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      <ProgramServiceRevenue>
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      <FeesForServicesLobbying>
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        <Fundraising>5074</Fundraising>
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      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
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      <OtherExpenses>
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        <ProgramServices>281733</ProgramServices>
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      <OtherExpenses>
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      <AllOtherExpenses>
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        <CurrentTaxYearMinus1Year>5848615</CurrentTaxYearMinus1Year>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12444</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>151382</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE BOARD APPOINTED THE AUDIT COMMITTEE TO REVIEW THE FORM 990 IN DETAIL. THEY THEN REPORT BACK TO THE BOARD PRIOR TO SUBMISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS MUST COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE AUDIT COMMITTE THEN REVIEWS ALL STATEMENTS AND REPORTS TO THE BOARD ON ANY KNOWN CONFLICTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>AS PART OF DEVELOPING OUR AGENCY WAGE AND SALARY SCALE, WE UTILIZED THE RESOUCES OF A PPFA HR CONSULTANT TO SURVEY OUR MARKET FOR SIMILAR POSITIONS/PAY IN NORTHEAST OHIO. THE CONSULTANT USED 10-15 RESOURCES TO HELP US DETERMINE MARKET RATES FOR EACH POSITION. THE BOARD OF DIRECTORS ENTERS INTO A CONTRACT WITH THE PRESIDENT/CEO ANNUALLY AND USES THESE TOOLS TO ASSIST IN SETTING THE CEO'S ANNUAL COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND THE FORM 990 IS ON WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 833,908. DONATED SERVICES AND USE OF FACILITIES: -100. TOTAL TO FORM 990, PART XI, LINE 5: 833,808.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>