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        <ContractorAddress>
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      <ContractorCompensationGrp>
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      <TotExpnsEtcAuditedFinclStmtAmt>104157242</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>104157242</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>94584</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>94584</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>104251826</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT HELD BY PARENT COMPANY GUERNSEY HEALTH SYSTEMS. USED FOR SUPPORT OF CHARITABLE HEALTH CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017 AND 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSE ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. PHYSICIAN LOAN LOSSES 83,380 AND SCRAP &amp; WASTE 11,204</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSE ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. PHYSICIAN LOAN LOSSES 83,380 AND SCRAP AND WASTE 11,204</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="00000004">
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ROGGE AND ASSOCIATES</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <ActivityTxt>CAPITAL CAMPAIGN CO-ORDINATION</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <RetainedByContractorAmt>165000</RetainedByContractorAmt>
      </FundraiserActivityInfoGrp>
      <TotalRetainedByContractorsAmt>165000</TotalRetainedByContractorsAmt>
      <LicensedStatesCd>OH</LicensedStatesCd>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="00000005" softwareId="17005306">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <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>
        <PersonsServedCnt>1640</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1006338</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1006338</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00990</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>35817</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>23393251</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16152076</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7241175</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07160</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>37457</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>24399589</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16152076</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8247513</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08150</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>32</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>7339</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>130294</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17450</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>112844</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00110</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>186</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>155871</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>155871</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>6</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>193</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>67239</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>67239</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00070</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>42</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>7718</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>353404</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17450</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>335954</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00330</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>42</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>45175</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>24752993</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16169526</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8583467</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08480</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2977</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2977</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>10017</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>10017</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>15</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>793</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>793</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>978</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>978</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>5</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>18</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>14765</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>14765</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2726616</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2148573</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>35637735</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>41455310</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-5817575</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SOUTHEASTERN OHIO REGIONAL MEDICAL CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>SEORMC.ORG</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <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>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.SEORMC.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEORMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEORMC.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEORMC.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEORMC.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <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>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10095 BRICK CHURCH ROAD</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EYAD MAHAYRI MD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1335 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CLIFFORD MAXIMO MD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MELISSA NAU MD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>205 SENECA AVENUE</AddressLine1Txt>
            <CityNm>BYESVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43723</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HILARY HAACK DO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1230A CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1210 NEAL DRIVE</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SIVARAM KOLLENGODE MD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1432 CLARK STREET SUITE B</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TONY STARR DO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18125 WOODSFIELD ROAD</AddressLine1Txt>
            <CityNm>CALDWELL</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43724</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1420 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO ORTHOPEDICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>316 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>C MATTHEW FORBUSH DO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1452 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>OH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7g</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC HAVE BEEN INCLUDED AS UNSUBSIDIZED HEALTH SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7 col(f)</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS EXCLUDED FROM COSTS 3,074,719</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS ASSOCIATED WITH COMMUNITY HEALTH NEEDS PERFORMED WITH OTHER COMMUNITY BASED ORGANIZATIONS. ITEMS INCLUDE COMMUNITY DISASTER READINESS PLANNING AND PREPARATION, SPONSORSHIP OF MEDICAL EXPLORER POST WITH BOY SCOUTS OF AMERICA, AND HOSPITAL REPRESENTATION ON VARIOUS COMMUNITY COALITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PART V SECTION C FOR RESPONSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="00000006">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMOND M CHOREY</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>274141</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>52110</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>380</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>2700</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22630</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>351961</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY R EVANCHO</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>151537</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>14400</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>235</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>1685</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>23115</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>190972</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA S LONG</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>152494</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>14692</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>235</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>1720</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18092</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>187233</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN M BROOKS</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>115440</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>18252</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>1364</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>20815</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>155871</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>E EDWIN CONAWAY</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>128795</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>12192</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9167</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>769</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>1415</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>21009</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>9167</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>164180</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COREY A JACKSON DO</PersonNm>
        <BaseCompensationFilingOrgAmt>417819</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>48897</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>96250</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16592</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>579558</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NABIEL ALKHOURI MD</PersonNm>
        <BaseCompensationFilingOrgAmt>588960</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27005</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>33605</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23852</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>673422</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARL F JUENG MD</PersonNm>
        <BaseCompensationFilingOrgAmt>536515</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3323</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24889</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>567427</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EYAD MAHAYRI MD</PersonNm>
        <BaseCompensationFilingOrgAmt>435011</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24844</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>43500</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24889</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>530944</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLIFFORD B MAXIMO MD</PersonNm>
        <BaseCompensationFilingOrgAmt>467002</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>540</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24889</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>495131</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="00000007" softwareId="17005306">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF CAMBRIDGE OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400220</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-05-15</BondIssuedDt>
        <IssuePriceAmt>15000000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI SUPPLEMENTAL INFO</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1315000</RetiredAmt>
        <TotalProceedsAmt>15000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>118400</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>4596600</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>10285000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I-A col (f)</FormAndLineReferenceDesc>
        <ExplanationTxt>10,285,000 FOR CURRENT REFUNDING OF 2001 AND 2002 BOND ISSUES, 118,400 FOR BOND ISSUANCE COSTS, AND 4,596,600 FOR CAPITAL IMPROVEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="00000008" softwareId="17005306">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOSEPH OHANLON DO</PersonNm>
        <RelationshipWithOrgTxt>FAMILY MBR OF TRUSTE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>PHYSICIAN RECRUITMEN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>139837</OriginalPrincipalAmt>
        <BalanceDueAmt>25675</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>25675</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO PHYSICIANS INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PARTIAL OWNERSHIP BY TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>290031</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO PHYSICIANS INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PARTIAL OWNERSHIP BY TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>25675</TransactionAmt>
        <TransactionDesc>PHYSICIAN RECRUITMENT LOAN</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>AMBER E PAULEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>53263</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOSEPH OHANLON DO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>25000</TransactionAmt>
        <TransactionDesc>PHYSICIAN SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KENDRA D BROOKS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>52106</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAITLIN MICHELLE CHOREY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>46622</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARK GOGGIN MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>17500</TransactionAmt>
        <TransactionDesc>PHYSICIAN SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="00000009" softwareId="17005306">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE ELECTED BY BOARD MEMBERS OF GUERNSEY HEALTH SYSTEMS, THE NOT-FOR-PROFIT PARENT COMPANY OF SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEWED BY AUDIT COMMITTEE OF BOARD BEFORE FILING. PROVIDED A COMPLETE COPY OF FORM 990 TO ALL BOARD MEMBERS BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS COMPLETE ANNUAL DISCLOSURE STATEMENT DISCLOSING ALL CONFLICTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL SUCH ITEMS AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IX LINE 11G - SEE ATTACHED SUPPLEMENTAL SCHEDULE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PENSION LIABILITY 612,893</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES &amp; FEES 50406. 47234. 3172. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>FOOD PURCHASES 560151. 532019. 28132. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>SUNDRY 556348. 268835. 287513. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOKS &amp; SUBSCRIPTIONS 88465. 65116. 23349. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES &amp; MEMBERSHIPS 150557. 86579. 63978. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES OTHER 108241. 0. 108241. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUPERIOR MED LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311311881</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN OFFICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>5099886</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1788659</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311148352</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT &amp; FUND RAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHEASTERN HOME CARE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1700 EDISON DRIVE</AddressLine1Txt>
          <CityNm>MILFORD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45150</ZIPCd>
        </USAddress>
        <EIN>271219638</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>823526</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>457344</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.33000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311191428</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNITED AMBULANCE SERVICE OF CAMBRIDGE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311086097</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>43961</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH OWED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>9113129</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>LOANS GUARANTEED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>125000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH LOAN</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>494809</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>42000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>1500000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>n</TransactionTypeTxt>
        <InvolvedAmt>100000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ESTIMATED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>997738</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>