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        <ProgramServices>33980</ProgramServices>
        <ManagementAndGeneral>1888</ManagementAndGeneral>
        <Fundraising>1888</Fundraising>
      </Advertising>
      <Occupancy>
        <Total>309182</Total>
        <ProgramServices>267133</ProgramServices>
        <ManagementAndGeneral>20406</ManagementAndGeneral>
        <Fundraising>21643</Fundraising>
      </Occupancy>
      <Travel>
        <Total>2506</Total>
        <ProgramServices>2166</ProgramServices>
        <ManagementAndGeneral>165</ManagementAndGeneral>
        <Fundraising>175</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>7547</Total>
        <ProgramServices>6521</ProgramServices>
        <ManagementAndGeneral>498</ManagementAndGeneral>
        <Fundraising>528</Fundraising>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>24629</Total>
        <ProgramServices>19211</ProgramServices>
        <ManagementAndGeneral>246</ManagementAndGeneral>
        <Fundraising>5172</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>78015</Total>
        <ProgramServices>78015</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Contract services</Description>
        <Total>555977</Total>
        <ProgramServices>555977</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical and office supp</Description>
        <Total>295533</Total>
        <ProgramServices>265979</ProgramServices>
        <ManagementAndGeneral>14777</ManagementAndGeneral>
        <Fundraising>14777</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment rental and ma</Description>
        <Total>40939</Total>
        <ProgramServices>36845</ProgramServices>
        <ManagementAndGeneral>2047</ManagementAndGeneral>
        <Fundraising>2047</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telephone</Description>
        <Total>18661</Total>
        <ProgramServices>16123</ProgramServices>
        <ManagementAndGeneral>1232</ManagementAndGeneral>
        <Fundraising>1306</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues and subscriptions</Description>
        <Total>16444</Total>
        <ProgramServices>14208</ProgramServices>
        <ManagementAndGeneral>1085</ManagementAndGeneral>
        <Fundraising>1151</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>30896</Total>
        <ProgramServices>26696</ProgramServices>
        <ManagementAndGeneral>2038</ManagementAndGeneral>
        <Fundraising>2162</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>2807705</Total>
        <ProgramServices>2535554</ProgramServices>
        <ManagementAndGeneral>130513</ManagementAndGeneral>
        <Fundraising>141638</Fundraising>
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      <CashNonInterestBearing>
        <BOY>639924</BOY>
        <EOY>574779</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
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        <EOY>287543</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
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        <EOY>31519</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>55606</BOY>
        <EOY>54423</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>767620</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>646447</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>102947</BOY>
        <EOY>121173</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <BOY>701195</BOY>
        <EOY>756556</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>692</BOY>
        <EOY>692</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>1782700</BOY>
        <EOY>1826685</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>589342</BOY>
        <EOY>44780</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>142121</BOY>
        <EOY>172633</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>731463</BOY>
        <EOY>217413</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1047820</BOY>
        <EOY>1609272</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>3417</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1051237</BOY>
        <EOY>1609272</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1782700</BOY>
        <EOY>1826685</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>472359</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>425394</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>669766</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>988013</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>733324</CurrentTaxYear>
        <Total>3288856</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>1822692</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1961469</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1837755</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1944692</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2010457</CurrentTaxYear>
        <Total>9577065</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>2295051</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2386863</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2507521</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2932705</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2743781</CurrentTaxYear>
        <Total>12865921</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>12865921</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>20782</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>27097</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>51690</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47615</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>35800</CurrentTaxYear>
        <Total>182984</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>20782</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>27097</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>51690</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47615</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>35800</CurrentTaxYear>
        <Total>182984</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>941</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1126</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1764</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9958</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>512</CurrentTaxYear>
        <Total>14301</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>2316774</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2415086</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2560975</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2990278</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2780093</CurrentTaxYear>
        <Total>13063206</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98490</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98570</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01400</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01310</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>16975</Depreciation>
        <BookValue>13086</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>198481</OtherCostOrOtherBasis>
        <Depreciation>124840</Depreciation>
        <BookValue>73641</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>539078</OtherCostOrOtherBasis>
        <Depreciation>504632</Depreciation>
        <BookValue>34446</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>121173</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Morgan Stanley</Description>
        <BookValue>331863</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Perpetual Trust</Description>
        <BookValue>424693</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>756556</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>Accrued payroll</Description>
        <Amount>62510</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued contract labor</Description>
        <Amount>26590</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued vacation pay</Description>
        <Amount>77178</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued payroll taxes</Description>
        <Amount>6355</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>172633</TotalOfAmounts>
      <TotalRevenue>2780572</TotalRevenue>
      <TotalExpenses>2807705</TotalExpenses>
      <ExcessOrDeficitForYear>-27133</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>43833</NetUnrealizedGLOnInvestments>
      <OtherAmount>541335</OtherAmount>
      <TotalAdjustments>585168</TotalAdjustments>
      <ExcessOrDeficitPerFS>558035</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>2997571</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>43833</NetUnrealizedGainsInvestments>
      <OtherRevenues>173166</OtherRevenues>
      <RevenueNotRptdF990>216999</RevenueNotRptdF990>
      <RevenueSubtotal>2780572</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>2780572</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2833061</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>25356</OtherExpensesIncluded>
      <ExpensesNotRptdF990>25356</ExpensesNotRptdF990>
      <ExpensesSubtotal>2807705</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2807705</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Explanation>PART XI, LINE 8: AN ADJUSTMENT FOR CONSOLIDATED FINANICAL STATEMENTS IN THE AMOUNT OF $541,335. PART XII, LINE 2D: AN ADJUSTMENT FOR CONSOLIDATED FINANCIAL STATEMENTS IN THE AMOUNT OF $173,166. PART XIII, LINE 2D: AN ADJUSTMENT FOR CONSOLIDIATED FINANCIAL STATEMENTS IN THE AMOUNT OF $25,356.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <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>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>THE ORGANIZATION MONITORS AND REVIEWS THE BOARD AND VENDORS TO ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE. THE OFFICERS OF THE BOARD DO NOT RECEIVE COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <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>form 990, part xi, line 2c</Identifier>
        <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>
      </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>