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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>FIT TECHNOLOGIES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1375 EUCLID AVENUE STE 500</AddressLine1>
            <City>CLEVELAND</City>
            <State>OH</State>
            <ZIPCode>44115</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>IT SERVICES</DescriptionOfServices>
        <Compensation>176197</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>VICTORY PROPERTIES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>812 HURON ROAD STE 701</AddressLine1>
            <City>CLEVELAND</City>
            <State>OH</State>
            <ZIPCode>44115</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PROPERTY LEASING</DescriptionOfServices>
        <Compensation>119130</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <FederatedCampaigns>325569</FederatedCampaigns>
      <GovernmentGrants>15836676</GovernmentGrants>
      <AllOtherContributions>519301</AllOtherContributions>
      <TotalContributions>16681546</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>624200</BusinessCode>
        <TotalRevenueColumn>1483526</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1483526</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID PAYMENT</Description>
        <BusinessCode>624200</BusinessCode>
        <TotalRevenueColumn>1747107</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1747107</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>3230633</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>108164</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>61161</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>47003</TotalRevenueColumn>
        <ExclusionAmount>47003</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISC INCOME</Description>
        <BusinessCode>624200</BusinessCode>
        <TotalRevenueColumn>110575</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>110575</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>110575</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>20069757</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3341208</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>47003</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>476324</Total>
        <ProgramServices>463408</ProgramServices>
        <ManagementAndGeneral>9212</ManagementAndGeneral>
        <Fundraising>3704</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>10488537</Total>
        <ProgramServices>10204119</ProgramServices>
        <ManagementAndGeneral>202852</ManagementAndGeneral>
        <Fundraising>81566</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>147486</Total>
        <ProgramServices>143487</ProgramServices>
        <ManagementAndGeneral>2852</ManagementAndGeneral>
        <Fundraising>1147</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
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        <ProgramServices>1855393</ProgramServices>
        <ManagementAndGeneral>36884</ManagementAndGeneral>
        <Fundraising>14831</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1097681</Total>
        <ProgramServices>1067915</ProgramServices>
        <ManagementAndGeneral>21230</ManagementAndGeneral>
        <Fundraising>8536</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>60882</Total>
        <ProgramServices>55037</ProgramServices>
        <ManagementAndGeneral>5845</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>32000</Total>
        <ManagementAndGeneral>32000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1770795</Total>
        <ProgramServices>1600802</ProgramServices>
        <ManagementAndGeneral>169993</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>46204</Total>
        <ProgramServices>41769</ProgramServices>
        <ManagementAndGeneral>4435</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>664592</Total>
        <ProgramServices>489251</ProgramServices>
        <ManagementAndGeneral>173199</ManagementAndGeneral>
        <Fundraising>2142</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>471793</Total>
        <ProgramServices>413228</ProgramServices>
        <ManagementAndGeneral>57519</ManagementAndGeneral>
        <Fundraising>1046</Fundraising>
      </Occupancy>
      <Travel>
        <Total>355021</Total>
        <ProgramServices>307437</ProgramServices>
        <ManagementAndGeneral>47584</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>185199</Total>
        <ManagementAndGeneral>185199</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>245824</Total>
        <ProgramServices>185944</ProgramServices>
        <ManagementAndGeneral>58810</ManagementAndGeneral>
        <Fundraising>1070</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>54391</Total>
        <ProgramServices>36904</ProgramServices>
        <ManagementAndGeneral>17487</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SECURITY</Description>
        <Total>704703</Total>
        <ProgramServices>637053</ProgramServices>
        <ManagementAndGeneral>67650</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROGRAM SUPPLIES</Description>
        <Total>883210</Total>
        <ProgramServices>805487</ProgramServices>
        <ManagementAndGeneral>1767</ManagementAndGeneral>
        <Fundraising>75956</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISC OPERATING EXPENSES</Description>
        <Total>87504</Total>
        <ProgramServices>11551</ProgramServices>
        <ManagementAndGeneral>75953</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROFESSIONAL DEVELOP/TRAIN</Description>
        <Total>35316</Total>
        <ProgramServices>30583</ProgramServices>
        <ManagementAndGeneral>4733</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>19714570</Total>
        <ProgramServices>18349368</ProgramServices>
        <ManagementAndGeneral>1175204</ManagementAndGeneral>
        <Fundraising>189998</Fundraising>
      </TotalFunctionalExpenses>
      <InfoInScheduleOPartX>X</InfoInScheduleOPartX>
      <CashNonInterestBearing>
        <BOY>1073324</BOY>
        <EOY>1161451</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
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        <EOY>29128</EOY>
      </PrepaidExpensesDeferredCharges>
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      <LandBuildingsEquipmentBasisNet>
        <BOY>6526353</BOY>
        <EOY>6503845</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
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        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>15700</BOY>
        <EOY>3000</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
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        <EOY>11094002</EOY>
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      <AccountsPayableAccruedExpenses>
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      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
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        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
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        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
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        <EOY>0</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
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        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
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        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>3650116</BOY>
        <EOY>3601559</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>163055</BOY>
        <EOY>103659</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>6364156</BOY>
        <EOY>6663759</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3971222</BOY>
        <EOY>4345655</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>103834</BOY>
        <EOY>84588</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>4075056</BOY>
        <EOY>4430243</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10439212</BOY>
        <EOY>11094002</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>355187</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus4Years>12582365</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13244367</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13402344</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14622181</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>16681546</CurrentTaxYear>
        <Total>70532803</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>12582365</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13244367</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13402344</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14622181</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>16681546</CurrentTaxYear>
        <Total>70532803</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>70532803</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>1383</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1073</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1317</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>861</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>4634</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus3Years>87891</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>101271</CurrentTaxYearMinus2Years>
        <Total>189162</Total>
      </OtherIncome170>
      <TotalSupport>70726599</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>8949896</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99726</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99642</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
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        <OtherCostOrOtherBasis>539400</OtherCostOrOtherBasis>
        <BookValue>539400</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6192187</OtherCostOrOtherBasis>
        <Depreciation>807558</Depreciation>
        <BookValue>5384629</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>409240</OtherCostOrOtherBasis>
        <Depreciation>328493</Depreciation>
        <BookValue>80747</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1133218</OtherCostOrOtherBasis>
        <Depreciation>961305</Depreciation>
        <BookValue>171913</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>898317</OtherCostOrOtherBasis>
        <Depreciation>571161</Depreciation>
        <BookValue>327156</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>6503845</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITY</Description>
        <Amount>103659</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>103659</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>20322918</TotRevenueEtcAuditedFinclStmt>
      <DonatedSrvcAndUseOfFacilities>192000</DonatedSrvcAndUseOfFacilities>
      <OtherRevenues>61161</OtherRevenues>
      <RevenueNotRptdF990>253161</RevenueNotRptdF990>
      <RevenueSubtotal>20069757</RevenueSubtotal>
      <TotalRevenuePerForm990>20069757</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>19967731</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>192000</DonatedServicesUseOfFacilities>
      <OtherExpensesIncluded>61161</OtherExpensesIncluded>
      <ExpensesNotRptdF990>253161</ExpensesNotRptdF990>
      <ExpensesSubtotal>19714570</ExpensesSubtotal>
      <TotalExpensesPerForm990>19714570</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 (ASC 740) Footnote</Identifier>
        <ReturnReference>Part X, Line 2</ReturnReference>
        <Explanation>The provisions of "Accounting for Uncertainty in Income Taxes" prescribe a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more-likely-than-not to be sustained upon examination by taxing authorities. The amount recognized is measured as the amount of benefit that is greater than 50% likely of being realized upon ultimate settlement. The Organization recognizes interest and penalties accrued, if any, related to unrecognized tax uncertainties in income tax expense. The Organization files income tax returns in the United States and is subject to income tax examinations for its US. federal income taxes for the preceding three fiscal years and, in general, is subject to state and local income tax examinations for the preceding three to four years. As a result of the implementation of this standard, the Organization determined that there are no material uncertain tax positions.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Revenue &amp; Expense Items on Financial Statements not on Return</Identifier>
        <ReturnReference>Parts XI &amp; XII, Lines 2d</ReturnReference>
        <Explanation>Special event expenses netted against gross income $ 61,161</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>benefit</NameOfEvent1>
        <GrossReceiptsEvent1>108164</GrossReceiptsEvent1>
        <GrossRevenueEvent1>108164</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>3690</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>35626</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>21845</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>108164</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>108164</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>3690</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>35626</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>21845</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>61161</DirectExpenseSummaryEvents>
        <NetIncomeSummary>47003</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Cynthia Vrabel</NamePerson>
        <Title>Medical Director</Title>
        <BaseCompensationFilingOrg>184710</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4664</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10245</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>199619</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joselita Chua</NamePerson>
        <Title>Psychiatrist</Title>
        <BaseCompensationFilingOrg>160556</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3938</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4373</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>168867</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROCESS USED TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>PART VI, LINE 11B</ReturnReference>
        <Explanation>The Form 990 is prepared by outside accountants, then reviewed in detail with management and the finance committee. The finance committee approves the return for filing. A copy is provided (electronically) to each board member before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPLIANCE WITH CONFICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, LINE 12C</ReturnReference>
        <Explanation>The organization requires board members to file a conflict of interest policy annually. The board president will follow up on any conflicts reported.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINING COMPENSATION OF CEO, EXECUTIVE DIRECTOR, OR TOP MGT OFFICIAL</Identifier>
        <ReturnReference>PART VI, LINE 15A</ReturnReference>
        <Explanation>Executive Director compensation is reviewed and approved by a compensation committee using appropriate market data.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES</Identifier>
        <ReturnReference>PART VI, LINE 15B</ReturnReference>
        <Explanation>Compensation for other positions is determined by the Executive Director within certain ranges and approved by the Board through the budget process.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS FOR PUBLIC INSPECTION</Identifier>
        <ReturnReference>PART VI, LINE 19</ReturnReference>
        <Explanation>Documents are made available upon request. The organization's audited financial statements and annual report are available on its web site.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>