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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 630693</AddressLine1Txt>
            <CityNm>CINCINATTI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452630693</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLY VENDOR</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>200502</GovernmentGrantsAmt>
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      <TotalContributionsAmt>281650</TotalContributionsAmt>
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        <Desc>RESIDENT FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>8350485</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8350485</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>3476293</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>AMORTIZATION OF DEFERRED ENTRANCE</Desc>
        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3158460</RelatedOrExemptFuncIncomeAmt>
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        <RealAmt>347447</RealAmt>
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        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>347447</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>347447</TotalRevenueColumnAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <TotalAmt>5580028</TotalAmt>
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        <ManagementAndGeneralAmt>515878</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>20614</ProgramServicesAmt>
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        <ProgramServicesAmt>688200</ProgramServicesAmt>
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        <ProgramServicesAmt>213113</ProgramServicesAmt>
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        <Desc>SUPPLY EXPENSE</Desc>
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        <ProgramServicesAmt>1337423</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>221686</TotalAmt>
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        <TotalAmt>16126100</TotalAmt>
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        <BOYAmt>4114927</BOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>76457898</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>1782787</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>28795000</EOYAmt>
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        <BOYAmt>38811145</BOYAmt>
        <EOYAmt>33330280</EOYAmt>
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      <TotalLiabilitiesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-18523187</BOYAmt>
        <EOYAmt>-12131888</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>15910271</BOYAmt>
        <EOYAmt>15047442</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-2612916</BOYAmt>
        <EOYAmt>2915554</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>84820311</BOYAmt>
        <EOYAmt>84073955</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1378707</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4149763</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>14285</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>262236</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>401061</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>281650</CurrentTaxYearAmt>
        <TotalAmt>959232</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>15991856</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16137178</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15646393</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15332685</CurrentTaxYearAmt>
        <TotalAmt>78858774</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>15750662</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16006141</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16399414</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16047454</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15614335</CurrentTaxYearAmt>
        <TotalAmt>79818006</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>79818006</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>673353</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>757936</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1315615</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>946537</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2237119</CurrentTaxYearAmt>
        <TotalAmt>5930560</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>673353</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>757936</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1315615</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>946537</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2237119</CurrentTaxYearAmt>
        <TotalAmt>5930560</TotalAmt>
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      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>187363</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>188674</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>489417</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>596662</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>1462116</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>16611378</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16952751</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18204446</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17590653</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17851454</CurrentTaxYearAmt>
        <TotalAmt>87210682</TotalAmt>
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      <PublicSupportCY509Pct>0.91520</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95010</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.06800</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03570</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1090868</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1090868</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>52910521</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19984606</DepreciationAmt>
        <BookValueAmt>32925915</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>6012376</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4104827</DepreciationAmt>
        <BookValueAmt>1907549</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>9712277</DepreciationAmt>
        <BookValueAmt>2981258</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3750598</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1901789</DepreciationAmt>
        <BookValueAmt>1848809</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>40754399</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MONEY MARKET FUNDS</Desc>
        <BookValueAmt>2712478</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>U.S. GOVERNMENT TREASURY NOTES AND MUNICIPAL BONDS</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>EQUITIES</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>U.S. CORPORATE BONDS</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
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      <OtherSecuritiesGrp>
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      <OtherSecuritiesGrp>
        <Desc>ACCRUED INTEREST</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>29751969</Amt>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT REFUNDS</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20965570</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>4149763</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>4149763</RevenueNotReportedAmt>
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      <ExpensesNotReportedAmt>-800</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>688200</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUTHORITY IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, ITS ACTIVITIES, AS WELL AS THOSE OF SPRING HARBOR, ARE EXEMPT FROM FEDERAL INCOME TAXES. SPRING HARBOR HAS EVALUATED THEIR TAX POSITIONS AND DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2021 AND 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <PoolFinancingInd>0</PoolFinancingInd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT FEES ARE PAID TO COLUMBUS REGIONAL HEALTHCARE TO PROVIDE LABOR/PROPERTY MANAGEMENT SERVICES FOR THE HEALTH AND HUMAN SERVICES CENTER. SENIOR MANAGEMENT AND OVERSIGHT FOR ACCOUNTING AND ADMINISTRATIVE DUTIES ARE PAID TO COLUMBUS REGIONAL SENIOR LIVING AND COLUMBUS REGIONAL HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTANT WELL KNOWN TO THE ORGANIZATION AND EXPERIENCED IN THE AREA OF NON-PROFIT TAXATION. THE BOARD PERFORMS A REVIEW OF THE RETURN TO MAKE SURE NO MATERIAL OMISSIONS OR MISSTATEMENTS ARE MADE ON THE RETURN BEFORE IT IS FILED. ONCE APPROVED, THE RETURN IS SIGNED BY AN AUTHORIZED AGENT AND FILED.</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 AND EITHER MAILS, EMAILS, OR FAXES THE APPLICABLE DOCUMENTS TO THE RECIPIENT DEPENDING ON THE PARTICULAR CIRCUMSTANCES. IN ADDITION, THE ORGANIZATION'S 990 IS REPORTED ON GUIDESTAR.COM EACH YEAR FOR GENERAL PUBLIC REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,595,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,595,967.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPRING HARBOR AT GREEN ISLAND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 SPRING HARBOR DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31904</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>NURSING CARE AND ASSISTED LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <TotalIncomeAmt>21212297</TotalIncomeAmt>
        <EndOfYearAssetsAmt>78621939</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COLUMBUS REGIONAL HEALTHCARE SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
