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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NABIEL ALKHOURI MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>651744</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>18328</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL F JUENG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>538242</ReportableCompFromOrgAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLIFFORD B MAXIMO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>467332</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>18328</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL LINK MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>384389</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>18328</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3578911</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>822002</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>194318</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>27</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHERN OH EMERGENCY PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 674579</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY ROOM PHYSICIANS</ServicesDesc>
        <CompensationAmt>1375792</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHIFTWISE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1800 SW 1ST AVE STE 510</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>21279</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL STAFFING</ServicesDesc>
        <CompensationAmt>856276</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDSTAFF SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1895</AddressLine1Txt>
            <CityNm>POWELL</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43065</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITAL PHYSICIANS</ServicesDesc>
        <CompensationAmt>840000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHSTAR ANESTHESIA OF OHIO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 E LAMAR BLVD STE 400</AddressLine1Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA SERVICES</ServicesDesc>
        <CompensationAmt>643339</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE ADVISORY BOARD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 79461</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21279</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>527398</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>31</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>148000</AllOtherContributionsAmt>
      <TotalContributionsAmt>148000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>DIAGNOSTIC IMAGING</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>19651987</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SURGERY</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>19396050</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LABORATORY SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>10660493</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EMERGENCY SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>7478384</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>6853096</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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      </TotalOthProgramServiceRevGrp>
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        <ExclusionAmt>681973</ExclusionAmt>
      </InvestmentIncomeGrp>
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      </LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
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        <BusinessCd>722300</BusinessCd>
        <TotalRevenueColumnAmt>495137</TotalRevenueColumnAmt>
        <ExclusionAmt>495137</ExclusionAmt>
      </OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>104167827</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1193177</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>556730</TotalAmt>
        <ProgramServicesAmt>509620</ProgramServicesAmt>
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      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>239108</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>37304970</ProgramServicesAmt>
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      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1467405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11507</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6808625</TotalAmt>
        <ProgramServicesAmt>6762820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45805</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2681434</TotalAmt>
        <ProgramServicesAmt>2662524</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1507625</TotalAmt>
        <ProgramServicesAmt>7625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1500000</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>136419</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136419</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>57000</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57000</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>102454</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102454</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>12794589</TotalAmt>
        <ProgramServicesAmt>10959376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1835213</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>356015</TotalAmt>
        <ProgramServicesAmt>356015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1406322</TotalAmt>
        <ProgramServicesAmt>1341853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64469</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1981642</TotalAmt>
        <ProgramServicesAmt>1981642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>2224442</TotalAmt>
        <ProgramServicesAmt>2209514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14928</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>87659</TotalAmt>
        <ProgramServicesAmt>72832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14827</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>78155</TotalAmt>
        <ProgramServicesAmt>58871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19284</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>550994</TotalAmt>
        <ProgramServicesAmt>550994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4533726</TotalAmt>
        <ProgramServicesAmt>4302837</ProgramServicesAmt>
        <ManagementAndGeneralAmt>230889</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>911635</TotalAmt>
        <ProgramServicesAmt>911635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>16206052</TotalAmt>
        <ProgramServicesAmt>16206052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR BAD DEBTS</Desc>
        <TotalAmt>4237851</TotalAmt>
        <ProgramServicesAmt>4237851</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>2009741</TotalAmt>
        <ProgramServicesAmt>1995120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14621</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>FRANCHISE FEE</Desc>
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        <ProgramServicesAmt>1120000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1151145</TotalAmt>
        <ProgramServicesAmt>868021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>283124</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>96126685</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>11561878</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>123075</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>117056</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2366607</EOYAmt>
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        <EOYAmt>2979371</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>91697596</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>71439036</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>20258560</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>14889289</EOYAmt>
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        <EOYAmt>660780</EOYAmt>
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        <EOYAmt>3556775</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>68242547</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>32054792</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>13571536</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3831275</BOYAmt>
        <EOYAmt>2736607</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>48065492</BOYAmt>
        <EOYAmt>48362935</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>19879612</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>19879612</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>62349433</BOYAmt>
        <EOYAmt>68242547</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>4781584</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-392865</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1206952</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="15000272">
      <HospitalInd>X</HospitalInd>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="15000272">
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>935800</OtherCostOrOtherBasisAmt>
        <BookValueAmt>935800</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>44177040</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>36548788</DepreciationAmt>
        <BookValueAmt>7628252</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>46371974</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>34890248</DepreciationAmt>
        <BookValueAmt>11481726</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>212782</OtherCostOrOtherBasisAmt>
        <BookValueAmt>212782</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>20258560</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>TRUSTEE HELD BOND FUND ESCROW</Desc>
        <BookValueAmt>3480338</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED CASH BOND FUND</Desc>
        <BookValueAmt>76437</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>3556775</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>105158975</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>16891</OtherRevenueAmt>
      <RevenueNotReportedAmt>16891</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>105142084</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>366920</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>366920</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>105509004</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>100377391</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>16891</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>16891</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>100360500</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>366920</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>366920</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>100727420</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, 2015 AND 2014, 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 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE NETTED AGAINST EXPENSE ON TAX RETURN. SALE OF SCRAP AND WASTE 16,891</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSE ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. PHYSICIAN LOAN LOSSES 366,920</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE NETTED AGAINST EXPENSE ON TAX RETURN. SALE OF SCRAP AND WASTE 16,891</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSE ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. PHYSICIAN LOAN LOSSES 366,920</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="00000004" softwareId="15000272">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>4117</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>919400</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>919400</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00950</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>37845</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>22145704</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17210421</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4935283</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05110</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>41962</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>23065104</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17210421</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5854683</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06060</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>31</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>9957</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>188416</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15542</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>172874</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00180</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>5</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>251</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>181106</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>181106</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</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>623</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>160406</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>160406</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00170</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>42</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>10831</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>529928</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15542</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>514386</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00540</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>42</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>52793</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>23595032</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17225963</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>6369069</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06600</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>306</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>306</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>220</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>25229</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>25229</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>20</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1040</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1040</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>264</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1181</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1181</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>207</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2808</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2808</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>7</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>711</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>30564</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>30564</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>3735927</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>3070932</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>37651641</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>40150340</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-2498699</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>
        <CHNAConductedYr>13</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>14</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEORMC.ORG/ABOUT-SEORMC/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>1.00000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>2.50000000</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>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <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>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 22d</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>SANDRA MASSULLO-SCHUBERT MD</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>GEORGE NAUM III DO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1327 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 4,237,851</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="00000005">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>EYAD MAHAYRI MD FCCP</PersonNm>
        <BaseCompensationFilingOrgAmt>435011</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24375</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>45609</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15678</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>523323</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMOND M CHOREY</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>241498</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>52029</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1084</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>2650</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17503</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>314764</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY R EVANCHO</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>121628</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>8944</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>1332</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18965</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>150869</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA SUE LONG</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>139400</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>11513</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1100</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>1548</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13166</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>166727</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COREY A JACKSON DO</PersonNm>
        <BaseCompensationFilingOrgAmt>639018</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>198040</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>143416</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9559</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>992683</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NABIEL ALKHOURI MD</PersonNm>
        <BaseCompensationFilingOrgAmt>625019</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>26725</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15678</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>670072</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARL F JUENG MD</PersonNm>
        <BaseCompensationFilingOrgAmt>536515</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1727</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>538242</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLIFFORD B MAXIMO MD</PersonNm>
        <BaseCompensationFilingOrgAmt>467002</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>330</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15678</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>485660</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOEL LINK MD</PersonNm>
        <BaseCompensationFilingOrgAmt>360006</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24030</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>353</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15678</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>402717</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="00000006" softwareId="15000272">
      <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>1116262</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>10285000</OtherSpentProceedsAmt>
        <UnspentAmt>3480338</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</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>
        <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="00000007" softwareId="15000272">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOSEPH OHANLON DO</PersonNm>
        <RelationshipWithOrgTxt>FAMILY MBR OF TRUSTE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>PHYSICIAN RECRUITMEN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>139837</OriginalPrincipalAmt>
        <BalanceDueAmt>123075</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>123075</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHEASTERN OHIO PHYSICIANS INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PARTIAL OWNERSHIP BY TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>168238</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>148885</TransactionAmt>
        <TransactionDesc>PHYSICIAN RECRUITMENT LOAN</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>STEPHANIE R BUXTON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>64598</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JORDI B HARDING</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>43478</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>AMBER E PAULEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>47678</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOSEPH OHANLON DO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>18750</TransactionAmt>
        <TransactionDesc>PHYSICIAN SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KENDRA D BROOKS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>51490</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAITLIN MICHELLE CHOREY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>13114</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="00000008" softwareId="15000272">
      <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 1,206,952</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES &amp; FEES 56971. 54278. 2693. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>FOOD PURCHASES 566302. 534691. 31611. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>SUNDRY 367133. 131995. 235138. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOKS &amp; SUBSCRIPTIONS 95152. 91481. 3671. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES &amp; MEMBERSHIPS 65587. 55576. 10011. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
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        <EIN>311311881</EIN>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>2542648</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
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        <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>11 TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <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>685211</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>448042</ShareOfEOYAssetsAmt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.33000</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
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        <EIN>311191428</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <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>207233</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH OWED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>13685000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>LOANS GUARANTEED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>116460</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH LOAN</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>212412</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>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>n</TransactionTypeTxt>
        <InvolvedAmt>100000</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>830861</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>