL COUNTY. VISITS AND EXCHANGES ARE CURRENTLY FACILITATED ON THE CAMPUS OF VALLEY COUNSELING'S CHILDREN AND YOUTH SERVICES OFFICE LOCATED IN WARREN. LAST YEAR WE PROVIDED 631 SUPERVISED VISITS INVOLVING 51 ADULTS AND 70 CHILDREN AND 4 SUPERVISED EXCHANGES. OF THOSE CASES, 30 HAVE SUCCESSFULLY TRANSITIONED OUT OF THE PROGRAM.</Desc>
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        <Desc>HOUSING PROGRAMSHOUSING AND EMERGENCY SUPPORTIVE SERVICES (HESS) PROVIDES HOUSING STABILIZATION SUPPORT AND TEMPORARY FINANCIAL ASSISTANCE FOR FAMILIES AND INDIVIDUALS. A TOTAL OF 164 HOUSEHOLDS CONSISTING OF 190 ADULTS AND 138 CHILDREN WERE SERVED LAST YEAR. CTP - PROVIDES HOUSING STABILIZATION, CASE MANAGEMENT AND FINANCIAL ASSISTANCE TO INDIVIDUALS RECENTLY RELEASED FROM PRISON. A TOTAL OF 13 HOUSEHOLDS CONSISTING OF 13 ADULTS AND 1 CHILD WERE SERVED THIS FISCAL YEAR. PORTAGE AREA TRANSITIONAL HOUSING PROVIDES TRANSITIONAL HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS FAMILIES AND SINGLE ADULTS. HOUSING AND SERVICES WERE PROVIDED FOR 7 HOUSEHOLDS CONSISTING OF 9 ADULTS AND 11 CHILDREN. MILLER COMMUNITY HOUSE PROVIDES EMERGENCY HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS MEN, WOMEN AND CHILDREN. LAST YEAR, 4,049 EMERGENCY SHELTER BED NIGHTS WERE PROVIDED TO 42 ADULTS AND 16 CHILDREN. PERMANENT SUPPORTIVE HOUSING PROVIDES LONG-TERM HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS FAMILIES AND SINGLE ADULTS WITH DISABILITIES. IN FISCAL YEAR 2024, HOUSING AND SERVICES WERE PROVIDED FOR 19 HOUSEHOLDS, INCLUDING 23 ADULTS AND 10 CHILDREN. NEXT STEP - PROVIDES HOUSING AND CASE MANAGEMENT SERVICES FOR AT-RISK YOUNG ADULTS BETWEEN THE AGES OF 18 AND 24. THESE SERVICES INCLUDE ASSISTING WITH EMPLOYMENT, EDUCATION, AND LIFE SKILLS FOR THOSE WHO HAVE BEEN VICTIMIZED. THE GOAL IS TO ASSIST THESE YOUNG ADULTS TO SUCCESSFULLY TRANSITION TO INDEPENDENCE. LAST FISCAL YEAR, 63 YOUTH RECEIVED CASE MANAGEMENT SERVICES IN PORTAGE AND GEAUGA COUNTIES, AND 20 GEAUGA COUNTY CLIENTS WERE PROVIDED WITH TRANSITIONAL HOUSING SERVICES. ALL CLIENTS WERE PROVIDED WITH ACCESS TO HEALTH CARE AND TRANSPORTATION AS NEEDED. KENTWAY SENIOR INDEPENDENT LIVING PROVIDES QUALITY, AFFORDABLE HOUSING AND SERVICES FOR INDEPENDENT SENIORS FIFTY-FIVE AND OLDER. KENTWAY IS EQUIPPED WITH A NUMBER OF ON-SITE AMENITIES, INCLUDING A COMMUNITY ROOM, LIBRARY, POOL TABLE, AND AN INDEPENDENTLY OWNED HAIR SALON. DAILY HOT MEALS ARE PROVIDED TO RESIDENTS ON-SITE, MONDAY-FRIDAY, THROUGH MOBILE MEALS. LAST YEAR, 142 OF THE APARTMENTS WERE OCCUPIED BY SENIORS.</Desc>
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        <Desc>YOUTH AND DISABILITY PROGRAMSOHIO EARLY INTERVENTION: PORTAGE COUNTY EARLY INTERVENTION (EI) IS A STATEWIDE SYSTEM THAT PROVIDES COORDINATED EARLY INTERVENTION SERVICES TO PARENTS OF ELIGIBLE CHILDREN UNDER THE AGE OF THREE WITH DEVELOPMENTAL DELAYS OR DISABILITIES. EI IS GROUNDED IN THE PHILOSOPHY THAT YOUNG CHILDREN LEARN BEST FROM FAMILIAR PEOPLE IN FAMILIAR SETTINGS. FROM JANUARY 1, 2024, TO DECEMBER 31, 2024, PORTAGE COUNTY EI SERVED 358 CHILDREN IN THE PROGRAM. YOUTH DEVELOPMENT PROGRAM PROVIDES MENTORING, JOB PLACEMENT AND MONITORING, INTERVIEW/SOFT SKILLS, AND RESUME BUILDING FOR AT-RISK YOUTH. PROGRAM PARTICIPANTS ARE ELIGIBLE TO WORK 20 HOURS PER WEEK, EARNING UP TO A MAXIMUM WAGE OF $13 PER HOUR. PARTICIPANTS ARE ABLE TO WORK A MAXIMUM OF 2000 HOURS DURING THE PROGRAM PARTICIPATION. FROM JANUARY 1, 2024, TO DECEMBER 31, 2024 THE PROGRAM PROVIDED 113 YOUTH WITH JOBS.EMERALD TRANSPORTATION - PROVIDES NON-EMERGENCY MEDICAL TRANSPORTATION, NON-MEDICAL TRANSPORTATION TO THE DD POPULATION, INDIVIDUAL, GROUP, AND SPECIAL EVENT TRANSPORTATION. WE PROVIDED 2,372 RIDES BETWEEN 1/1/24 AND 12/31/24. UNIFIED RESOURCES RECREATION A FREE RECREATIONAL PROGRAM FOR TEEN AND ADULT INDIVIDUALS WITH DISABILITIES WHO ARE ELIGIBLE FOR SERVICES FROM PORTAGE DD. IN 2024, WE HAD 39 TEENS AGES 12-17 PARTICIPATE IN 90 ACTIVITIES, AND 124 INDIVIDUALS 18 AND OLDER PARTICIPATE IN 126 ACTIVITIES, INCLUDING A 34-WEEK BOWLING PROGRAM. THE PROGRAM ALSO BENEFITTED FROM 80 VOLUNTEERS WHO PROVIDED 159 HOURS OF SERVICE.</Desc>
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        <Desc>FOOD &amp; CLOTHING PROGRAMSKENT SOCIAL SERVICES AND THE CENTER OF HOPE - PROVIDE NUTRITIOUS HOT MEALS, ASSISTANCE WITH EMERGENCY FOOD/TAXABLE NEEDS, OUTREACH AND ADVOCACY. DURING FY24, 30,698 WERE SERVED THROUGH THE PROGRAM, 21,936 WITH HOT MEALS BEING SERVED, 7,562 BAGS OF FOOD DISTRIBUTED, AND HOLIDAY 1,200 GIFT BASKETS WERE GIVEN OUT.MOBILE MEALS PROVIDES NUTRITIOUS HOME DELIVERED AND CONGREGATE MEALS TO RECIPIENTS IN SUMMIT, CUYAHOGA AND PORTAGE COUNTIES. LAST YEAR, 179,487 HOT, HOME DELIVERED MEALS AND 48,532 CONGREGATE MEALS WERE SERVED TO 1,556 CLIENTS.COUNTY CLOTHING CENTER COLLECTS AND DISTRIBUTES USED CASUAL CLOTHING TO NEEDY RESIDENTS AND OFFERS SPECIAL APPOINTMENTS FOR FORMALWEAR. LAST YEAR, 8,205 SHOPPERS WERE PROVIDED WITH 89,898 POUNDS OF CLOTHING.</Desc>
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        <Desc>COMMUNITY BASED PROGRAMSCHAGRIN FALLS PARK COMMUNITY CENTER OFFERS PROGRAMMING FOR YOUTHS, EMERGENCY FOOD AND MEALS FOR FAMILIES, AND SPECIAL EVENTS FOR ADULTS AND SENIORS. THE PROGRAMS INCLUDE THE EXCEL AND EXPLORE SUMMER DAY CAMP, WHICH PROVIDED EDUCATION, LEADERSHIP, AND RECREATIONAL SESSIONS AND KEPT 40 STUDENTS ON TRACK ACADEMICALLY WHILE PROVIDING A SAFE RECREATIONAL ENVIRONMENT FOR GROWTH. DURING THE SCHOOL YEAR, THE YOUNG SCHOLARS PROGRAM PROVIDED TUTOR/LEADERSHIP BUILDING SESSIONS AND RECREATIONAL SESSIONS TO 25 STUDENTS AT NO COST, PROMOTING INCREASED SELF-ESTEEM AND SUCCESS IN ACADEMICS. IN ADDITION, WE SUPPLIED 80 STUDENTS WITH SCHOOL SUPPLIES. THE CENTER ALSO PROVIDED EMERGENCY FOOD TO 334 UNDUPLICATED CLIENTS. THE TOTAL NUMBER OF MEALS PROVIDED TO FAMILIES AND CHILDREN TOTALED 27,570. DURING THE PREVIOUS SCHOOL YEAR, 94% OF THE STUDENTS SERVED BY CHAGRIN FALLS PARK COMMUNITY CENTER WERE ON FREE OR REDUCED LUNCH.KING KENNEDY COMMUNITY CENTER - OFFERS PROGRAMMING AND SUMMER MEALS FOR YOUTHS, AS WELL AS SPECIAL EVENTS FOR ADULTS AND SENIORS. FROM JANUARY 1, 2024 TO DECEMBER 31, 2024, 313 CHILDREN WERE SERVED 441 BREAKFASTS AND 847 LUNCHES IN THE SUMMER FOOD PROGRAM. PREPARING FOR THE SCHOOL YEAR, WE HOSTED A BACK-TO-SCHOOL EVENT WHERE WE SUPPLIED 119 STUDENTS WITH SCHOOL SUPPLIES. DURING THE SCHOOL YEAR, WE ALSO PROVIDE TUTORING SERVICES FOR 5 CHILDREN WHO RECEIVED TUTORING SERVICES. NON-EDUCATION-BASED PROGRAMMING INCLUDED THE YEARLY NERF WAR EVENT, HALLOWEEN AND CHRISTMAS PARTIES, WHICH HOSTED A TOTAL OF 200 CHILDREN IN ATTENDANCE. DURING THIS TIMEFRAME, THE PROGRAM PROVIDED A FRIENDSGIVING MEAL, WHERE 100 ADULTS WERE SERVED, WITH 40 OF THOSE BEING SENIORS. ADDITIONALLY, 51 ADULTS AND SENIORS WERE SERVED AT THE ANNUAL CHRISTMAS LUNCHEON.SKEELS-MATTHEWS COMMUNITY CENTER - OFFERS PROGRAMMING AND SUMMER MEALS FOR YOUTHS, AS WELL AS MEALS AND SPECIAL EVENTS FOR ADULTS AND SENIORS. LAST YEAR, 40 CHILDREN WERE SERVED 941 BREAKFASTS AND LUNCHES IN THE SUMMER FOOD PROGRAM. WE ALSO SERVED 99 YOUTHS AND THEIR FAMILIES WITH FOOD BOXES THROUGH THE AMERICAN RESCUE ACT. ADDITIONALLY, 181 STUDENTS PARTICIPATED IN OUR SPECIAL EVENTS AND HOLIDAY DRIVES, INCLUDING OUR BACK-TO-SCHOOL EVENT WHERE WE SUPPLIED STUDENTS WITH BOOKBAGS STUFFED WITH SCHOOL SUPPLIES, AND OUR YEARLY HALLOWEEN AND CHRISTMAS PARTIES. DURING THIS SAME TIME FRAME, 13,618 MEALS WERE SERVED TO 80 SENIORS AND ADULTS, AND 37 FOOD BOXES WERE DISTRIBUTED TO ADULTS THROUGH THE AMERICAN RESCUE ACT. WE ALSO OFFERED SEVERAL SPECIAL MEALS, INCLUDING AN MLK DAY BREAKFAST, BLACK HISTORY PROGRAM SOUL FOOD LUNCH, AN EASTER LUNCHEON, AND A THANKSGIVING HEALTH FAIR, WHICH SERVED A TOTAL OF 151 ADULTS AND SENIORS.SCOPE SENIOR CENTERS - SCOPE SENIOR CENTERS OPERATE IN SIX CENTERS THROUGHOUT TRUMBULL COUNTY. THE PROGRAM OFFERS A WIDE VARIETY OF CHOICES FOR SENIORS, INCLUDING NUTRITION, HEALTH, AND EXERCISE PROGRAMS; RECREATIONAL AND SOCIAL ACTIVITIES SUCH AS BINGO, THEMED PARTIES, AND EDUCATIONAL EVENTS; AS WELL AS A CLEAN, SAFE ENVIRONMENT WHERE OLDER ADULTS CAN GATHER, CONNECT, AND ENJOY LIFE WITH DIGNITY IN TOTAL, SCOPE SERVED 4,094 SENIORS DURING FY24.PORTAGE COUNTY SENIOR CENTER - OFFERS DAILY LUNCHES TO SENIORS, AS WELL AS A WIDE VARIETY OF CHOICES FOR SENIORS, INCLUDING NUTRITION, HEALTH, AND EXERCISE PROGRAMS; RECREATIONAL AND SOCIAL ACTIVITIES SUCH AS BINGO, TAI CHI, THEMED PARTIES, ART CLASSES, AND EDUCATIONAL EVENTS; AS WELL AS A CLEAN, SAFE ENVIRONMENT WHERE OLDER ADULTS CAN GATHER, CONNECT, AND ENJOY LIFE WITH DIGNITY. IN TOTAL, 8,400 SENIORS WERE SERVED IN FY24.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL HUCHOK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICE HURD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARILYN SESSIONS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMANTHA STEPHENS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA TAYLOR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER WILLIAMS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK FRISONE</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>199634</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60671</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG MUSCI</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>153401</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33823</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR VIKIL K GIRDHAR</PersonNm>
        <TitleTxt>DIR OF INTEGRATED MEDICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>315070</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12372</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE BORTELL</PersonNm>
        <TitleTxt>DOCTOR OF OSTEOPATHY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>268117</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13032</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KOYEJO OYERINDE</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>258529</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22493</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR EDWARD SCOTT</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER, MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>327785</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42031</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHILPA KAPOOR</PersonNm>
        <TitleTxt>DIR. OF ADVANCED DENTISTRY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>258049</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10495</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1780585</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>194917</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUMMEL CONSTRUCTION COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>127 E MAIN ST</AddressLine1Txt>
            <CityNm>RAVENNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CONTRACTOR</ServicesDesc>
        <CompensationAmt>2988464</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDIC MANAGEMENT GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3201 ENTERPRISE PKWY STE 370</AddressLine1Txt>
            <CityNm>BEACHWOOD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING AND COLLECTION SERVICES</ServicesDesc>
        <CompensationAmt>964218</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARIANO CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2951 HOWLAND WILSON RD</AddressLine1Txt>
            <CityNm>WARREN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44484</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CONTRACTOR</ServicesDesc>
        <CompensationAmt>726999</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANDERSON CONTRACTING &amp; RENOVATIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1459 MOGADORE RD</AddressLine1Txt>
            <CityNm>KENT</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44240</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CONTRACTOR</ServicesDesc>
        <CompensationAmt>361740</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STEELE VALLEY CONTAINER STRUCTURES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11333 SOUTH AVE</AddressLine1Txt>
            <CityNm>NORTH LIMA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44452</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CONTRACTOR</ServicesDesc>
        <CompensationAmt>360442</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>18</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>305419</FederatedCampaignsAmt>
      <FundraisingAmt>19755</FundraisingAmt>
      <GovernmentGrantsAmt>27228281</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>9555214</AllOtherContributionsAmt>
      <NoncashContributionsAmt>752867</NoncashContributionsAmt>
      <TotalContributionsAmt>37108669</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>11703097</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11703097</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SALES</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>9627022</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9627022</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3025993</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3025993</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24356112</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>424916</TotalRevenueColumnAmt>
        <ExclusionAmt>424916</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>71902</SecuritiesAmt>
        <OtherAmt>625</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>71902</SecuritiesAmt>
        <OtherAmt>625</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>72527</TotalRevenueColumnAmt>
        <ExclusionAmt>72527</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>68074</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>19755</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>55357</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>12717</TotalRevenueColumnAmt>
        <ExclusionAmt>12717</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>81403</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>81403</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>81403</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>62056344</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24437515</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>510160</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>2436193</TotalAmt>
        <ProgramServicesAmt>2436193</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>447529</TotalAmt>
        <ProgramServicesAmt>179012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268517</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>26657792</TotalAmt>
        <ProgramServicesAmt>24290506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2367286</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>502709</TotalAmt>
        <ProgramServicesAmt>440074</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62635</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3410816</TotalAmt>
        <ProgramServicesAmt>2972988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437828</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2350423</TotalAmt>
        <ProgramServicesAmt>2115611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234812</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>72099</TotalAmt>
        <ManagementAndGeneralAmt>72099</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>73569</TotalAmt>
        <ManagementAndGeneralAmt>73569</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>64190</TotalAmt>
        <ManagementAndGeneralAmt>64190</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5288163</TotalAmt>
        <ProgramServicesAmt>4999768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288395</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>172199</TotalAmt>
        <ProgramServicesAmt>101070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71129</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2683063</TotalAmt>
        <ProgramServicesAmt>2497978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>185085</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>4409457</TotalAmt>
        <ProgramServicesAmt>4298306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111151</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>791649</TotalAmt>
        <ProgramServicesAmt>689023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102626</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>125642</TotalAmt>
        <ProgramServicesAmt>109939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15703</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>242921</TotalAmt>
        <ProgramServicesAmt>128581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114340</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>765201</TotalAmt>
        <ProgramServicesAmt>627338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137863</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>642337</TotalAmt>
        <ProgramServicesAmt>607306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35031</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>1631188</TotalAmt>
        <ProgramServicesAmt>1421083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210105</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>VOLUNTEER EXPENSES</Desc>
        <TotalAmt>495377</TotalAmt>
        <ProgramServicesAmt>495137</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>356280</TotalAmt>
        <ProgramServicesAmt>327556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28724</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES, LICENCES AND FEES</Desc>
        <TotalAmt>188544</TotalAmt>
        <ProgramServicesAmt>153054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35490</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>104498</TotalAmt>
        <ProgramServicesAmt>82247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22251</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>53911839</TotalAmt>
        <ProgramServicesAmt>48972770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4939069</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>7971661</BOYAmt>
        <EOYAmt>9715413</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <EOYAmt>3831006</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3899694</BOYAmt>
        <EOYAmt>9493503</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>282395</BOYAmt>
        <EOYAmt>475905</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>79684</BOYAmt>
        <EOYAmt>293324</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>17313023</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7374008</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4076534</BOYAmt>
        <EOYAmt>9939015</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>9326393</BOYAmt>
        <EOYAmt>13492784</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>1500</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3776152</BOYAmt>
        <EOYAmt>7547916</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>29412513</BOYAmt>
        <EOYAmt>54790366</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1738819</BOYAmt>
        <EOYAmt>3648304</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>342900</BOYAmt>
        <EOYAmt>917737</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <EOYAmt>164564</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3833406</BOYAmt>
        <EOYAmt>2440502</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1902</BOYAmt>
        <EOYAmt>1033728</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5917027</BOYAmt>
        <EOYAmt>8204835</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>23495486</BOYAmt>
        <EOYAmt>46585531</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23495486</BOYAmt>
        <EOYAmt>46585531</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>29412513</BOYAmt>
        <EOYAmt>54790366</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>8144505</ReconcilationRevenueExpnssAmt>
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        <PersonNm>GREG MUSCI</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187224</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>231607</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>222364</ContributionCnt>
        <NoncashContributionsRptF990Amt>513660</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>271</ContributionCnt>
        <NoncashContributionsRptF990Amt>2300</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>1</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPANDED SERVICES BY ACQUIRING A SIGNIFICANT NUMBER OF PROGRAMS FROM FAMILY AND COMMUNITY SERVICES, AN OHIO NOT FOR PROFIT CORPORATION. THE RESULTING COMBINED ORGANIZATION CAN NOW OFFER OUR CLIENTS A WIDE RANGE OF SERVICES. WE BELIEVE THAT THIS POSITIONS US TO BETTER MEET OUR CLIENT'S NEEDS. THE SERVICES THAT THEY NEED ARE NOW HOUSED IN ONE ORGANIZATION, NO NEED TO REFER THEM ELSEWHERE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD CONSIST OF THE EXECUTIVE AND ALL STANDING COMMITTEES. EACH COMMITTEE IS REQUIRED TO PROVIDE THEIR CONTEMPORANEOUS MINUTES TO THE BOARD OF DIRECTORS AS PART OF THE BOARD'S CONSENT AGENDA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ON OCTOBER 2, 2023, THE ORGANIZATION ENTERED INTO AN ASSET TRANSFER AGREEMENT WITH FAMILY &amp; COMMUNITY SERVICES, INC. (FCS). UNDER THE TERMS OF THIS AGREEMENT, WHICH HAS AN EFFECTIVE DATE OF JANUARY 1, 2024, THE ORGANIZATION BECAME THE SOLE CORPORATE MEMBER OF FCS, AND FCS TRANSFERRED SUBSTANTIALLY ALL OF ITS ASSETS TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE REVIEWED WITH THE ORGANIZATION'S FINANCE DEPARTMENT AND EXECUTIVE DIRECTOR BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AFS OFFICERS, DIRECTORS AND EMPLOYEES ARE PROVIDED WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL MUST SIGN AN AFFIDAVIT ACKNOWLEDGING THAT THEY HAVE READ AND UNDERSTOOD THE CONFLICT OF INTEREST POLICY. EACH INDIVIDUAL IS REQUIRED TO DISCLOSE ANY CONFLICTS THAT MAY ARISE. CONFLICTS ARE INVESTIGATED AND MITIGATED AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR INCLUDES AN ANNUAL REVIEW BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR. COMPENSATION OF ALL OTHER EMPLOYEES IS REVIEWED BY THEIR DEPARTMENT DIRECTOR. ANNUAL COMPENSATION IS DETERMINED BY COMPARABLE COMPENSATION DATA FOR QUALIFIED ROLES IN COMPARABLE ORGANIZATIONS. THIS PROCESS WAS LAST COMPLETED IN 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET ADDITION DUE TO ASSEST TRANSFER 14,309,210.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE, WHICH CONSISTS OF FIVE BOARD MEMBERS OF AFS, IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>705 OAKWOOD STREET STE 108</AddressLine1Txt>
          <CityNm>RAVENNA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44266</ZIPCd>
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          <BusinessNameLine1Txt>AXESS FAMILY SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>705 OAKWOOD STREET STE 221</AddressLine1Txt>
          <CityNm>RAVENNA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44226</ZIPCd>
        </USAddress>
        <EIN>341902451</EIN>
        <PrimaryActivitiesTxt>COMMUNITY SERVICE TO INDIVIDUALS AND FAMILIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AXESS FAMILY SERVICES</BusinessNameLine1Txt>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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