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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CMG CIT ACQUISITION LLCCORE MEDICAL GRO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 306478</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>372306478</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRAVEL REGISTERED NURSES</ServicesDesc>
        <CompensationAmt>281472</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNION CITY CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>907 E CENTRAL STREET</AddressLine1Txt>
            <CityNm>UNION CITY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45390</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>269594</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>283564</AllOtherContributionsAmt>
      <TotalContributionsAmt>283564</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>11088837</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11088837</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11088837</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>374714</TotalRevenueColumnAmt>
        <ExclusionAmt>374714</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>108388</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>17995</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>90393</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>90393</TotalRevenueColumnAmt>
        <ExclusionAmt>90393</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>79974</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>47867</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>32107</TotalRevenueColumnAmt>
        <ExclusionAmt>32107</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>3859</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3859</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3859</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11873474</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11092696</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>497214</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>542322</TotalAmt>
        <ProgramServicesAmt>397688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114255</ManagementAndGeneralAmt>
        <FundraisingAmt>30379</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5551209</TotalAmt>
        <ProgramServicesAmt>4070734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1169515</ManagementAndGeneralAmt>
        <FundraisingAmt>310960</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>93854</TotalAmt>
        <ProgramServicesAmt>68824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19773</ManagementAndGeneralAmt>
        <FundraisingAmt>5257</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>887669</TotalAmt>
        <ProgramServicesAmt>650933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187012</ManagementAndGeneralAmt>
        <FundraisingAmt>49724</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>455779</TotalAmt>
        <ProgramServicesAmt>334226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96022</ManagementAndGeneralAmt>
        <FundraisingAmt>25531</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>40674</TotalAmt>
        <ProgramServicesAmt>32946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6101</ManagementAndGeneralAmt>
        <FundraisingAmt>1627</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21365</TotalAmt>
        <ProgramServicesAmt>17305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3205</ManagementAndGeneralAmt>
        <FundraisingAmt>855</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>110549</TotalAmt>
        <ProgramServicesAmt>89545</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16582</ManagementAndGeneralAmt>
        <FundraisingAmt>4422</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>105152</TotalAmt>
        <ProgramServicesAmt>85173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15773</ManagementAndGeneralAmt>
        <FundraisingAmt>4206</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>159278</TotalAmt>
        <ProgramServicesAmt>128515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24286</ManagementAndGeneralAmt>
        <FundraisingAmt>6477</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>212871</TotalAmt>
        <ProgramServicesAmt>172425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31931</ManagementAndGeneralAmt>
        <FundraisingAmt>8515</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>145025</TotalAmt>
        <ProgramServicesAmt>117470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21754</ManagementAndGeneralAmt>
        <FundraisingAmt>5801</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>184213</TotalAmt>
        <ProgramServicesAmt>173075</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8793</ManagementAndGeneralAmt>
        <FundraisingAmt>2345</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>26529</TotalAmt>
        <ManagementAndGeneralAmt>26529</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>167114</TotalAmt>
        <ProgramServicesAmt>135362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25067</ManagementAndGeneralAmt>
        <FundraisingAmt>6685</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>45033</TotalAmt>
        <ProgramServicesAmt>36477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6755</ManagementAndGeneralAmt>
        <FundraisingAmt>1801</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ROOM AND BOARD EXPENSE</Desc>
        <TotalAmt>2459472</TotalAmt>
        <ProgramServicesAmt>2459472</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>452601</TotalAmt>
        <ProgramServicesAmt>336097</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92038</ManagementAndGeneralAmt>
        <FundraisingAmt>24466</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUG EXPENSE</Desc>
        <TotalAmt>375585</TotalAmt>
        <ProgramServicesAmt>375585</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DURABLE MEDICAL SUPPLIE</Desc>
        <TotalAmt>221298</TotalAmt>
        <ProgramServicesAmt>221298</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>596195</TotalAmt>
        <ProgramServicesAmt>558677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24192</ManagementAndGeneralAmt>
        <FundraisingAmt>13326</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>12853787</TotalAmt>
        <ProgramServicesAmt>10461827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1889583</ManagementAndGeneralAmt>
        <FundraisingAmt>502377</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>932788</BOYAmt>
        <EOYAmt>877838</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>146746</BOYAmt>
        <EOYAmt>152920</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1123525</BOYAmt>
        <EOYAmt>1111858</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>86392</BOYAmt>
        <EOYAmt>184358</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2521561</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1569384</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>984774</BOYAmt>
        <EOYAmt>952177</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>8230116</BOYAmt>
        <EOYAmt>8517329</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>492368</BOYAmt>
        <EOYAmt>416808</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>11996709</BOYAmt>
        <EOYAmt>12213288</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>931481</BOYAmt>
        <EOYAmt>1208385</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>390590</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>498404</BOYAmt>
        <EOYAmt>432016</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1429885</BOYAmt>
        <EOYAmt>2030991</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10365107</BOYAmt>
        <EOYAmt>9981289</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>201717</BOYAmt>
        <EOYAmt>201008</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10566824</BOYAmt>
        <EOYAmt>10182297</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11996709</BOYAmt>
        <EOYAmt>12213288</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-980313</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>625944</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>-30158</InvestmentExpenseAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>714340</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>388517</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>786318</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>515469</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>283564</CurrentTaxYearAmt>
        <TotalAmt>2688208</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>714340</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>388517</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>786318</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>515469</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>283564</CurrentTaxYearAmt>
        <TotalAmt>2688208</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>2688208</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>255070</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>415392</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>280068</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>268317</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>374714</CurrentTaxYearAmt>
        <TotalAmt>1593561</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1344</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>172</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20192</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39150</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35966</CurrentTaxYearAmt>
        <TotalAmt>96824</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>4378593</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>50933075</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.61390</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.70260</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2020 AMOUNT: $ 791. 2021 AMOUNT: $ 172. 2022 AMOUNT: $ 6,657. 2023 AMOUNT: $ 85. 2024 AMOUNT: $ 3,859. NET FUNDRAISING EVENTS - 2020 AMOUNT: $ 553. 2022 AMOUNT: $ 13,535. 2023 AMOUNT: $ 39,065. 2024 AMOUNT: $ 32,107.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>110000</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>10000</OtherExpendituresAmt>
        <EndYearBalanceAmt>100000</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>120000</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>10000</OtherExpendituresAmt>
        <EndYearBalanceAmt>110000</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>130000</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>10000</OtherExpendituresAmt>
        <EndYearBalanceAmt>120000</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>140000</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>10000</OtherExpendituresAmt>
        <EndYearBalanceAmt>130000</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>150000</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>10000</OtherExpendituresAmt>
        <EndYearBalanceAmt>140000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>170715</OtherCostOrOtherBasisAmt>
        <BookValueAmt>170715</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1678346</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1068722</DepreciationAmt>
        <BookValueAmt>609624</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>33366</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>32237</DepreciationAmt>
        <BookValueAmt>1129</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>639134</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>468425</DepreciationAmt>
        <BookValueAmt>170709</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>952177</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASES</Desc>
        <Amt>154852</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCING LEASES</Desc>
        <Amt>277164</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>432016</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>11465734</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>47867</OtherRevenueAmt>
      <RevenueNotReportedAmt>47867</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11417867</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>30158</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>425449</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>455607</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11873474</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12901654</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>47867</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>47867</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12853787</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12853787</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUND WAS ESTABLISH TO FULFILL THE LONG TERM MISSION OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN OHIO NONPROFIT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENTS OF ACTIVITIES FOR EITHER OF THE YEARS ENDED JUNE 30, 2025 OR 2024. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR EITHER OF THE YEARS ENDED JUNE 30, 2025 OR 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 47,867.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NONOPERATING INTEREST AND DIVIDEND INCOME 425,449.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 47,867.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF OUTING</Event1Nm>
        <GrossReceiptsEvent1Amt>42733</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>42733</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>21950</OtherDirectExpensesEvent1Amt>
        <Event2Nm>OTHER EVENTS</Event2Nm>
        <GrossReceiptsEvent2Amt>37241</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>37241</GrossRevenueEvent2Amt>
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        <GrossReceiptsTotalAmt>79974</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>79974</GrossRevenueTotalEventsAmt>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>EDWARD HOSBACH</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>197377</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THEN RECOMMENDED FOR PRESENTATION TO THE BOARD OF DIRECTORS. PRIOR TO FILING, THE BOARD REVIEWS AND APPROVES THE FORM 990 AT ITS REGULAR MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE BOARD OF TRUSTEES REVIEW A VENDOR AND FINANCIAL INSTITUTION LIST. THE BOARD OF TRUSTEES REVIEW THIS LIST IDENTIFYING ANY POTENTIAL VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER IS GIVEN THE CONFLICT OF INTEREST POLICY TO READ AND CERTIFICATION SHEET TO SIGN ANNUALLY. ALL AFFILIATIONS ARE REQUIRED TO BE DISCLOSED AND DESCRIBED ON THE AGENCY'S CONFLICT OF INTEREST DISCLOSURE DOCUMENT. THE BOARD OF TRUSTEES ANNUALLY REVIEW AND DOCUMENT ANY DISCLOSED AFFILIATIONS TO DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. IF THERE IS A CONFLICT, THE BOARD MEMBER WITH THE CONFLICT CANNOT VOTE OF THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLYEE INCLUDES THE REVIEW AND APPROVAL BY THE GOVERNING BODY. INFORMATION CONSIDERED DURING THIS PROCESS INCLUDES COMPARATIVE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN COMPARATIVE POSITIONS AT SIMILAR ORGANIZATIONS. DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THIS REVIEW PROCESS ARE MAINTAINED THROUGHOUT THE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT OUR FRONT DESK AND WILL BE MAILED TO THE ADDRESS PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
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</Return>