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        <ProgramServices>83103</ProgramServices>
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        <ProgramServices>507290</ProgramServices>
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        <EOY>194766</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>0</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>2036825</BOY>
        <EOY>1953574</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>19831</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-48016</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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        <CurrentTaxYearMinus3Years>988013</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>733324</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>744185</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>774827</CurrentTaxYear>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>1944692</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>2025878</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2004118</CurrentTaxYear>
        <Total>9822900</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>2507521</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2932705</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2743781</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2770063</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2778945</CurrentTaxYear>
        <Total>13733015</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>13733015</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>51690</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>47615</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35800</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>59087</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36892</CurrentTaxYear>
        <Total>231084</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>47615</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35800</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>59087</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36892</CurrentTaxYear>
        <Total>231084</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>1764</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9958</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>512</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>16379</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>447</CurrentTaxYear>
        <Total>29060</Total>
      </OtherIncome509>
      <TotalSupportTotal>
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        <CurrentTaxYearMinus3Years>2990278</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2780093</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2845529</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2816284</CurrentTaxYear>
        <Total>13993159</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98140</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98150</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01650</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01630</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>30061</OtherCostOrOtherBasis>
        <Depreciation>19149</Depreciation>
        <BookValue>10912</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>230778</OtherCostOrOtherBasis>
        <Depreciation>122151</Depreciation>
        <BookValue>108627</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>527386</OtherCostOrOtherBasis>
        <Depreciation>495094</Depreciation>
        <BookValue>32292</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>151831</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>MORGAN STANLEY</Description>
        <BookValue>362418</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>PERPETUAL TRUST</Description>
        <BookValue>446286</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>808704</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>ACCRUED PAYROLL</Description>
        <Amount>64951</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED CONTRACT LABOR</Description>
        <Amount>28029</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED VACATION PAY</Description>
        <Amount>63265</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PAYROLL TAXES</Description>
        <Amount>7749</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>163994</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 OPERATIONS, 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 AND KEY EMPLOYEES SALARIES ARE 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>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -48,016.</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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <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>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <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>
  </ReturnData>
</Return>