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      <MissionDesc>LINDNER CENTER OF HOPE IS A MENTAL HEALTH CENTER STAFFED BY A DIVERSE TEAM, UNITED IN THE PHILOSOPHY THAT BY WORKING TOGETHER, WE CAN BEST OFFER HOPE FOR PEOPLE LIVING WITH MENTAL ILLNESS. THE PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF OUR TREATMENT, EDUCATION, AND RESEARCH. LINDNER CENTER OF HOPE OFFERS COMPREHENSIVE SERVICES INCLUDING INPATIENT, RESIDENTIAL AND OUTPATIENT SERVICES. LCOH HAS 32 INPATIENT BEDS, 32 RESIDENTIAL BEDS AND PROVIDES A RANGE OF OUTPATIENT SERVICES INCLUDING OFFICE VISITS, TELEHEALTH VISITS, PHP, IOP, ESKETAMINE AND TMS.</MissionDesc>
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      <Desc>ACUTE INPATIENT CARE: FOR ADULT PATIENTS NEEDING THE HIGHEST LEVEL OF CARE AND CRISIS INTERVENTION DELIVERED WITH COMPASSION AND RESPECT, LINDNER CENTER OF HOPE HAS 32 PRIVATE ROOMS DIVIDED INTO TWO 16-ROOM UNITS FOR ACUTE HOSPITAL STAYS. AFTER A COMPREHENSIVE DIAGNOSTIC EVALUATION IS COMPLETED TO GAIN A THOROUGH UNDERSTANDING OF THE SPECIFIC NEEDS OF EACH PATIENT, INPATIENT TREATMENT FOCUSES ON QUICKLY RESOLVING SERIOUS AND LIFE THREATENING SYMPTOMS. ADULT PARTIAL HOSPITALIZATION: THE ADULT PARTIAL HOSPITALIZATION PROGRAM KEEPS PATIENTS, WHO MEET PROGRAM CRITERIA, OUT OF THE HOSPITAL, WHILE PROVIDING INTENSIVE TREATMENT IN A SAFE SETTING. LINDNER CENTER OF HOPE IS COMMITTED TO PROVIDING THE FULL SPECTRUM OF CARE FOR CHILDREN, ADOLESCENTS, AND ADULTS SUFFERING WITH MENTAL ILLNESS. WHEN AN INDIVIDUAL'S DAILY FUNCTIONING IS IMPAIRED BY MENTAL ILLNESS, YET CRITERIA ARE NOT MET FOR HOSPITALIZATION, THE ADOLESCENT AND ADULT PARTIAL HOSPITALIZATION PROGRAMS (PHP) PROVIDE INTENSIVE TREATMENT IN A SAFE AND THERAPEUTIC ENVIRONMENT, WITHOUT FULL HOSPITALIZATION. PARTIAL HOSPITALIZATION HELPS PATIENTS PROGRESS TO THE POINT WHERE STANDARD OUTPATIENT APPOINTMENTS CAN BE EFFECTIVE. THESE PROGRAMS ARE ALSO USED AS A STEP-DOWN PROGRAM FROM HOSPITALIZATION, WITH THE INTENT OF GRADUALLY EASING A PATIENT BACK INTO THEIR HOME ENVIRONMENT. THE PROGRAM OPERATES MONDAY THROUGH FRIDAY FROM 8:30 A.M. TO 3:30 P.M. EXCEPT FOR EATING DISORDER PATIENTS WHO ATTEND UNTIL 6:00 P.M., AND ENROLLEES ATTEND 5 DAYS PER WEEK FOR UP TO 4 WEEKS. THE PROGRAM OFFERS SOME FLEXIBILITY IN DESIGN, SO THAT THE PHP TREATMENT TEAM AND THE ENROLLEE CAN WORK TOGETHER TO CREATE THE RIGHT TREATMENT PLAN FOR EACH INDIVIDUAL. TRANSCRANIAL MAGNETIC STIMULATION THERAPY: MAJOR DEPRESSION IS A DEBILITATING BRAIN DISORDER THAT AFFECTS ONE IN 10 ADULTS. IT IS CAUSED BY AN IMBALANCE OF CHEMICALS IN THE BRAIN THAT RESULT IN A PERSISTENT STATE OF SADNESS AND LOSS OF INTEREST IN OR PLEASURE FROM NORMAL ACTIVITIES. INDIVIDUALS THAT HAVE TRIED MEDICATIONS AND PSYCHOTHERAPY TO RELIEVE THEIR SYMPTOMS WITH LITTLE OR NO SUCCESS, OFTEN GIVE UP HOPE. THE INNOVATION OF TRANSCRANIAL MAGNETIC STIMULATION (TMS) CAN IMPROVE SYMPTOMS AND GIVE HOPE TO THOSE STRUGGLING TO LIVE THEIR LIVES. NATIONALLY RECOGNIZED AS EXPERTS IN THE TREATMENT OF DEPRESSION, LINDNER CENTER OF HOPE PSYCHIATRISTS OFFER TMS AS AN INNOVATIVE TREATMENT MODALITY THAT DELIVERS POSITIVE RESULTS TO PATIENTS COPING WITH MENTAL ILLNESS. TMS IS A NON-SYSTEMIC AND NON-INVASIVE TREATMENT FOR DEPRESSION THAT RECEIVED THE PRESTIGIOUS POPULAR SCIENCE AWARD BEST OF WHAT'S NEW IN 2009. ELECTROCONVULSIVE THERAPY (ECT) IS A SAFE AND EFFECTIVE TREATMENT OPTION FOR CERTAIN MENTAL ILLNESSES AND IS THE GOLD STANDARD FOR TREATMENT OF CERTAIN PSYCHIATRIC DISORDERS, CAUSING CHANGES IN BRAIN CHEMISTRY THAT CAN IMMEDIATELY REVERSE SYMPTOMS. AS ONE OF THE OLDEST AND MOST WIDELY USED MENTAL HEALTH PROCEDURES, OFTEN, ECT WORKS WHEN OTHER TREATMENTS ARE UNSUCCESSFUL. ECT IS AN EXTREMELY EFFECTIVE FORM OF TREATMENT, OFTEN SAFER AND MORE EFFECTIVE THAN MEDICATIONS OR NO TREATMENT AT ALL. LINDNER CENTER OF HOPE IS THE LEADING PROVIDER OF ECT IN THE AREA. THE CENTER'S ECT EXPERT PROVIDERS AND A CARING STAFF PERFORM THE PROCEDURE IN THE STATE-OF-THE-ART FARMER FAMILY NEUROMODULATION CENTER WITH THE LATEST TECHNOLOGY AND EQUIPMENT. TREATMENT APPOINTMENTS CAN BE SCHEDULED MONDAY, WEDNESDAY, THURSDAY, AND FRIDAY, 7:00 A.M. TO 1:00 P.M., WITH NEW PATIENTS STARTING THE PROCESS THROUGH INTAKE OR WHILE IN OUR HOSPITAL. LINDNER CENTER OF HOPE WOMEN'S MENTAL HEALTH PROGRAM: SOME MENTAL HEALTH CONCERNS ARE UNIQUE TO WOMEN, ESPECIALLY AS THEY RELATE TO A WOMAN'S REPRODUCTIVE LIFE CYCLE. THIS CYCLE IS NATURALLY FILLED WITH HIGHS AND LOWS THAT ARE LINKED TO PHYSICAL CHANGES, HORMONAL FLUCTUATIONS, LIFE-ALTERING EVENTS - OFTEN EQUALLY JOYOUS, SAD, AND STRESSFUL. SOMETIMES IT CAN BE HARD TO KNOW WHEN A MOOD OR BEHAVIOR IS MORE THAN A NORMAL REACTION TO PHYSIOLOGICAL CHANGE OR STRESS. THE WOMEN'S MENTAL HEALTH PROGRAM AT LINDNER CENTER OF HOPE STRIVES TO PROMOTE AND ENHANCE WOMEN'S MENTAL HEALTH AND WELL-BEING ACROSS THE REPRODUCTIVE LIFECYCLE. SPECIALISTS ARE AVAILABLE TO HELP INDIVIDUALS AND THEIR CLINICIANS BY PROVIDING COMPREHENSIVE DIAGNOSTIC ASSESSMENTS, CONSULTATIONS, MEDICATION MANAGEMENT, AND PSYCHOTHERAPY SERVICES. RESIDENTIAL SERVICES: FOR PATIENTS SEEKING CARE BEYOND THE HOSPITAL SETTING AND THE LIMITS IMPOSED BY THIRD PARTY PAYERS, LINDNER CENTER OF HOPE OFFERS COMPREHENSIVE CARE FOR ADULTS AGE 18 YEARS AND OLDER (SIBCY HOUSE) AND FOR ADULTS AGE 18 AND OLDER NEEDING ASSESSMENTS AND CARE PLANS (WILLIAMS HOUSE) IN A SHORT TERM RESIDENTIAL SETTING. SIBCY HOUSE IS A 16-ROOM, PRIVATE-PAY, RESIDENTIAL PROGRAM THAT OFFERS A PREMIERE DIAGNOSTIC AND TREATMENT ENVIRONMENT NOT FOUND IN TRADITIONAL HOSPITALS OR TREATMENT CENTERS. PATIENTS BENEFIT FROM AN EXTENSIVE DIAGNOSTIC ASSESSMENT FOLLOWED BY EXTENDED STAYS TO INITIATE THEIR INDIVIDUALIZED TREATMENT PLAN. SIBCY HOUSE PROGRAMS FEATURE: - COMPREHENSIVE DIAGNOSTIC ASSESSMENT - DIAGNOSTIC AND TREATMENT PROGRAM - ADDICTIVE AND CO-OCCURRING DISORDERS PROGRAM - CONTINUING TREATMENT WITHIN THESE PROGRAMS, SIBCY HOUSE OFFERS SPECIALTY TRACKS FOR PATIENTS DIAGNOSED WITH: - DEPRESSION AND BIPOLAR DISORDER - EATING DISORDERS - ADDICTIVE DISORDERS - CO-OCCURRING PSYCHIATRIC DISORDERS - ANXIETY DISORDERS - OBSESSIVE COMPULSIVE DISORDER WILLIAMS HOUSE IS A 16 BED, PRIVATE PAY RESIDENTIAL PROGRAM THAT OFFERS A CORE ASSESSMENT PROGRAM AND ADDITIONAL WEEKS THAT ALLOW EACH INDIVIDUAL STAY TO BE CUSTOMIZED FOR THE PATIENT AND FAMILY. A 10-DAY CORE ASSESSMENT FOCUSES ON THE DIAGNOSTICS, EVALUATION AND AN EXTENSIVE ARRAY OF ASSESSMENTS AND TEST, INDIVIDUALIZED BASED ON THE PATIENT'S PRESENTING SYMPTOMS. THE SECOND COMPONENT ZEROES IN ON STABILIZATION, SKILLS BUILDING, INCREASING INDEPENDENCE AND INITIATIVE AND CHANGING TREATMENT TRAJECTORY THROUGH DAILY GROUPS FOCUSED ON SKILLS OF EMOTIONAL MANAGEMENT AND INTERPERSONAL EFFECTIVENESS. THE THIRD COMPONENT WORKS TO PREPARE THE PATIENT FOR THE NEXT LEVEL OF CARE, WHETHER WITHIN THE WILLIAMS HOUSE OR WITH ANOTHER PROVIDER. INDIVIDUAL THERAPY, GROUPS AND CLINICAL SKILLS BUILDING, WITHIN THE DBT AND CBT STRUCTURED MILIEU, OCCURS DURING THE ENTIRE VISIT BUT BECOMES MORE OF THE FOCUS AFTER THE DIAGNOSTIC WORKUP IS COMPLETE. OUR PROGRAMS ARE BUILT TO GET TO THE ROOT OF ISSUES AND TREAT EACH DISORDER IN A SAFE, WELCOMING ENVIRONMENT. HERE ARE THE ISSUES WE DIAGNOSE AND TREAT: - ANXIETY PROBLEMS - ADDICTIVE ISSUES - CO-OCCURRING DISORDERS - DISORDERED EATING - MOOD PROBLEMS - OBSESSIVE COMPULSIVE DISORDER (OCD) - DISORDERED THINKING - MALADAPTIVE COPING SKILLS - FAMILY OR RELATIONSHIP PROBLEMS - NEURODEVELOPMENTAL ISSUES - LEARNING DIFFERENCES OR PROBLEMS WITH SCHOOL DISORDER CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER HOSPITALIZATION SERVICES FOR ADOLESCENTS: CINCINNATI CHILDREN'S AT LINDNER CENTER OF HOPE, STAFFED BY LINDNER CENTER OF HOPE CLINICAL PROVIDERS, PROVIDES STABILIZATION FOR STRUGGLING ADOLESCENTS AGE 12 TO 17 ON THE 16-BED ADOLESCENT UNIT. PATIENTS PARTICIPATE IN STRUCTURED DAILY ACTIVITIES THAT ARE EVIDENCE-BASED AND INTERDISCIPLINARY IN NATURE. MANY INVOLVE GROUP WORK WITH PEERS AND STAFF. THE TREATMENT TEAM CAN INCLUDE PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, DIETITIANS, AND GENERAL PRACTICE PHYSICIANS. DAILY PROGRAMMING AIMS TO ENSURE COMPREHENSIVE AND ADOLESCENT-CENTERED EDUCATION AND TREATMENT DURING THE COURSE OF THE INPATIENT STAY. THE RECOVERY PROCESS BEGINS DURING THE COURSE OF THE INPATIENT STAY IN ORDER TO PROMOTE AS SMOOTH A TRANSITION AS POSSIBLE TO THE OUTPATIENT SETTING. THE COLLABORATION BETWEEN CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER AND LINDNER CENTER OF HOPE RESULTS IN THE HIGHEST QUALITY CARE FOR ADOLESCENTS ON THE UNIT. THE TEAM TREATS ADOLESCENTS WITH ALL MENTAL HEALTH DIAGNOSES WHO MEET ADMISSION CRITERIA AND ALSO OFFERS A SPECIALTY EATING DISORDERS TRACK.</Desc>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>32300</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIELLE JOHNSON</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>347488</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36878</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA C NIXON</PersonNm>
        <TitleTxt>CFO &amp; ADMINISTRATIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>260199</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31348</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARILYN SCHWEMBERGER RN</PersonNm>
        <TitleTxt>CHIEF NURSING OFC. (END 3/23)</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>214770</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22781</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDI AMOILS MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM BUTLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John C Byrd MD</PersonNm>
        <TitleTxt>Trust</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDY FILAK MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Suzette Fisher</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG HARMEYER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>L THOMAS HILTZ ESQ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK HINDS THROUGH 123</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>3.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE KEREIAKES</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCES R LINDNER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>S CRAIG LINDNER</PersonNm>
        <TitleTxt>PRESIDENT AND BOARD CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VINCE RINALDI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J SCOTT ROBERTSON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CORY SHAW EFFECTIVE 1123</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAM SIBCY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON ZIPPERSTEIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAN MARHEFKA</PersonNm>
        <TitleTxt>CHIEF NURSING OFC.(BEGAN 4/23)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>1399361</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>150796</TotalOtherCompensationAmt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UC Health</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3200 BURNET AVE</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45229</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Payroll/IT Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>U C PHYSICIANS COMPANY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>260 STETSON ST SUITE 2300</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Clinician Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIVERSITY OF CINCINNATI</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3223 EDEN AVE ML 0553</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICIAN SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Sodexo</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 360170</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152516170</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food and EVS service</ServicesDesc>
        <CompensationAmt>2024441</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Brambeck and Vest Associates</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>49 East 4th Street Suite 1020</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>287860</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>9023193</AllOtherContributionsAmt>
      <NoncashContributionsAmt>595591</NoncashContributionsAmt>
      <TotalContributionsAmt>9023193</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>27512890</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27512890</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEASE INCOME</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>2741659</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2741659</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH REVENUE</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>359838</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>359838</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>30614387</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1259608</TotalRevenueColumnAmt>
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        <ExclusionAmt>1250116</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <Desc>OTHER INCOME</Desc>
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      <GrantsToDomesticOrgsGrp>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>108419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182401</ManagementAndGeneralAmt>
        <FundraisingAmt>3937</FundraisingAmt>
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        <ProgramServicesAmt>2694166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4532604</ManagementAndGeneralAmt>
        <FundraisingAmt>97821</FundraisingAmt>
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        <ProgramServicesAmt>81366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136889</ManagementAndGeneralAmt>
        <FundraisingAmt>2954</FundraisingAmt>
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        <ProgramServicesAmt>640127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1076935</ManagementAndGeneralAmt>
        <FundraisingAmt>23242</FundraisingAmt>
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        <ProgramServicesAmt>230958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>388558</ManagementAndGeneralAmt>
        <FundraisingAmt>8386</FundraisingAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>54222</TotalAmt>
        <ManagementAndGeneralAmt>54222</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>80791</TotalAmt>
        <ManagementAndGeneralAmt>80791</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>3043981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5121124</ManagementAndGeneralAmt>
        <FundraisingAmt>110523</FundraisingAmt>
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        <ProgramServicesAmt>564521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302487</ManagementAndGeneralAmt>
        <FundraisingAmt>6528</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1108958</TotalAmt>
        <ProgramServicesAmt>716662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>384008</ManagementAndGeneralAmt>
        <FundraisingAmt>8288</FundraisingAmt>
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        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
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        <TotalAmt>1554409</TotalAmt>
        <ProgramServicesAmt>1004534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>538258</ManagementAndGeneralAmt>
        <FundraisingAmt>11617</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>216580</TotalAmt>
        <ProgramServicesAmt>139964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74997</ManagementAndGeneralAmt>
        <FundraisingAmt>1619</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1819184</TotalAmt>
        <ProgramServicesAmt>1819184</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>364677</TotalAmt>
        <ProgramServicesAmt>235672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126280</ManagementAndGeneralAmt>
        <FundraisingAmt>2725</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1068529</TotalAmt>
        <ProgramServicesAmt>690535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>370009</ManagementAndGeneralAmt>
        <FundraisingAmt>7985</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FRANCHISE FEE</Desc>
        <TotalAmt>500572</TotalAmt>
        <ProgramServicesAmt>500572</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CAFETERIA</Desc>
        <TotalAmt>1413351</TotalAmt>
        <ProgramServicesAmt>913376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>489413</ManagementAndGeneralAmt>
        <FundraisingAmt>10562</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
        <TotalAmt>627052</TotalAmt>
        <ProgramServicesAmt>627052</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1722850</TotalAmt>
        <ProgramServicesAmt>1111682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>598257</ManagementAndGeneralAmt>
        <FundraisingAmt>12911</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>29889102</TotalAmt>
        <ProgramServicesAmt>15122771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14457233</ManagementAndGeneralAmt>
        <FundraisingAmt>309098</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>13668938</BOYAmt>
        <EOYAmt>11523437</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>36616087</BOYAmt>
        <EOYAmt>34606726</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2345232</BOYAmt>
        <EOYAmt>2139498</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>101735</BOYAmt>
        <EOYAmt>68346</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>111195</BOYAmt>
        <EOYAmt>734186</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50859621</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>21643513</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>27893700</BOYAmt>
        <EOYAmt>29216108</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>50602217</BOYAmt>
        <EOYAmt>62323961</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>750661</BOYAmt>
        <EOYAmt>28790</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>132089765</BOYAmt>
        <EOYAmt>140641052</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>-16454153</BOYAmt>
        <EOYAmt>-24318019</EOYAmt>
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      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>302304</BOYAmt>
        <EOYAmt>144711</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>-16151849</BOYAmt>
        <EOYAmt>-24173308</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>75199378</BOYAmt>
        <EOYAmt>83316243</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>73042236</BOYAmt>
        <EOYAmt>81498117</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>148241614</BOYAmt>
        <EOYAmt>164814360</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>132089765</BOYAmt>
        <EOYAmt>140641052</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>13176164</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3396582</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>41900482</BeginningYearBalanceAmt>
        <ContributionsAmt>2674450</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>5950316</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1676020</OtherExpendituresAmt>
        <EndYearBalanceAmt>48849228</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>40664022</BeginningYearBalanceAmt>
        <ContributionsAmt>5303141</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-2278649</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1788032</OtherExpendituresAmt>
        <EndYearBalanceAmt>41900482</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>38595669</BeginningYearBalanceAmt>
        <ContributionsAmt>1006586</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>12675647</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>11613880</OtherExpendituresAmt>
        <EndYearBalanceAmt>40664022</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>38563670</BeginningYearBalanceAmt>
        <ContributionsAmt>1823561</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-991562</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>800000</OtherExpendituresAmt>
        <EndYearBalanceAmt>38595669</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>33630740</BeginningYearBalanceAmt>
        <ContributionsAmt>3538954</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2207092</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>813116</OtherExpendituresAmt>
        <EndYearBalanceAmt>38563670</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.32000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.68000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>5529369</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5529369</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>39236327</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>16414532</DepreciationAmt>
        <BookValueAmt>22821795</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3179348</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2417652</DepreciationAmt>
        <BookValueAmt>761696</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2914577</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2811329</DepreciationAmt>
        <BookValueAmt>103248</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>29216108</TotalBookValueLandBuildingsAmt>
      <FinancialDerivativesGrp />
      <CloselyHeldEquityInterestsGrp />
      <OtherSecuritiesGrp>
        <Desc>OTHER SECURITIES</Desc>
        <BookValueAmt>62323961</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>62323961</TotalBookValueSecuritiesAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS ENDOWMENT FUNDS WERE PROVIDED FOR THE RECRUITMENT AND RETENTION OF THE BEST CLINICIANS AND CLINICAL SCIENTISTS IN THE COUNTRY AND TO SUPPORT CLINICAL, RESEARCH AND EDUCATION PROGRAMS AT LINDNER CENTER OF HOPE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LINDNER CENTER OF HOPE HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CENTER FILES TAX RETURNS IN THE U.S FEDERAL JURISDICTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>112999</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>112999</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00390</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>338624</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>186133</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>152491</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00520</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>451623</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>186133</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>265490</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00910</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>81300</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00280</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
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        <NetCommunityBenefitExpnsAmt>244076</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00830</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2577685</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1333186</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1244499</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04250</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>1622524</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1262686</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04320</TotalExpensePct>
      </ResearchGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4525585</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1333186</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2832561</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09680</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4977208</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>3098051</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10590</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>627052</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>2286785</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>4717807</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-2431022</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>THE CRAIG AND FRANCES LINDNER CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>OF HOPE 4075 OLD WESTERN ROW</AddressLine1Txt>
          <CityNm>MASON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45040</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.LINDNERCENTEROFHOPE.ORG 1481</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>LINDNER CENTER OF HOPE</BusinessNameLine1Txt>
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        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART VI</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART VI</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART VI</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART VI</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART VI</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>INPUT FROM THE COMMUNITY THE CHNA GATHERED INPUT FROM MEDICALLY UNDERSERVED, MINORITY, AND LOW-INCOME POPULATIONS AND ENCOURAGED A BROAD RANGE OF INPUT FROM PEOPLE WHO LIVE IN THE COMMUNITY OR ORGANIZATIONS WHO SERVE VULNERABLE RESIDENTS OF THE COMMUNITY. THERE CAN BE DYNAMIC TENSION BETWEEN ASKING FOR OPEN SHARING OF OPINIONS WHILE ALSO REQUESTING POTENTIALLY SENSITIVE DEMOGRAPHIC INFORMATION. PARTICIPANTS WERe NOT ASKED TO DISCLOSE DEMOGRAPHIC INFORMATION AT MEETINGS. INDIVIDUAL SURVEY RESPONDENTS WERE GIVEN THE OPTION TO DISCLOSE RACE, ETHNICITY, OR ADDRESS. TO ENSURE BROAD REPRESENTATION BUT ALSO INCLUSION OF VULNERABLE POPULATIONS, THE CHNA TEAM AND ITS PARTNERS DID THE FOLLOWING: -MARKETING THE COMMUNITY MEETINGS THROUGH HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY-BASED NONPROFIT ORGANIZATIONS WITH FOLLOW-UP EMAILS AND PHONE CALLS TO NONPROFIT AGENCIES THAT HAD NOT BEEN ENGAGED IN PAST CHNA MEETINGS. - ADDRESSED TWO MEETINGS OF GRANTEES FOR INTERACT FOR HEALTH'S THRIVING COMMUNITY INITIATIVE TO PUBLICIZE THE MEETINGS AND SHARE THE LINK TO THE ONLINE SURVEY. - SOLICITED INPUT IN SMALLER FOCUS GROUP SETTINGS FOR PEOPLE WHO WERE AFRICAN-AMERICAN; LATINO; ELDERLY; IDENTIFYING AS BELONGING WITHIN THE LBGTQ+ COMMUNITY; OR MEMBERS OF CINCINNATI'S CREATING HEALTHY COMMUNITIES INITIATIVE - AND ASKED THEM TO SHARE THE SURVEY LINK WITH FRIENDS, FAMILY, AND COLLEAGUES. - ENGAGED NATIVE SPEAKERS WHO WERE HEALTH AND OUTREACH WORKERS TO CONDUCT ONE-ON-ONE SURVEYS WITH LATINOS AND REFUGEES FROM THE CONFLICT IN RWANDA. - SENT COLLEGE STUDENT INTERNS TO COMMUNITY EVENTS AND FESTIVALS, WHICH ATTRACTED THE GENERAL PUBLIC AS WELL AS THOSE WHICH TARGETED SPECIFIC POPULATIONS, SUCH AS CINCY CINCO, ASIAN FOOD FEST, AND JUNETEENTH (AMONG OTHERS) - THEY CONDUCTED THE SURVEYS ON MOBILE TABLETS W DROP-DOWN MENUS. - PEOPLE WORKING COOPERATIVELY ALSO ADMINISTERED MOBILE SURVEYS IN LOW-INCOME HOMES, FOR ELDERLY AND DISABLED RESIDENTS, WHERE THE NONPROFIT WAS MAKING REPAIRS AND/OR ACCESSIBILITY MODIFICATIONS. - MEDICAL OFFICES SHARED SURVEYS WITH PATIENTS WHO WERE MINORITIES OR RECEIVING SUBSTANCE ABUSE TREATMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FACILITIES PARTICIPATING IN THE CHNA - THE CHRIST HOSPITAL HEALTH NETWORK - CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER - CLINTON MEMORIAL HOSPITAL - HIGHPOINT HEALTH - KETTERING HEALTH NETWORK - FORT HAMILTON HOSPITAL - GRANDVIEW MEDICAL CENTER - GREENE MEMORIAL HOSPITAL - KETTERING BEHAVIORAL MEDICINE CENTER - KETTERING MEDICAL CENTER - SOIN MEDICAL CENTER - SOUTHVIEW MEDICAL CENTER - SYCAMORE MEDICAL CENTER - LINDNER CENTER OF HOPE - MERCY HEALTH - CINCINNATI REGION - MERCY HEALTH - ANDERSON HOSPITAL - MERCY HEALTH - CLERMONT HOSPITAL - MERCY HEALTH - FAIRFIELD HOSPITAL - MERCY HEALTH - WEST HOSPITAL - THE JEWISH HOSPITAL - MERCY HEALTH - MERCY HEALTH - SPRINGFIELD URBANA REGION - MERCY HEALTH - URBANA HOSPITAL - SPRINGFIELD REGIONAL MEDICAL CENTER - PREMIER HEALTH - ATRIUM MEDICAL CENTER - MIAMI VALLEY HOSPITAL - MIAMI VALLEY HOSPITAL NORTH - MIAMI VALLEY HOSPITAL SOUTH - UPPER VALLEY MEDICAL CENTER - TRIHEALTH - BETHESDA BUTLER HOSPITAL - BETHESDA NORTH HOSPITAL - GOOD SAMARITAN HOSPITAL - MCCULLOUGH-HYDE MEMORIAL HOSPITAL - TRIHEALTH EVENDALE HOSPITAL - UC HEALTH - DANIEL DRAKE CENTER FOR POST-ACUTE CARE - UNIVERSITY OF CINCINNATI MEDICAL CENTER - WEST CHESTER HOSPITAL - WILSON HEALTH - WAYNE HEALTHCARE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES PARTICIPATING IN THE CHNA - ADAMS COUNTY HEALTH DEPARTMENT - BROWN COUNTY HEALTH DEPARTMENT - BUTLER COUNTY HEALTH DEPARTMENT - CHAMPAIGN-URBANA COUNTY DEPARTMENT - CINCINNATI HEALTH DEPARTMENT - CITY OF HAMILTON HEALTH DEPARTMENT - CLARK COUNTY COMBINED HEALTH DISTRICT - CLERMONT COUNTY PUBLIC HEALTH - CLINTON COUNTY HEALTH DEPARTMENT - DARKE COUNTY GENERAL HEALTH DISTRICT - FAYETTE COUNTY PUBLIC HEALTH - GREENE COUNTY PUBLIC HEALTH - HAMILTON COUNTY PUBLIC HEALTH - HIGHLAND COUNTY HEALTH DEPARTMENT - MIAMI COUNTY PUBLIC HEALTH - MIDDLETOWN CITY HEALTH DISTRICT - NORWOOD HEALTH DEPARTMENT - PIQUA CITY HEALTH DEPARTMENT - PREBLE COUNTY PUBLIC HEALTH - PUBLIC HEALTH - DAYTON &amp; MONTGOMERY COUNTY - SIDNEY SHELBY COUNTY HEALTH DEPARTMENT - SPRINGDALE HEALTH DEPARTMENT - WARREN COUNTY COMBINED HEALTH DISTRICT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPLEMENTATION STRATEGY LINDNER CENTER OF HOPE DID NOT ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: -CARDIOVASCULAR DISEASE, DENTAL AND VISION AND ADDRESSING ACCESS FOR FOOD SECURITY AND HOUSING RESOURCES. THESE NEEDS WERE NOT ADDRESSED DUE TO RESOURCE CONSTRAINTS AS WELL AS NOT BEING PART OF CORE SERVICE OFFERINGS OF THE CENTER. UNAVAILABILITY OF EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED AND/OR THE FACT THAT THE NEED WAS BETTER ADDRESSED OR IS CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS OR ENTITIES. THE AREAS OF FOCUS TO BE ADDRESSED BY LINDNER CENTER OF HOPE AS A RESULT OF THE CHNA AND THE RESULTING ANALYSIS ARE AS FOLLOWS: 1. MENTAL HEALTH (DEPRESSION AND ANXIETY), 2. ACCESS TO CARE/SERVICES/RESOURCES, AND 3. STRENGTHEN WORKFORCE PIPELINE AND DIVERSITY. IMPLEMENTATION PLAN MENTAL HEALTH - DEPRESSION AND ANXIETY - WAS IDENTIFIED AMONG THE MOST SIGNIFICANT HEALTH-RELATED CONCERNS IN COMMUNITY MEETINGS AND SURVEYS, AND BY PROVIDER AGENCIES AND HEALTH DEPARTMENTS DURING THE 2022 CHNA PROCESS. MENTAL HEALTH: OVER THE PAST SEVERAL YEARS, INCREASED ATTENTION HAS BEEN PAID NATIONALLY TO THE LEVEL OF MENTAL ILLNESS PRESENT IN OUR SOCIETY, PARTIALLY DUE TO THE INCREASED NUMBER OF VIOLENT INCIDENTS IN SCHOOLS, PLACES OF ENTERTAINMENT AND EVEN PLACES OF WORSHIP AS WELL AS THE MENTAL STRAIN OF THE COVID VIRUS. ADDITIONALLY, RECENT DATA IS SHOWING A CLIMB IN SUICIDE DEATHS. THOUGH INCREASED ATTENTION IS GOOD, INCREASED ACCESS AND REIMBURSEMENT IS NEEDED TO APPROPRIATELY ADDRESS THE CONCERNS. THE 2022 CHNA DATA COLLECTION ACTIVITIES IDENTIFIED MENTAL HEALTH AS A KEY HEALTH CONCERN, WITH DEPRESSION AND SUICIDE RISING AS THE MOST COMMONLY CITED ISSUES. ADDITIONALLY, THE REPORT INDICATES THAT CHILD MENTAL HEALTH ISSUES WERE FREQUENTLY MENTIONED. BOTH FINANCIAL AND NONFINANCIAL BARRIERS EXIST FOR MOST COMMUNITY MEMBERS. THE SEVERITY OF THIS PROBLEM CAN BE BETTER UNDERSTOOD KNOWING THAT THERE IS A NATIONAL SHORTAGE OF PROVIDERS AND A GENERAL LACK OF MENTAL HEALTH PARITY IN INSURANCE PLANS. LINDNER CENTER OF HOPE WILL FOLLOW UP ON THIS AREA OF FOCUS AS FOLLOWS: * LINDNER CENTER OF HOPE RECOGNIZES THAT PHYSICIANS AND FIRST RESPONDERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AT THE RATE OF 1 AND 5, YET THEIR ROLES IN OUR COMMUNITY ARE EVEN MORE CRITICAL IN THEIR IMPACT ON OTHERS. OVER THE LAST YEAR, LINDNER CENTER OF HOPE HAS CREATED SPECIAL ACCESS PROGRAMS TO SERVICES FOR THESE GROUPS IN ORDER TO ELIMINATE BARRIERS TO RECEIVING TREATMENT, IN THE HOPES OF POSITIVELY IMPACTING THE LIVES OF THOSE OUR COMMUNITY DEPENDS UPON. * ADDITIONALLY, TO ADDRESS THE SHORTAGE OF PROVIDERS AND ACCESS ISSUES, A RAPID ACCESS SERVICE FOR ADULTS WAS CREATED TO QUICKLY BE SEEN BY A PSYCHIATRIST AND SOCIAL WORKER WITH RECOMMENDATIONS FOR NEXT STEPS BEING COORDINATED FOLLOWING THE APPOINTMENT. APPOINTMENTS FOR THIS PROGRAM SIGNIFICANTLY REDUCE THE WAIT TIME FOR THOSE LOOKING FOR OUTPATIENT ASSESSMENT. * IN ADDITION, LCOH ADDED ANOTHER LEVEL TO OUR CONTINUUM OF CARE FOR ADULTS IN NEED OF RESIDENTIAL TREATMENT. THIS NEW LEVEL OF RESIDENTIAL WILL SERVE PATIENTS NEEDING MORE STABILIZATION AND EVALUATION. * IN MAY 2022, LINDNER CENTER OF HOPE WITH SUPPORT FROM THE CITY OF MASON SPONSORED OUR FOURTH COMMUNITY-WIDE MENTAL HEALTH EDUCATION EVENT WHICH WAS INTENDED TO HELP DECREASE THE STIGMA ASSOCIATED WITH MENTAL HEALTH DIAGNOSES. OVER 400 COMMUNITY MEMBERS ATTENDED THE DAY-LONG SERIES OF EDUCATIONAL MODULES. THE EVENT HAS THUS FAR BEEN A BI-ANNUAL EVENT, THE NEXT ONE WOULD BE CONSIDERED FOR 2024 GIVEN FINANCIAL SUPPORT AND STAFFING RESOURCES. * ON A MONTHLY BASIS, LINDNER CENTER OF HOPE OFFERS GRAND ROUNDS PRESENTATIONS FOR ITS PROVIDERS AS WELL AS COMMUNITY-BASED HEALTHCARE PROVIDERS. THESE SESSIONS PROVIDE PROVIDERS WITH ONGOING TRAINING AND DEVELOPMENT IN THE AREAS OF MENTAL HEALTH DIAGNOSIS AND TREATMENT. IN ADDITION, AT LEAST FOUR ADDITIONAL EDUCATION AND DEVELOPMENT OPPORTUNITIES ARE OFFERED ON AN ANNUAL BASIS TO SELECTED GROUPS SUCH AS AREA HOSPITAL STAFF, PRIMARY CARE PROVIDERS AND OTHER DEFINED GROUPS. OVER THE NEXT THREE YEARS, LINDNER CENTER OF HOPE WILL INVESTIGATE ADDITIONAL OPPORTUNITIES TO ASSIST IN THE DEVELOPMENT AND EDUCATION OF LOCAL MENTAL HEALTHCARE PROVIDERS, AS RESOURCES ARE AVAILABLE FOR THIS PURPOSE. * LINDNER CENTER OF HOPE ALSO CONTINUES ITS COMMITMENT TO COMMUNITY OUTREACH WITH CLINICIANS PRESENTING EDUCATIONAL OFFERINGS THROUGH ORGANIZATIONS SUCH AS NAMI, MHA AND EVEN SOME LOCAL SCHOOL SYSTEMS. LINDNER CENTER OF HOPE ALSO PARTICIPATES IN SOME COMMUNITY HEALTH FAIRS. ADDITIONALLY, IT OFFERS AN ONGOING COMMUNITY EDUCATION SERIES AND BEGAN A WEBCAST CONTINUING EDUCATION SERIES IN 2018. IT IS EXPECTED THAT ITS GROWING FOCUS ON THE NEED FOR AND SUPPORT OF ONGOING PROFESSIONAL TRAINING AND DEVELOPMENT WILL RESULT IN A HIGHER LEVEL OF STATE-OF-THE-ART MENTAL HEALTHCARE AVAILABLE TO LOCAL RESIDENTS AS WELL AS THOSE WHO TRAVEL TO RECEIVE CARE. COMMUNITY EDUCATION WILL ALSO REMAIN A PRIORITY AS LONG AS ADEQUATE RESOURCES ARE AVAILABLE. * LINDNER CENTER OF HOPE MORE FORMALLY EXPANDED EFFORTS TO AREA BUSINESSES IN 2019 WITH THE LAUNCH OF A PROGRAM TITLED START THE CONVERSATION. THIS PROGRAM USES EDUCATIONAL VIDEOS, SURVEYS, EMAILS AND WEB LANDING PAGES TO INCREASE AWARENESS OF EMPLOYEES OF THE BUSINESSES THAT ENGAGE WITH THE EFFORT. OVER THE NEXT YEAR, LINDNER CENTER OF HOPE EXPECTS TO EXPAND THIS OFFERING TO MORE AREA BUSINESSES. ACCESS TO CARE/SERVICES/RESOURCES: ACCESS TO ALL TYPES OF HEALTHCARE SERVICES, ESPECIALLY FOR THE UNINSURED AND UNEMPLOYED / UNDEREMPLOYED, WAS ALSO IDENTIFIED AS A MAJOR CONCERN. THE COMPLEXITY OF THIS PROBLEM AS WELL AS THE COST OF ADDRESSING IT ASSURES THAT IT WILL REMAIN AN AREA OF FOCUS WELL INTO THE FUTURE. REGARDLESS, THERE ARE COMPONENTS OF THIS CHALLENGE THAT CAN BE IMPROVED. FOR EXAMPLE, THE STIGMA THAT EXISTS ABOUT MENTAL ILLNESS IS PART OF THE REASON WHY PARITY DOES NOT EXIST AND ATTENTION TO THIS NEED IS NOT OFTEN A PRIORITY. IN ADDITION, RECOGNIZING THAT THERE IS A LACK OF PROVIDERS ACROSS THE NATION, EFFORTS TO INCREASE THE NUMBER OF PATIENTS THAT CAN RECEIVE CARE SHOULD BE A PRIORITY OF THESE PROVIDERS AND THEIR SPONSORING ORGANIZATIONS. ANOTHER OPPORTUNITY IS TO SUPPORT THE REDEFINITION OF HOW CARE IS DELIVERED INCLUDING USING PHYSICIAN EXTENDERS, IDENTIFYING ADDITIONAL LOCATIONS THAT CAN BETTER SERVE POPULATIONS IN NEED, AND CONSIDERING NON-TRADITIONAL DELIVERY OF CARE SUCH AS TELEMEDICINE AND GROUP TREATMENT IN PLACE OF INDIVIDUAL TREATMENT, WHEN APPROPRIATE. LINDNER CENTER OF HOPE WILL FOLLOW UP ON THIS AREA OF FOCUS AS FOLLOWS: * LINDNER CENTER OF HOPE MANAGEMENT AND BOARD OF DIRECTORS WILL CONTINUE TO PARTICIPATE IN EFFORTS TO EDUCATE LEGISLATORS ABOUT MENTAL HEALTH NEEDS AND THE IMPORTANCE OF PARITY IN HEALTHCARE COVERAGE. * LINDNER CENTER OF HOPE MANAGEMENT EXPECTS TO INCREASE THE USE OF TELEPSYCHIATRY TO PROVIDE GREATER ACCESS TO CARE. IN MARCH 2020, MANAGEMENT MOVED OVER 90% OF ITS OUTPATIENT PRACTICE TO TELEHEALTH IN ORDER TO BE ABLE TO SAFELY CARE FOR ITS PATIENTS IN A SOCIALLY DISTANT MANNER AT THE HEIGHT OF THE PANDEMIC. MANAGEMENT CONTINUES TO ENHANCE AND EXPAND ITS TELEHEALTH SERVICES. * LINDNER CENTER OF HOPE MANAGEMENT AND BOARD OF DIRECTORS HAS FOCUSED ON GROWING OUR CLINICIAN RECRUITMENT AND RETENTION ENDOWMENT FUND IN ORDER TO ASSURE RESOURCES FOR A GOOD SUPPLY OF MENTAL HEALTHCARE PROVIDERS FOR OUR PATIENTS. IT IS INTENDED THAT THE ENDOWMENT FUND WILL CONTINUE TO BE A MAJOR SOURCE OF SUPPORT FOR CLINICIAN RECRUITMENT AND RETENTION IN FUTURE YEARS. * LINDNER CENTER OF HOPE ALSO WORKS TO EDUCATE PRIMARY CARE PROVIDERS IN MENTAL HEALTH AND ADDICTION DIAGNOSIS AND TREATMENT VIA TRAINING AND EDUCATIONAL ARTICLES IN NEWSLETTERS, WITH THE GOAL OF HELPING THEM BE BETTER POSITIONED TO MANAGE MENTAL HEALTH CONCERNS IN THEIR OFFICES, AS MAY BE APPROPRIATE AS WELL AS THROUGH VISITS BY OUTREACH STAFF. * LINDNER CENTER OF HOPE SERVES AS A CLINICAL ROTATION SITE FOR VARIOUS HEALTHCARE DISCIPLINES INCLUDING BUT NOT LIMITED TO MEDICAL STUDENTS AND RESIDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS, AND DIETICIAN STUDENTS. ALTHOUGH THERE IS A TIME COMMITMENT AS WELL AS A COST ASSOCIATED WITH THESE EFFORTS, THE ORGANIZATION FEELS THAT EACH HEALTHCARE PROVIDER THAT HAS A COMMITMENT TO CONTINUATION OF HIGH-QUALITY HEALTHCARE SERVICES IN THE FUTURE HAS AN OBLIGATION TO SUPPORT LOCAL STUDENTS IN THEIR EDUCATIONAL EFFORTS. * LINDNER CENTER OF HOPE CONTINUES TO MAKE CHANGES TO PROVIDE ACCESS TO MORE INDIVIDUALS IN NEED, THROUGH PROGRAM CHANGES AND OTHER MODIFICATIONS. IT IS EXPECTED THAT IMPROVED ACCESS TO CARE WILL CONTINUE TO BE A MAJOR CHALLENGE FOR THE FORESEEABLE FUTURE GIVEN THE CONTINUED INCREASE IN DEMAND FOR SERVICES. ALL MENTAL HEALTHCARE PROVIDERS SHOULD SHARE RESPONSIBILITY FOR IMPROVING ACCESS TO CARE AS MUCH AS POSSIBLE. HEALTHY BEHAVIORS INCLUDING SMOKING: MANY SEGMENTS OF THE AMERICAN POPULATION HAVE BECOME LESS HEALTHY OVER THE PAST SEVERAL DECADES. UNHEALTHY LIFESTYLES ARE A CONTRIBUT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COST TO CHARGE RATIO CALCULATION THE COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. PERCENT OF TOTAL EXPENSE FORM 990, PART IX, LINE 24 INCLUDES $627,052 OF BAD DEBT EXPENSE. AS SUCH, $627,052 WAS REMOVED FROM THE ORGANIZATION'S TOTAL EXPENSES BEFORE CALCULATING THE PERCENTAGE REPORTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS INSIDE HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCE AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE The Center performs individual credit risk assessments which evaluates the individual circumstances, abilities and intentions of each patient prior to providing the patient services. If subsequent to providing the services the Center becomes aware of patient-specific events, facts or circumstances indicating patients no lonGER have the ability or intention to pay the amount of consideration to which the Center expected to be entitled for providing patient services, then the related patient receivable balances are written off as bad debt expense and reported in the Consolidated Statement of Operations as other operating expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION B, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTING METHODOLOGY LINDNER CENTER OF HOPE'S DECISION SUPPORT SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>DEBT COLLECTION POLICY PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY ONLY AS A LAST RESORT AND ONLY WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INFORMATION THE LINDNER CENTER OF HOPE IS A 64 BED INPATIENT AND RESIDENTIAL NONPROFIT, MENTAL HEALTH CENTER STAFFED BY A DIVERSE TEAM, UNITED IN THE PHILOSOPHY THAT BY WORKING TOGETHER, WE CAN BE OFFER HOPE FOR PEOPLE LIVING WITH MENTAL ILLNESS. THE PATIENT AND FAMILY ARE AT THE CENTER OF OUR TREATMENT, EDUCATION, AND RESEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT THE LINDNER CENTER OF HOPE RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS THAT ENHANCE THE ISSUES RELATED TO BEHAVIORAL HEALTH ISSUES. THROUGH OUTREACH EFFORTS, RESEARCH, ANALYSIS AND MARKETING, LINDNER CENTER OF HOPE HAS ESTABLISHED SERVICES TO TREAT BEHAVIORAL HEALTH ILLNESSES THROUGH OUTPATIENT THERAPY, PARTIAL HOSPITALIZATION, INPATIENT, RESIDENTIAL PROGRAMS, AND OTHER ANCILLARY SERVICES. IN 2012, 2016, 2019 AND AGAIN IN 2022, IN FULFILLMENT OF THE REQUIREMENTS OF THE AFFORDABLE HEALTH CARE ACT FOR 501(C)(3) HOSPITALS, LCOH PARTICIPATED WITH OTHER GREATER CINCINNATI AREA HOSPITALS ON AN INITIATIVE SPONSORED AND LED BY THE HEALTH COLLABORATIVE. THE ASSESSMENT INCLUDED INPUT FROM CITIZENS, ORGANIZATIONS, AND STAKE HOLDERS ACROSS TWENTY-FIVE COUNTIES IN SOUTHWEST OHIO, NORTHERN KENTUCKY AND SOUTHEAST INDIANA. THE RESULTS OF THE CHNA THAT WAS COORDINATED BY THE HEALTH COLLABORATIVE SERVES AS A BASELINE OF THE HEALTH STATUS AND NEEDS OF THE TWENTY-FIVE COUNTIES IDENTIFIED BY THE FUNDERS AS THE GEOGRAPHY OF FOCUS. CHNA DATA WERE COMPILED FROM THE MOST UP-TO-DATE PUBLICLY AVAILABLE RESOURCES AS WELL AS PRIMARY RESEARCH WITH STAKEHOLDERS PROVIDERS AND TARGETED POPULATIONS WHO FACE SIGNIFICANT CHALLENGES GETTING HEALTH CARE AND MAINTAINING OPTIMUM HEALTH AND WELL-BEING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE FINANCIAL COUNSELORS DISCUSS WITH THE PATIENT THEIR BENEFIT COVERAGE FOR THE SERVICE AND THE AVAILABILITY OF FINANCIAL ASSISTANCE, IF APPLICABLE. A TRANSLATION SERVICE IS AVAILABLE FOR THOSE INDIVIDUALS REQUIRING THAT SERVICE. ALL THIRD PARTIES THAT WORK ON THE BEHALF OF THE LINDNER CENTER OF HOPE TO COLLECT FEES (SUCH AS COLLECTION AGENCIES) ARE REQUIRED TO FOLLOW THE CENTER'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. NO LEGAL ACTION IS TAKEN WHEN BALANCES AND COLLECTION EFFORTS AND RESULTS DO NOT AFFECT THE PATIENT'S CREDIT RATING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION BEGINNING IN 2008, THE LINDNER CENTER OF HOPE HAS SERVED THE GREATER CINCINNATI AND NORTHERN KENTUCKY COUNTIES FOR BOTH INPATIENT AND OUTPATIENT SERVICES. THE RESIDENTIAL PROGRAMS ARE REACHING OUT TO COMMUNITIES WORLD WIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY BENEFIT LINDNER CENTER OF HOPE PARTICIPATES IN THE COMMUNITY'S DISASTER PREPAREDNESS WITH OTHER HOSPITALS, RECOGNIZING THE IMPORTANCE TO HELP ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER. MONTHLY GRAND ROUNDS WORKSHOPS ARE FACILITATED TO REACH OUT AND EDUCATE THE MEDICAL COMMUNITY ON BEHAVIORAL HEALTH ILLNESSES. THERE ARE CONTINUAL OUTREACH EFFORTS TO OTHER HOSPITALS, SCHOOLS, AND HEALTHCARE CLINICIANS TO PROVIDE INFORMATION AND EDUCATION OF BEHAVIORAL HEALTH ILLNESSES. THERE ARE EMPLOYEES WHO SIT ON HEALTH COUNCIL BOARDS THROUGHOUT THE COMMUNITY IN EFFORTS TO COLLABORATE FOR THE OVERALL HEALTH OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHNA LINK THE HOSPITAL FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT https://lindnercenterofhope.org/what-we-treat/#1618960704875-321d70b7-78b0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPLEMENTATION STRATEGY LINK THE HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY IS AVAILABLE AT https://lindnercenterofhope.org/what-we-treat/#1618960704875-321d70b7-78b0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 16A-16C</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE POLICY THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND FAP PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT HTTPS://LINDNERCENTEROFHOPE.ORG/NEW-PATIENT-FORMS/</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>DANIELLE JOHNSON</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PRIOR TO DECEMBER 25, 2022, LINDNER CENTER OF HOPE LEASED EMPLOYEES FROM UC HEALTH. EFFECTIVE DECEMBER 25, 2022, LINDNER CENTER OF HOPE EMPLOYES ALL ITS NON-MEDICAL STAFF EMPLOYEES. LINDNER CENTER OF HOPE HAS ITS OWN BOARD OF DIRECTORS AND OFFICERS. OFFICERS COMPENSATION IS INCLUDED AS PART OF THE COMPENSATION DISCLOSED ON FORM 990, PART VII AND FORM 990, SCHEDULE J. TTHE LINDNER CENTER OF HOPE BOARD CHAIRMAN APPROVES THE OFFICERS SALARY ANNUALLY. PRIOR TO DECEMBER 25, 2022, THE OFFICERS WERE ELIGIBLE FOR BENEFITS AS OFFERED BY UC HEALTH, UC PHYSICIANS, AND/OR UC COLLEGE OF MEDICINE BASED ON ENTITY OF EMPLOYMENT. LINDNER CENTER OF HOPE GENERALLY DID NOT HAVE RESPONSIBILITY OR INPUT INTO BENEFITS OFFERED FOR MEDICAL STAFF EMPLOYED THROUGH UC PHYSICIANS AND UC COLLEGE OF MEDICINE. EFFECTIVE DECEMBER 25, 2022, LINDNER CENTER OF HOPE MANAGEMENT DETERMINES BENEFITS FOR ITS EMPLOYEES.</ExplanationTxt>
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      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>595591</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER THE AMOUNT REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY OR BUSINESS RELATIONSHIPS S. CRAIG LINDNER AND FRANCES LINDNER, MEMBERS OF THE BOARD OF DIRECTORS OF THE LINDNER CENTER OF HOPE, HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AND STOCKHOLDERS THE MEMBERS OF CRAIG AND FRANCES LINDER CENTER OF HOPE ARE THE FOUR WINDS FOUNDATION AND UC HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>POWER TO ELECT OR APPOINT THE MEMBERS HAVE THE AUTHORITY TO APPOINT MEMBERS TO THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DECISIONS AS MEMBERS, THE FOUR WINDS FOUNDATION AND UC HEALTH HAVE THE AUTHORITY TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF LINDNER CENTER OF HOPE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW FORM 990 THE FORM 990 IS PREPARED AND REVIEWED BY A CERTIFIED PUBLIC ACCOUNTING FIRM. THE RETURN IS REVIEWED BY MANAGEMENT. A COPY OF FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST MONITORING IT IS THE POLICY OF LINDNER CENTER OF HOPE TO ANNUALLY REQUIRE THE BOARD OF DIRECTORS, LEADERSHIP, PHYSICIANS, AND MANAGERS TO DISCLOSE CERTAIN RELATIONSHIPS, SUCH AS FINANCIAL ARRANGEMENTS OR DIRECTORSHIPS WITH VENDORS OR COMPETITORS, WHICH MAY RESULT IN A CONFLICT OF INTEREST. THESE DISCLOSURES ARE CENTRALLY MAINTAINED, AND DISCLOSURES OF MATERIAL CONFLICTS ARE HANDLED ACCORDING TO A DEFINED PROCEDURE. THE POLICY OUTLINES PROCESSES AND PROCEDURES CONCERNING THE DUTY TO DISCLOSE; HOW TO DETERMINE WHETHER A CONFLICT EXISTS; ADDRESSING THE CONFLICT THROUGH A DUE DILIGENCE INVESTIGATION; OUTLINING SPECIFIC PROCEDURES CONCERNING COMPENSATION MATTERS; RECOURSE FOR FAILURE TO DISCLOSE; THE RECORD KEEPING AND APPROPRIATE REPORTING; AND ENFORCEMENT OF POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW THROUGH DECEMBER 24, 2022, LINDNER CENTER OF HOPE LEASED ALL EMPLOYEES FROM UC HEALTH. EFFECTIVE DECEMBER 25, 2022, LINDNER CENTER OF HOPE EMPLOYES ALL NON-MEDICAL STAFF PERSONNEL. LINDNER CENTER OF HOPE HAS IT'S OWN BOARD OF DIRECTORS AND OFFICERS. OFFICERS COMPENSATION IS INCLUDED AS PART OF THE COMPENSATION DISCLOSED ON FORM 990, PART VII AND FORM 990, SCHEDULE J. THE LINDNER CENTER OF HOPE BOARD CHAIRMAN APPROVES THE OFFICERS CASH COMPENSATION ANNUALLY. THROUGH DECEMBER 24, 2022, LINDNER CENTER OF HOPE OFFICERS RECEIVE BENEFITS THROUGH UC HEALTH, UC PHYSICIANS, AND/OR UC COLLEGE OF MEDICINE BASED ON ENTITY OF EMPLOYMENT. EFFECTIVE DECEMBER 25, 2022, LINDNER CENTER OF HOPE MANAGEMENT IS RESPONSIBLE FOR BENEFITS PAID TO NON-MEDICAL STAFF. ANNUAL MERIT INCREASES ARE APPROVED BY THE BOARD CHAIR AND OVERALL MERIT INCREASES ARE APPROVED BY THE BOARD OF DIRECTORS AS PART OF THE BUDGET APPROVAL. MANAGEMENT REGULARLY REVIEWS MGMA DATA, FORM 990S AND OTHER INDUSTRY BENCHMARKS IN ORDER TO DETERMINE REASONABLENESS OF COMPENSATION. SULLIVAN AND COTTER COMPLETED A COMPENSATION REVIEW OF THE EXECUTIVE TEAM IN FISCAL 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION THE ORGANIZATION DOES NOT DISCLOSE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS UNLESS REQUIRED BY LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:8275628</ExplanationTxt>
      </SupplementalInformationDetail>
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