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      <MissionDesc>LCOH 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.</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 UNDERSTANDINGOF 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 ADULTS SUFFERING WITH MENTAL ILLNESS. WHEN AN ADULT'S DAILY FUNCTIONING IS IMPAIRED BY MENTAL ILLNESS, YET CRITERIA ARE NOT METFOR HOSPITALIZATION, THE ADULT PARTIAL HOSPITALIZATION PROGRAM (PHP) PROVIDES 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. THIS PROGRAM IS ALSO USED AS A STEP-DOWN PROGRAM FROM HOSPITALIZATION, WITH THE INTENT OF GRADUALLY EASING AN ADULT BACK INTO THEIR HOME ENVIRONMENT. THE PROGRAM OPERATES MONDAY THROUGH FRIDAY FROM 8:30 A.M. TO 3:30 P.M. AND ENROLLEES ATTEND 5 DAYS PER WEEK FOR UP TO 4 WEEKS. THE PROGRAMOFFERS 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 CHEMICALSIN THE BRAIN THAT RESULT IN A PERSISTENT STATE OF SADNESS AND LOSS OF INTEREST IN OR PLEASURE FROM NORMAL ACTIVITIES. INDIVIDUALS THATHAVE 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 NEUROMODULATIONCENTER 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 ADOLESCENTS AGE 11 TO 17 YEAR (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 14-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 BUILING, 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 OF 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 IS 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-OCCURING 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 LINDNER CENTER OF HOPE'S HOPE CENTER NORTH LOCATION IS DEDICATED TO OUTPATIENT TREATMENT FOR SUBSTANCE USE DISORDERS AND CO-OCCURING MENTAL HEALTH AND SUBTANCE USE DISORDERS. THIS NEW LOCATION OFFERS COMPREHENSIVE ASSESSMENT, INDIVIDUAL AND GROUP THERAPY, AND MEDICATION-ASSISTED TREATMENT. 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 EXPERTS, 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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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDI AMOLIS 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>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM BUTLER</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>WILLIAM BALL 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>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON FRISBIE</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>JULIE HEIDT</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>ANNE KEREIAKES</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>JOHN T LAWRENCE</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>VINCE RINALDI</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>J SCOTT ROBERTSON</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>PAM SIBCY</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>JOHN STEINMAN</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>MIKE GLENN</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>PAUL E KECK JR</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE SNYDER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN OSWALD</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARILYN SCHWEMBERGER RN</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL CROSBY</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN HEHEMAN</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>U C HEALTH</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3200 BURNET AVE</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45229</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PAYROLL/IT SVCS</ServicesDesc>
        <CompensationAmt>15161676</CompensationAmt>
      </ContractorCompensationGrp>
      <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>452670525</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICIAN SERVICES</ServicesDesc>
        <CompensationAmt>7143542</CompensationAmt>
      </ContractorCompensationGrp>
      <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>
        <CompensationAmt>2955037</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MARSH USA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>121 RIVER STREET</AddressLine1Txt>
            <CityNm>HOBOKEN</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07030</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURNACE</ServicesDesc>
        <CompensationAmt>271496</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>US FOODS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5445 SPELLMIRE DRIVE</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45246</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD VENDOR</ServicesDesc>
        <CompensationAmt>308096</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>162714</FundraisingAmt>
      <AllOtherContributionsAmt>3432692</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1034032</NoncashContributionsAmt>
      <TotalContributionsAmt>3595406</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>20492352</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20492352</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEASE INCOME</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>3540556</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3540556</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH REVENUE</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>701343</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>701343</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24734251</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>742778</TotalRevenueColumnAmt>
        <ExclusionAmt>742778</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>580</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-580</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-580</TotalRevenueColumnAmt>
        <ExclusionAmt>-580</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>162714</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>40021</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-40021</TotalRevenueColumnAmt>
        <ExclusionAmt>-40021</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>244932</TotalRevenueColumnAmt>
        <ExclusionAmt>244932</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>244932</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>29276766</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24734251</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>947109</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>0</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>0</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>0</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>43809</TotalAmt>
        <ManagementAndGeneralAmt>43809</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47420</TotalAmt>
        <ManagementAndGeneralAmt>47420</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>17126462</TotalAmt>
        <ProgramServicesAmt>10182575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6787407</ManagementAndGeneralAmt>
        <FundraisingAmt>156480</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>497023</TotalAmt>
        <ProgramServicesAmt>295506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196976</ManagementAndGeneralAmt>
        <FundraisingAmt>4541</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>461411</TotalAmt>
        <ProgramServicesAmt>274333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182862</ManagementAndGeneralAmt>
        <FundraisingAmt>4216</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1483449</TotalAmt>
        <ProgramServicesAmt>881988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>587907</ManagementAndGeneralAmt>
        <FundraisingAmt>13554</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>148554</TotalAmt>
        <ProgramServicesAmt>88323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58874</ManagementAndGeneralAmt>
        <FundraisingAmt>1357</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>25581</TotalAmt>
        <ProgramServicesAmt>15209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10138</ManagementAndGeneralAmt>
        <FundraisingAmt>234</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2323566</TotalAmt>
        <ProgramServicesAmt>1381481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>920855</ManagementAndGeneralAmt>
        <FundraisingAmt>21230</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>271486</TotalAmt>
        <ProgramServicesAmt>161413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107593</ManagementAndGeneralAmt>
        <FundraisingAmt>2480</FundraisingAmt>
      </InsuranceGrp>
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        <Desc>SUPPLIES</Desc>
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        <FAPSummaryOnWebsiteURLTxt>WWW.LINDNERCENTEROFHOPE.ORG</FAPSummaryOnWebsiteURLTxt>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <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 A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE HEALTH COLLABORATIVE IN CINCINNATI,OHIO. TO CARRY OUT AND COMPLETE THIS PROJECT, THE HEALTH COLLABORATIVE UTILIZED A CONSULTANT WITH CHNA EXPERIENCE, A PHYSICIAN/PROFFROM XAVIER UNIVERSITY IN CINCINNATI, OHIO, STUDENTS FROM THE HEALTH SERVICES ADMINISTRATION AT XAVIER UNIVERSITY IN CINCINNATI, OHIO, AND A CHNC COMMITTEE COMPOSED OF REPRESENTATIVES FROM ELEVEN HEALTHCARE SYSTEMS IN THE GREATER CINCINNATI REGION, THE CINCINNATI HEALTH DEPARTMENTHAMILTON COUNTY PUBLIC HEALTH, AND INTERACT FOR HEALTH (A REGIONAL PHILANTHROPIC ORGANIZATION). THE GEOGRAPHIC FOCUS OF THE CHNA INCLUDED 23 COUNTIES ACROSS SECTIONS OF THREE STATES INCLUDING SOUTHWEST OHIO, NORTHERN KENTUCKY, AND SOUTHEAST INDIANA. INPUT ON HEALTH NEEDS AND DISPARITIES WAS OBTAINED USING A STRUCTURED ONLINE AND PAPER SURVEY, MULTIPLE FOCUS GROUPS, INDIVIDUAL INTERVIEWS, AND SECONDARY DATA ANALYSIS. STAKEHOLDER GROUPS INCLUDED CONSUMERS, ORGANIZATIONS, AND HEALDEPARTMENTS. SECONDARY DATA WAS COMPARED TO STAKEHOLDER INPUT IN ORDER TO ESTABLISH PRIORITIES AND THE MOST SERIOUS HEALTH-RELATED ISSUES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ORGANIZATIONS PARTICIPATING IN THE CHNA CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER CINCINNATI HEALTH DEPARTMENT DEARBORN COUNTY HEALTH DEPARTMENT DEARBORN COUNTY HOSPITAL FAYETTE REGIONAL HEALTH SYSTEM GOOD SAMARITAN FREE HEALTH CENTER HAMILTON COUNTY PUBLIC HEALTH DEPARTMENT HIGHLAND COUNTY HEALTH DEPARTMENT MARGARET MARY HEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL MERCY HEALTH MERCY HEALTH-ANDERSON HOSPITAL MERCY HEALTH-CLERMONT HOSPITAL MERCY HEALTH-FAIRFIELD HOSPITAL THE JEWISH HOSPITAL-MERCY HEALTH MERCY HEALTH-WEST HOSPITAL MIDDLETOWN CITY HEALTH DEPARTMENT NORTHERN KENTUCKY HEALTH DEPARTMENT OHIO COUNTY HEALTH DEPARTMENT PREBLE COUNTY PUBLIC HEALTH PREGNANCY CARE CENTER PREMIER HEALTH-ATRIUM MEDICAL CENTER REPRODUCTIVE HEALTH AND WELLNESS CENTER RIPLEY COUNTY HEALTH DEPARTMENT SHADY NOOK CARE CENTER SISTERS OF ST. FRANCIS SOUTHEAST INDIANA HEALTH CENTER ST. ELIZABETH HEALTHCARE THE CHRIST HOSPITAL HEALTH NETWORK THE HEALTH COLLABORATIVE TRIHEALTH BETHESDA NORTH HOSPITAL BETHESDA BUTLER HOSPITAL GOOD SAMARITAN HOSPITAL TRIHEALTH EVENDALE HOSPITAL UC HEALTH DANIEL DRAKE CENTER FOR POST-ACUTE CARE UNIVERSITY OF CINCINNATI MEDICAL CENTER WEST CHESTER HOSPITAL UNION COUNTY HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS WHICH PROVIDED PARTICIPANTS FOR THE GROUP LEVEL ASSESSMENTS, LARGE GROUPS (SIMILAR TO FOCUS GROUPS) IN WHICH QUALITATIVE DATA ARE GENERATED ABOUT AN ISSUE OF IMPORTANCE THROUGH AN INTERACTIVE AND COLLABORATIVE PROCESS, INCLUDED THE FOLLOWING: ADAMS BROWN COMMUNITY ACTION PARTNERSHIP ADAMS COUNTY HEALTH DEPARTMENT ADAMS COUNTY JOB AND FAMILY SERVICES ADAMS COUNTY MEDICAL FOUNDATION (ACMF) ADAMS COUNTY REGIONAL MEDICAL CENTER ADAMS COUNTY SENIOR CITIZENS ANDERSON TOWNSHIP BARBARA'S DAYCARE BATESVILLE COMMUNITY SCHOOLS BOONE HEALTH PARTNERS BUTLER BEHAVIORAL HEALTH SERVICES BUTLER COUNTY COALITION/MENTAL HEALTH AND ADDICTION RECOVERY SERVICES BUTLER COUNTY COMMISSIONERS BUTLER COUNTY FAMILIES AND CHILDREN FIRST COUNCIL BUTLER COUNTY UNITED WAY CHILD AND FAMILY HEALTH SERVICES CHILDHOOD FOOD SOLUTIONS CHILDREN'S ADVOCACY CENTER OF SOUTHEASTERN INDIANA CHOICES CHURCHES ACTIVE IN NORTHSIDE - CAIN CITIZENS AGAINST SUBSTANCE ABUSE (CASA) CITY OF BATESVILLE CITY OF HAMILTON HEALTH DEPARTMENT CLERMONT COUNTY MENTAL HEALTH AND RECOVERY BOARD COALITION FOR A DRUG FREE BATESVILLE COALITION FOR A HEALTHY, SAFE AND DRUG FREE GREATER HAMILTON COMMUNITY FIRST SOLUTIONS COMMUNITY MENTAL HEALTH CENTER, INC. CROSSROADS CENTER DAYMA DEARBORN COUNTY CHAMBER OF COMMERCE EPISCOPAL DIOCESE, SOUTHERN OHIO ERLANGER-ELSMERE SCHOOLS FAMILY CONNECTIONS FAMILY, CAREER AND COMMUNITY LEADERS OF AMERICA FRANKLIN COUNTY PUBLIC LIBRARY DISTRICT FREESTORE FOODBANK GEORGE'S PHARMACY GREATER CINCINNATI FOUNDATION HEALTHCARE CONNECTION HEALTHPATH FOUNDATION OF OHIO HEART HOUSE HERALD TRIBUNE INTERACT FOR HEALTH IVY TECH COMMUNITY COLLEGE KNK RECRUITING LAWRENCEBURG COMMUNITY SCHOOLS LIFETIME RESOURCES MERCY NEIGHBORHOOD MINISTERIES NATIONAL LIBRARY OF MEDICINE NKY HEALTH SERVICES OHIO ATTORNEY GENERAL OHIO MEANS JOBS ADAMS BROWN OHIO STATE UNIVERSITY EXTENSION ONE COMMUNITY ONE FAMILY PREBLE COUNTY JOB AND FAMILY SERVICES PREBLE COUNTY MENTAL HEALTH AND RECOVERY BOARD PREVENTIONFIRST PRIMARY HEALTH SOLUTIONS PURDUE EXTENSION - DEARBORN COUNTY SANTA MARIA COMMUNITY SERVICES SC MINISTRY FOUNDATION SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION SOUTHEASTERN INDIANA YMCA TALBERT HOUSE TRI-STATE EATING DISORDER RESOURCE TEAM UHCAN OHIO UMADAOP UNION COUNTY COUNCIL ON AGING UNION COUNTY EMERGENCY MANAGEMENT AGENCY UNITED WAY OF FRANKLIN COUNTY UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE XAVIER UNIVERSITY - CINCINNATI, OHIO YES HOME YWCA OF GREATER CINCINNATI YWCA HAMILTON</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS NOT ADDRESSED IN THE IMPLEMENTATION PLAN LINDNER CENTER OF HOPE DID NOT ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: - CONSUMER ADVISORY BOARDS; - COLLABORATIVE FUNDING; - INCREASED ACCESS POINTS FOR AFFORDABLE HEALTHCARE; - INCREASED ACCESS TO HEALTH INSURANCE ENROLLMENT OPPORTUNITIES; OR - IMPROVED ACCESS TO FIRST TRIMESTER PRENATAL CARE. THE NEEDS WERE NOT ADDRESSED DUE TO RESOURCE CONSTRAINTS, 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LCOH AT HOPE CENTER NORTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4483 STATE ROUTE 42</AddressLine1Txt>
            <CityNm>MASON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45040</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT ADDICTION CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THRID-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATIED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CENTERS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 49% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2016, TO 50% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2017. IN ADDITION, THE CENTERS WRITE-OFFS INCREASED APPROXIMATELY $216,000 FROM APPROXIMATELY $402,000 FOR THE YEAR ENDED JUNE 30, 2016, TO APPROXIMATELY $618,000 FOR THE YEAR ENDED JUNE 30, 2017. THESE TRENDS ARE THE RESULT OF CONTINUED PROCESSING OF PAST-DUE ACCOUNTS DURING FISCAL YEAR 2017.</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 48 BED NONPROFIT, 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 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 (LCOH) 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, THE LINDNER CENTER OF HOPE HAS ESTABLISHED SERVICES TO TREAT BEHAVIORAL HEALTH ILLNESSES THROUGH OUT PATIENT THERAPY, PARTIAL HOSPITALIZATION, INPATIENT, RESIDENTIAL PROGRAMS, AND OTHER ANCILLARY SERVICES. IN 2012 AND AGAIN IN 2016, IN PARTIAL 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 GREATER CINCINNATI HEALTH COUNCIL (GCHC ON A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT INCLUDED INPUT FROM CITIZENS, ORGANIZATIONS, AND STAKE HOLDERS ACROSS NINE COUNTIES IN SOUTHWEST OHIO AND SOUTHEAST INDIANA. THE RESULTS OF THE CHNA THAT WAS COORDINATED BY THE GCHC SERVES AS A BASELINE OF THE HEALTH STATUS AND NEEDS OF THE NINE 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 STAKEHOLDERSPROVIDERS AND TARGETED POPULATIONS WHO FACE SIGNIFICANT CHALLENGES IN 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 COLLECTING 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 SINCE 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. IN FY2017, THE LINDNER CENTER OF HOPE HAD 1,542 ADULT ADMISSIONS, 77 ADOLESCENT ADMISSIONS, 32,198 OUTPATIENT VISITS, AND 831 CHMC ADOLESCENT ADMISSIONS. OUR HOPE CENTER NORTH FACILITY HAD 2,185 OUTPATIENT VISITS AND PROVIDED 66,876 METHADONE TREATMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY BENEFIT LCOH 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. WEEKLY GRAND ROUNDS WORKSHOPS ARE FACILITATED BY LCOH 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>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>1031689</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>THIRD PARTIES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LINDNER CENTER OF HOPE UTILIZES A THIRD PARTY TO SELL NON-CASH CONTRIBUTIONS.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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>THE MEMBERS OF CRAIG AND FRANCES LINDER CENTER OF HOPE (LCOH) ARE THE FOUR WINDS FOUNDATION, FORMERLY THE LINDNER FAMILY FOUNDATION AND UC HEALTH, FORMERLY THE HEALTH ALLIANCE OF GREATER CINCINNATI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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>AS MEMBERS, THE FOUR WINDS FOUNDATION AND UC HEALTH HAVE THE AUTHORITY TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF LCOH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 WAS MADE AVAILABLE TO THE BOARD PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF LINDNER CENTER OF HOPE (LCOH) TO ANNUALLY REQUIRE THE BOARD OF DIRECTORS, LCOH LEADERSHIP, PHYSICIANS, AND MANAGERS TO DISCLOSE CERTAIN RELATIONSHIPS, SUCH AS FINANCIAL ARRANGEMENTS OR DIRECTORSHIPS WITH VENDORS OR COMPETITIORS, WHICH MAY RESULT IN A CONFLICT OF INTEREST. THESE DISCLOSURES ARE CENTRALLY MAINTAINED, AND DISCLOSURES OF SERIOUS CONFLICTS ARE HANDLED ACCORDING TO 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</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW WAS PERFORMED IN SEPTEMBER 2013 BY MERCER. ANNUAL MERIT INCREASES ARE APPROVED BY THE BOARD CHAIR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW WAS PERFORMED IN SEPTEMBER 2013 BY MERCER. ANNUAL MERIT INCREASES ARE APPROVED BY DIRECT SUPERVISOR. EMPLOYEES OF UC HEALTH SINCE DECEMBER 2013. PAY RANGES ARE SET BY UC HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT DISCLOSE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER TOTAL FEES:17126462</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>LINDNER CTR OF HOPE PROFESSIONAL ASSOC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4075 OLD WESTERN ROW ROAD</AddressLine1Txt>
          <CityNm>MASON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45040</ZIPCd>
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        <PrimaryActivitiesTxt>PROFESSIONAL</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>LCOH</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LINDNER CENTER OF HOPE PROFESSIONAL ASSOCIATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>4805335</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LINDNER CENTER OF HOPE PROFESSIONAL ASSOCIATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>175120</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LINDNER CENTER OF HOPE PROFESSIONAL ASSOCIATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>8234460</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>