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        <Desc>Circle Health Services' dental program (2,819 clinic visits, 1,537 patients) provides for patients, the majority with whom are Medicaid-eligible, or are uninsured or underinsured, restorative services such as cleanings, fillings, root canals and partials plus an emergency extraction clinic during evenings and weekend hours.</Desc>
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        <Desc>HIV/AIDS services consists of three distinct service areas: HIV testing, syringe exchange program and HIV treatment. Circle Health Services provides anonymous rapid HIV tests (8,357 clinic visits, 5,489 patients); early intervention program Circle Health Services provides medical, mental health and substance abuse treatment; syringe exchange program - through syringe exchanges over 575,000 needles were distributed. Circle Health Services focuses on controlling the spread of disease by reducing the transmission of HIV/AIDS through intravenous drug use. We also offer Narcan, the medication used to reverse any type of opioid overdose.Circle Health Service's advocacy program takes action on timely and topical political and health trends that could positively impact the medically underserved. Advocacy efforts strive to influence public policy and social change by engaging patients and volunteers, often in collaboration with other like-minded agency representatives, in the process of communicating with lawmakers at the local, state and/or national level.Outreach and Enrollment - certified application counselors and others provide outreach, education, and enrollment activities to patients and other consumers requesting assistance with applying for insurance programs. Staff provides public education activities to raise awareness of qualified health plans within the federal marketplace and the availability of expanded Medicaid.Pharmacy - Circle Health Services has a pharmacy dispensary for its patients. The dispensary provides basic medication free of charge and assists patients to obtain additional medications from the drug companies. Providers at Circle Health Services appreciate the assistance of an onsite pharmacist. Consultation is available to providers and their patients with respect to monitoring parameters for medications, laboratory results, side effects and interactions, patient adherence, medication reconciliation, cost effective remedies, self-care and natural products, educational and community resources, and recommendations for uncontrolled chronic disease states.Case Management - Circle Health Service's integrated care management program assists patients that have been identified through either diagnoses or condition. With accessing resources to meet their basic needs. Patients that present with the following are referred for an assessment to determine the level of case management needed: BH diagnoses, high cost/high utilization, poorly controlled chronic conditions, social detriments of health, and/or referred by outside provider.</Desc>
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        <PersonNm>David Gunning</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Moses Jhirad</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rob Kochis</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Pamela LeRose</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Litzler</PersonNm>
        <TitleTxt>Principal Director until 5/23/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Letitia Lopez</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tracey Mason</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen McHale</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bradley Ouambo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Selina M Pagan</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephanie Walters Unterweger</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Manuela Weeber</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tatiana Wells</PersonNm>
        <TitleTxt>Principal Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Yarborough</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Morse</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Gambatese</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elena Yanchar</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dorothy Rimmelin</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nora McNamara</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Frech</PersonNm>
        <TitleTxt>Chief Strategy Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Martin Williams</PersonNm>
        <TitleTxt>Chief Program Officer</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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          <BusinessName>
            <BusinessNameLine1Txt>Ochin Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 5426</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>University Hospitals</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 781887</AddressLine1Txt>
            <CityNm>Detroit</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>482781887</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contracted Medical Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ZOOM Video Communications</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>55 S Almaden Boulevard 6th Floor</AddressLine1Txt>
            <CityNm>San Jose</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95113</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Patient Connect</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 3812</AddressLine1Txt>
            <CityNm>Allentown</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Consulting</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Pioneer Rx LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>920 Pierremont Rd Suite 300</AddressLine1Txt>
            <CityNm>Shreveport</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71106</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <FederatedCampaignsAmt>115</FederatedCampaignsAmt>
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      <AllOtherContributionsAmt>1261623</AllOtherContributionsAmt>
      <TotalContributionsAmt>10093099</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Medical Care</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>16437130</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16437130</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Behavioral Health</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1499059</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>417177</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>258756</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>18612122</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>41071</TotalRevenueColumnAmt>
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        <RelatedOrExemptFuncIncomeAmt>96082</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>600241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70258</ManagementAndGeneralAmt>
        <FundraisingAmt>3997</FundraisingAmt>
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        <ProgramServicesAmt>19278106</ProgramServicesAmt>
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        <ProgramServicesAmt>716337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92343</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2483112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>207165</ManagementAndGeneralAmt>
        <FundraisingAmt>13522</FundraisingAmt>
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        <ProgramServicesAmt>1535053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175221</ManagementAndGeneralAmt>
        <FundraisingAmt>10234</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>76306</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>234862</TotalAmt>
        <ManagementAndGeneralAmt>234862</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>71500</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>6691</ManagementAndGeneralAmt>
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        <TotalAmt>2404696</TotalAmt>
        <ProgramServicesAmt>1934710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>427950</ManagementAndGeneralAmt>
        <FundraisingAmt>42036</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>59227</TotalAmt>
        <ProgramServicesAmt>39703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19314</ManagementAndGeneralAmt>
        <FundraisingAmt>210</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>339292</TotalAmt>
        <ProgramServicesAmt>288496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49203</ManagementAndGeneralAmt>
        <FundraisingAmt>1593</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2023989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148345</ManagementAndGeneralAmt>
        <FundraisingAmt>8419</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>1386797</TotalAmt>
        <ProgramServicesAmt>1276889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107322</ManagementAndGeneralAmt>
        <FundraisingAmt>2586</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>307949</TotalAmt>
        <ProgramServicesAmt>304722</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3065</ManagementAndGeneralAmt>
        <FundraisingAmt>162</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>151311</TotalAmt>
        <ProgramServicesAmt>80063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68266</ManagementAndGeneralAmt>
        <FundraisingAmt>2982</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>47332</TotalAmt>
        <ManagementAndGeneralAmt>47332</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>467760</TotalAmt>
        <ProgramServicesAmt>432960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34008</ManagementAndGeneralAmt>
        <FundraisingAmt>792</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Program supplies</Desc>
        <TotalAmt>641689</TotalAmt>
        <ProgramServicesAmt>624156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14409</ManagementAndGeneralAmt>
        <FundraisingAmt>3124</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Client assistance</Desc>
        <TotalAmt>496949</TotalAmt>
        <ProgramServicesAmt>496508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>406</ManagementAndGeneralAmt>
        <FundraisingAmt>35</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Printing &amp; Publications</Desc>
        <TotalAmt>150893</TotalAmt>
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        <ExplanationTxt>Circle, The Centers, El Barrio, Inc., Cleveland Christian Home, Inc., George M. Robinsteen House, Inc. and 11401 Lorain Avenue Corporation are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The FASB provides guidance for how uncertain income tax positions should be recognized, measured, disclosed and presented in the consolidated financial statements. This requires the evaluation of tax positions taken or expected to be taken in the course of preparing the Organization's tax returns to determine whether the tax positions are more-likely-than-not of being sustained when challenged or when examined by the applicable tax authority. Tax positions not deemed to meet the more-likely-than-not threshold would be recorded as a tax benefit or expense and liability in the current year. Management has determined that there are no uncertain tax positions.</ExplanationTxt>
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        <ExplanationTxt>Each board member is required to complete a conflict of interest questionnaire on an annual basis. Those statements are reviewed annually for potential conflicts. All board members are covered under the policy. Any person with any conflict in a board decision is prohibited from participating in the board's deliberations and decisions on that transaction. All employees are subject to a conflict of interest policy, and are expected to report on an as-needed basis any potential conflicts.</ExplanationTxt>
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          <CityNm>Cleveland</CityNm>
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          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>341657978</EIN>
        <PrimaryActivitiesTxt>Social Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>The Centers For Families and Children</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>George M Robinsteen House Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4500 Euclid Avenue</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>200754018</EIN>
        <PrimaryActivitiesTxt>Housing for Disabled Young Adults</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Cleveland Christian Home Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Centers For Families and Children</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4500 Euclid Avenue</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>237084488</EIN>
        <PrimaryActivitiesTxt>Social Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Circle Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Cleveland Christian Home Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4500 Euclid Avenue</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>340733131</EIN>
        <PrimaryActivitiesTxt>Social Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Circle Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>11401 Lorain Avenue Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4500 Euclid Avenue</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>934059150</EIN>
        <PrimaryActivitiesTxt>Supporting Organization for The Cleveland Christian Home, Inc.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Cleveland Christian Home Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Centers for Families and Children</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>10363326</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Cleveland Christian Home Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>2226252</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>