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      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRANSIT SERVICE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1130 PERFORMANCE PLACE</AddressLine1Txt>
            <CityNm>YOUNGSTOWN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSPORTATION</ServicesDesc>
        <CompensationAmt>511799</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>109768</AllOtherContributionsAmt>
      <TotalContributionsAmt>109768</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>14747605</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14747605</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DAY PROGRAMING</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>7367808</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7367808</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT RENT</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>123300</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>123300</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>22238713</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>122889</TotalRevenueColumnAmt>
        <ExclusionAmt>122889</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>71284</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>70285</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>999</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>999</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>30877</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEE INCOME</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>50240</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>50240</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>50240</OtherRevenueTotalAmt>
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        <RelatedOrExemptFuncIncomeAmt>22288953</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>154765</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>748974</TotalAmt>
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      <PayrollTaxesGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>16208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16208</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>45294</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>325896</ProgramServicesAmt>
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        <ProgramServicesAmt>137713</ProgramServicesAmt>
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        <ProgramServicesAmt>3192414</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>911347</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedBasisGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PROVIDED THE ORGANIZATION'S BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MANAGEMENT AND PERSONNEL COMMITTEE ANNUALLY REVIEWS AND UPDATES THE CONFLICT OF INTEREST POLICY. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE POLICY ONCE THE UPDATES HAVE BEEN MADE. BOARD MEMBERS UPDATE ANY CONFLICTS OF INTEREST ANNUALLY THROUGH THE 990 BOARD MEMBER QUESTIONAIRE AND ARE REQUIRED TO BRING ATTENTION TO ANY CONFLICTS AS THEY OCCUR DURING THE YEAR. IF A CONFLICT WERE TO OCCUR, THE INDIVIDUAL WITH A CONFLICT WILL ABSTAIN FROM VOTING ISSUES WHERE THE CONFLICT IS INVOLVED AND MAY NOT PARTICIPATE IN CERTAIN DISCUSSION SURROUNDING THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS DONE ANNUALLY THROUGH THE INDEPENDENT PERSONNEL COMMITTEE AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. DATA PROVIDED BY ASSOCIATIONS IS USED TO COMPARE WAGES OF OTHERS IN LIKE POSITIONS AT SIMILAR ORGANIZATIONS. THE PROCESS WAS LAST COMPLETED IN JUNE 2023 FOR THE EXECUTIVE DIRECTOR AND CFO. THE COMPENSATION DECISIONS REACHED WERE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS -220,817.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS OF THE COMMITTEE THAT OVERSEES THE AUDIT HAS NOT CHANGED FORM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GATEWAYS INDUSTRIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6000 MAHONING AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44515</ZIPCd>
        </USAddress>
        <EIN>208073895</EIN>
        <PrimaryActivitiesTxt>PROVIDES DAY HABILITATION WORKSHOP FOR DEVELOPMENTALLY DISABLED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GTBL DEVELOPEMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6000 MAHONING AVENUE</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44515</ZIPCd>
        </USAddress>
        <EIN>208073860</EIN>
        <PrimaryActivitiesTxt>OWNS, LEASES, AND MAINTAINS RESIDENTIAL REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GATEWAYS INDUSTRIES INC EIN 20-8073895</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>3192414</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GATEWAYS INDUSTRIES INC EIN 20-8073895</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>1200</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GATEWAYS INDUSTRIES INC EIN 20-8073895</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>297600</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GATEWAYS INDUSTRIES INC EIN 20-8073895</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>I</TransactionTypeTxt>
        <InvolvedAmt>129820</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GTBL DEVELOPEMENT CORP EIN 20-8073860</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>1200</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GTBL DEVELOPEMENT CORP EIN 20-8073860</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>297600</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GTBL DEVELOPEMENT CORP EIN 20-8073860</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>I</TransactionTypeTxt>
        <InvolvedAmt>90997</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
