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      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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        <CurrentTaxYearMinus1Year>774827</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>893495</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>2010457</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2025878</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2004118</CurrentTaxYearMinus1Year>
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      <Total509>
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        <CurrentTaxYearMinus3Years>2743781</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2770063</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2778945</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2939190</CurrentTaxYear>
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      </Total509>
      <AmtsRecdFromDisqualPersons>
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      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
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      <SupportFromDQPsEtc>
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      </SupportFromDQPsEtc>
      <PublicSupportTotal509>14164684</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus1Year>36892</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>35290</CurrentTaxYear>
        <Total>214684</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>35800</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>36892</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus1Year>447</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>22054</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>2780093</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>2816284</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2996534</CurrentTaxYear>
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      <PublicSupportPercentage509>0.98170</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98140</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01490</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01650</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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        <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>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>30061</OtherCostOrOtherBasis>
        <Depreciation>20236</Depreciation>
        <BookValue>9825</BookValue>
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      <Equipment>
        <OtherCostOrOtherBasis>168320</OtherCostOrOtherBasis>
        <Depreciation>131830</Depreciation>
        <BookValue>36490</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>490094</OtherCostOrOtherBasis>
        <Depreciation>479718</Depreciation>
        <BookValue>10376</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>56691</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>MORGAN STANLEY</Description>
        <BookValue>387147</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
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      <OtherSecurities>
        <Description>PERPETUAL TRUST</Description>
        <BookValue>476031</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>863178</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>ACCRUED PAYROLL</Description>
        <Amount>61107</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED CONTRACT LABOR</Description>
        <Amount>26227</Amount>
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      <OtherLiabilities>
        <Description>ACCRUED VACATION PAY</Description>
        <Amount>75030</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PAYROLL TAXES</Description>
        <Amount>9932</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>172296</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, THE DIRECTOR OF DEVELOPMENT AND COMMUNICATION AND THE EXECUTIVE DIRECTOR PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION MONITORS AND REVIEWS THE BOARD AND VENDORS TO ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE. THE OFFICERS OF THE BOARD DO NOT RECEIVE COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. AN ANNUAL REPORT IS PUBLISHED AND MAILED TO INTERESTED PARTIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>PRETERM FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12000 SHAKER BLVD</AddressLine1>
          <City>CLEVELAND</City>
          <State>OH</State>
          <ZIPCode>441201922</ZIPCode>
        </AddressUS>
        <EIN>341778387</EIN>
        <PrimaryActivities>MEDICAL AND OFFICE SPACE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
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      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
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      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
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</Return>