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      <TotalReportableCompFromOrg>1328629</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>321644</TotalOtherCompensation>
      <NumberIndividualsGT100K>20</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>BARRETT BENEFITS GROUP INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3628 WALNUT HILL RD STE 200</AddressLine1>
            <City>BEACHWOOD</City>
            <State>OH</State>
            <ZIPCode>44122</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTH INS ADMIN</DescriptionOfServices>
        <Compensation>181735</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>DCT TELECOM GROUP INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 76094</AddressLine1>
            <City>CLEVELAND</City>
            <State>OH</State>
            <ZIPCode>44101</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>TELEPHONE SERVICE</DescriptionOfServices>
        <Compensation>139115</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ESC OF CUYAHOGA COUNTY</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>CEDARWOOD LANDING 5811 CANAL ROAD</AddressLine1>
            <City>VALLEY VIEW</City>
            <State>OH</State>
            <ZIPCode>44125</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FISCAL AGENT</DescriptionOfServices>
        <Compensation>2502563</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MANNIX CONSTRUCTION MGT</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>22480 LAKE RD ST 6</AddressLine1>
            <City>CLEVELAND</City>
            <State>OH</State>
            <ZIPCode>44116</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BUILDING IMPROVEMENT</DescriptionOfServices>
        <Compensation>478614</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>BEECH BROOK</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 74140</AddressLine1>
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            <State>OH</State>
            <ZIPCode>44194</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CLIeNT SERVICES</DescriptionOfServices>
        <Compensation>211066</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>9</NumberOfContractorsGT100K>
      <FederatedCampaigns>128687</FederatedCampaigns>
      <GovernmentGrants>2964530</GovernmentGrants>
      <AllOtherContributions>691029</AllOtherContributions>
      <NoncashContributions>25126</NoncashContributions>
      <TotalContributions>3784246</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PROGRAM COSTS</Description>
        <BusinessCode>611600</BusinessCode>
        <TotalRevenueColumn>28322932</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>28322932</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>AGENCY FEES</Description>
        <BusinessCode>611710</BusinessCode>
        <TotalRevenueColumn>1045240</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1045240</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>INSURANCE</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>59505</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>59505</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICAID</Description>
        <BusinessCode>624100</BusinessCode>
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        <RelatedOrExemptFunctionIncome>10347819</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>39775496</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>19701</TotalRevenueColumn>
        <ExclusionAmount>19701</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Other>268419</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>354591</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-86172</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-86172</TotalRevenueColumn>
        <ExclusionAmount>-86172</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>51395</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>24206</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>27189</TotalRevenueColumn>
        <ExclusionAmount>27189</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>43520460</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>39775496</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>-39282</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1006212</Total>
        <ProgramServices>506788</ProgramServices>
        <ManagementAndGeneral>499424</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>24706440</Total>
        <ProgramServices>22969462</ProgramServices>
        <ManagementAndGeneral>1466050</ManagementAndGeneral>
        <Fundraising>270928</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>3332277</Total>
        <ProgramServices>3078483</ProgramServices>
        <ManagementAndGeneral>229227</ManagementAndGeneral>
        <Fundraising>24567</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
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        <ProgramServices>4881951</ProgramServices>
        <ManagementAndGeneral>276860</ManagementAndGeneral>
        <Fundraising>11676</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
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        <ProgramServices>896682</ProgramServices>
        <ManagementAndGeneral>122056</ManagementAndGeneral>
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      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>21037</Total>
        <ManagementAndGeneral>21037</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>39000</Total>
        <ManagementAndGeneral>39000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>23428</Total>
        <ProgramServices>6860</ProgramServices>
        <ManagementAndGeneral>16568</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>978980</Total>
        <ProgramServices>812646</ProgramServices>
        <ManagementAndGeneral>156824</ManagementAndGeneral>
        <Fundraising>9510</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1448654</Total>
        <ProgramServices>1373441</ProgramServices>
        <ManagementAndGeneral>75213</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>609790</Total>
        <ProgramServices>584359</ProgramServices>
        <ManagementAndGeneral>25333</ManagementAndGeneral>
        <Fundraising>98</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>45777</Total>
        <ProgramServices>34018</ProgramServices>
        <ManagementAndGeneral>11490</ManagementAndGeneral>
        <Fundraising>269</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>646775</Total>
        <ProgramServices>518555</ProgramServices>
        <ManagementAndGeneral>127759</ManagementAndGeneral>
        <Fundraising>461</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>253838</Total>
        <ProgramServices>203712</ProgramServices>
        <ManagementAndGeneral>50126</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>WRAP AROUND SERVICES</Description>
        <Total>961270</Total>
        <ProgramServices>961270</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONTRACT SERVICES</Description>
        <Total>927463</Total>
        <ProgramServices>717836</ProgramServices>
        <ManagementAndGeneral>207526</ManagementAndGeneral>
        <Fundraising>2101</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SETTLEMENT COSTS</Description>
        <Total>645000</Total>
        <ManagementAndGeneral>645000</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ESC ADMIN FEE</Description>
        <Total>369568</Total>
        <ManagementAndGeneral>369568</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>72902</Total>
        <ProgramServices>38210</ProgramServices>
        <ManagementAndGeneral>36975</ManagementAndGeneral>
        <Fundraising>-2283</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>42299960</Total>
        <ProgramServices>37584273</ProgramServices>
        <ManagementAndGeneral>4376036</ManagementAndGeneral>
        <Fundraising>339651</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>4228436</BOY>
        <EOY>4216055</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>1386765</BOY>
        <EOY>884173</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>3751862</BOY>
        <EOY>4771420</EOY>
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      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
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      <LandBuildingsEquipmentBasis>17353557</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5600462</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      </LandBuildingsEquipmentBasisNet>
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      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
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        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
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      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>28347006</BOY>
        <EOY>29326922</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>1101573</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
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      </GrantsPayable>
      <DeferredRevenue>
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      <EscrowAccountLiability>
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        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
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        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>406000</BOY>
        <EOY>392000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>5110061</BOY>
        <EOY>4869477</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>23018557</BOY>
        <EOY>24320119</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>218388</BOY>
        <EOY>137326</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>23236945</BOY>
        <EOY>24457445</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>28347006</BOY>
        <EOY>29326922</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>1220500</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>4487394</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5777420</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5427837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5701814</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3784246</CurrentTaxYear>
        <Total>25178711</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>4487394</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5777420</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5427837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5701814</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3784246</CurrentTaxYear>
        <Total>25178711</Total>
      </Total170>
      <AmountsSubstContributorsTotal>780738</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>24397973</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>372157</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>177264</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>58321</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25373</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19701</CurrentTaxYear>
        <Total>652816</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>25831527</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>129852158</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.94450</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.96392</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <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>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      </TotalGrassrootsLobbying>
      <TotalDirectLobbying />
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        <FilingOrganizationsTotals>4000</FilingOrganizationsTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>42295960</FilingOrganizationsTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>42299960</FilingOrganizationsTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
        <FilingOrganizationsTotals>1000000</FilingOrganizationsTotals>
      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>250000</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>1000000</CurrentYearMinus3>
        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
        <Total>4000000</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>6000000</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
        <CurrentYearMinus2>5000</CurrentYearMinus2>
        <CurrentYearMinus1>37500</CurrentYearMinus1>
        <CurrentYear>4000</CurrentYear>
        <Total>46500</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>250000</CurrentYearMinus3>
        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
        <Total>1000000</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>1500000</GrassrootsCeilingAmount>
      <GrassrootsLobbyingExpenditures>
        <CurrentYearMinus2>5000</CurrentYearMinus2>
        <CurrentYearMinus1>37500</CurrentYearMinus1>
        <CurrentYear>4000</CurrentYear>
        <Total>46500</Total>
      </GrassrootsLobbyingExpenditures>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <Land>
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        <BookValue>912000</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>2834214</Depreciation>
        <BookValue>10002454</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>906406</Depreciation>
        <BookValue>535085</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2163398</OtherCostOrOtherBasis>
        <Depreciation>1859842</Depreciation>
        <BookValue>303556</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>11753095</TotalOfBookValueLandBuildings>
      <TotalRevenue>43520460</TotalRevenue>
      <TotalExpenses>42299960</TotalExpenses>
      <ExcessOrDeficitForYear>1220500</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>1220500</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>43520460</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>43520460</RevenueSubtotal>
      <TotalRevenuePerForm990>43520460</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>42299960</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>42299960</ExpensesSubtotal>
      <TotalExpensesPerForm990>42299960</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART X, LINE 2</Identifier>
        <ReturnReference>FIN 48 FOOTNOTE</ReturnReference>
        <Explanation>PEP FOLLOWS THE PROVISIONS OF "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH PRESCRIBES 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. PEP RECOGNIZES INTEREST AND PENALTIES ACCRUED, IF ANY, RELATED TO UNRECOGNIZED TAX UNCERTAINTIES IN INCOME TAX EXPENSE. AS A RESULT OF IMPLEMENTATION, PEP DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN POSITIONS. PEP IS SUBJECT TO U.S. FEDERAL JURISDICTION INCOME TAX EXAMINATIONS. WITH FEW EXCEPTIONS, PEP IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.</Explanation>
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        <GrossReceiptsTotal>51395</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>51395</GrossRevenueTotalEvents>
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        <NamePerson>ERICA NEW</NamePerson>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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          <BusinessNameLine1>CITY OF FAIRVIEW PARK OH</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346000988</IssuerEIN>
        <DateIssued>2009-07-09</DateIssued>
        <IssuePrice>4000000</IssuePrice>
        <DescriptionOfPurpose>CAPITAL PROJECT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
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        <AmountRetired>624096</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>4000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>2001007</RefundingEscrow>
        <IssuanceCostsFromProceeds>59780</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>1939213</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
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          <BusinessNameLine1>0</BusinessNameLine1>
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        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY ELLEN FECSER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>OFFICER'S SPOUSE</Relationship>
        <AmountOfTransaction>66828</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>DEBT FORGIVENESS</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>14000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>STOCK</Description>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>11126</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>NUMBER OF EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART V, LINE 2A</ReturnReference>
        <Explanation>The organization has 138 people that work specifically for PEP. The remaining workforce needs are leased through Educational Service Center of Cuyahoga County.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11b</ReturnReference>
        <Explanation>PEP's CFO, Controller and the Board's Executive and Finance Committee review the Form 990 with the outside accountants. This group then approves Form 990 for filing purposes. Once approved, Form 990 is distributed to the entire board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12c</ReturnReference>
        <Explanation>Annually, Board Members sign a "Conflict of Interest Policy Acknowledgement &amp; Disclosure Statement". The CEO ensures that all Board Members sign the document and he reviews each document to determine if any interest disclosed may impair the independence of the Board Member for voting purposes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINING COMPENSATION OF CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFF</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15a</ReturnReference>
        <Explanation>Annually, the CEO's salary is evaluated against comparable positions at other child-serving Agencies in the Greater Cleveland Area to determine reasonableness. In addition, the CEO's salary is evaluated every 3 years by comparing his salary to comparable positions found in the Greater Cleveland School Superintendents' Association Tri-Annual Salary/Fringe Benefit Report. The CEO's salary is approved by a vote of the Board of Directors on an annual basis.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>Annually, the compensation of other officers and key employees is evaluated against comparable positions at other child-serving Agencies in the Greater Cleveland Area to determine reasonableness.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS FOR PUBLIC INSPECTION</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>The Organization's governing documents, conflict of interest policy, audited financial statements and Form 990 are available to the public upon request during normal business hours. All of the Organization's filings with the Ohio Secretary of State's Office including PEP's Articles of Incorporation, Certification of Continued Existence and Statutory Agent changes can also be obtained from Ohio's Secretary of State website. In addition, Form 990 can also be obtained from Guidestar.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REPORTABLE COMPENSATION</Identifier>
        <ReturnReference>Form 990, Part VII, SECTION A, COLUMN D</ReturnReference>
        <Explanation>For certain individuals, the compensation listed in Part VII reflects box 1 of the W-2 plus employee retirement contributions. Box 5 of the W-2 is not representative of some employees' total wages due to their employment status.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990, PART IX, Line 24a</ReturnReference>
        <Explanation>"Wrap around services" are specialized services provided for clients in accordance with their "individual service plans". These services are funded through ADAMHS Board of Cuyahoga County and are intended to "wrap around" a client who needs more than just a narrowly defined Medicaid medical service.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>LOSS ON DISPOSAL OF ASSETS</Identifier>
        <ReturnReference>FORM 990, PART VIII, LINE 7A-C</ReturnReference>
        <Explanation>The loss on disposal of assets was due to the disposal of leasehold improvements that were not fully depreciated when the West Bridge Day Treatment Center and Early Childhood Center were closed during THIS FISCAL YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>