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      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE INTEREST THAT COULD GIVE RISE TO CONFLICTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>FINANCE OBTAINS COMPARABLE SALARY INFORMATION FROM 990'S OF LIKE ORGANIZATIONS FOR VARIOUS KEY EMPLOYEE POSITIONS. THIS INFORMATION IS PROVIDED TO THE EXECUTIVE AND COMPENSATION COMMITTEE ALONG WITH THE CURRENT SALARY AND BENEFITS OF THE KEY EMPLOYESS. THE KEY EMPLOYEES INCLUDE THE CEO, EXECUTIVE VICE PRESIDENT FINANCE, MEDICAL DIRECTOR, VICE PRESIDENT DEVELOPMENT, VICE PRESIDENT CORPORATE ADVANCEMENT, EXECUTIVE VICE PRESIDENT COMPLIANCE, EXECUTIVE VICE PRESIDENT TREATMENT, AND EXECUTIVE VICE PRESIDENT CORPORATE PLANNING. THIS PROCESS IS DONE EVERY YEAR AND WAS PERFORMED IN JUNE 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FINANCIAL STATEMENTS ARE SENT TO PUBLIC FUNDERS AS REQUIRED BY CONTRACT. DONORS ARE PROVIDED FINANCIAL STATEMENTS UPON REQUEST. OTHER GOVERNING DOCUMENTS ARE PROVIDED BY RESOLUTION.</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: 422,822.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C</ReturnReference>
        <Explanation>PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
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          <AddressLine1>2151 RUSH BOULEVARD</AddressLine1>
          <City>YOUNGSTOWN</City>
          <State>OH</State>
          <ZIPCode>44507</ZIPCode>
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        <EIN>340685251</EIN>
        <PrimaryActivities>ADDITION TREATMENT FACILITY TO THOSE WITH DEPENDENCIES</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GATEWAY REHABILITATION CENTER</BusinessNameLine1>
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          <BusinessNameLine1>NEIL KENNEDY REHABILITATION CENTER</BusinessNameLine1>
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        <MethodOfAmtDetermination>AMOUNT DUE FROM AFFILIATE</MethodOfAmtDetermination>
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