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        <ExplanationTxt>Southwest General Medical Group adopted ASC 740-10 in 2007 as required. No disclosures were required under GAAP as Southwest General Medical Group does not have any material tax contingencies that required disclosures in the footnotes.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leonard L Brzozowski MD</PersonNm>
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        <PersonNm>Thomas A Selden</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations President is compensated by Southwest General Health Center and their Human Resource department conducts periodic reviews and uses salary survey data from an outside consultant to determine appropriate compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Thomas Selden - supplemental nonqualified retirement plan 34,681. Marilyn McNamara - supplemental nonqualified retirement plan 17,223. Mary Ann Freas - supplemental nonqualified retirement plan 14,731.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 5a</FormAndLineReferenceDesc>
        <ExplanationTxt>There are two physicians that have their bonus calculated based on the revenue of the organization. This bonus is calculated using the WRVUs Work Related Value Units quarterly and annually.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each physician is considered an Individual Practice with their own income and expenses allocated to them. Per the Physicians contract, a bonus is calculated based on the Individual Practice Net Income the Physician generates in any given year. There are additional stipulations if there is a Net Loss that affects compensation as well.</ExplanationTxt>
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        <ExplanationTxt>Southwest General Health Center is the Shareholder of Southwest General Medical Group.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Shareholders shall elect the Directors annually and shall determine the number of Shareholders of record. The Board of Directors shall elect a President, Secretary, and Treasurer, and may elect a Chairman of the Board, one or more Vice Presidents, and such other officers and assistant officers as the Board may deem necessary.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The business, power and authority of Southwest General Medical Group shall be exercised, conducted, and controlled by the Board of Directors, except where the law, Articles of Incorporation, or the Code of Regulations require action to be authorized or taken by the Shareholders, including but not limited to the adoption of the Corporations fee schedule which shall be based upon the usual, customary, and reasonable charges for medical services in the community.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed internally by the CEO, CFO, and Chief Accounting Officer. It is presented and reviewed at the Audit Committee of the Board of Trustees Governing Board meeting on October 16, 2014. The return is distributed electronically to the entire board before filing. Also prior to filing, the entire Board is presented with a review of the highlights and key points of the 990 at their October meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Southwest General Medical Group has a written Conflict of Interest Policy that requires our officers, directors, and employees to annually disclose potential conflicts of themselves or their family members on a questionaire distributed by the Privacy Officer. To comply with on-going monitoring, periodic reviews are conducted of the reasonableness of compensation and benefit arrangements whether acquisitions of physicians practices and other provider services result in impermissible private benefit and whether agreements to provide health care agreements with other health care providers, employees, and third party payors further the Corporations charitable purposes and do not result in impermissible private benefit. In the event of a conflict the Board will determine disciplinary and corrective action.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15ab</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and other officers do not receive compensation separate from compensation received from Southwest General Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>Southwest General Medical Groups organizing documents, conflict of interest policy and financial statements are made available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Marilyn McNamara, Thomas Selden and Mary Ann Freas each devote approximateley 59 hours per week to related organizations. The related organziation - Southwest General Health Center is where the majority of their time is spent.</ExplanationTxt>
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        <ExplanationTxt>Other Fees1,746,402-Other Purchased Services</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>8,016,750 represents the change in paid in capital from the beginning of the year. 67,838,307 EOY - 59,821,557 BOY.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>In the course of preparing the audit report, the independent auditors reviewed the organizations financial statements.</ExplanationTxt>
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          <State>OH</State>
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        <EIN>841661280</EIN>
        <PrimaryActivitiesTxt>Security</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Southwest General Health Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Southwest Community Health System</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>18697 Bagley Road</AddressLine1>
          <City>Middleburg Hts</City>
          <State>OH</State>
          <ZIPCode>44130</ZIPCode>
        </USAddress>
        <EIN>341455141</EIN>
        <PrimaryActivitiesTxt>Parent non profit</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11d</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Southwest Community Health Foundation</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>18697 Bagley Road</AddressLine1>
          <City>Middleburg Hts</City>
          <State>OH</State>
          <ZIPCode>44130</ZIPCode>
        </USAddress>
        <EIN>341455135</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Southwest Community Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Southwest Holdings Inc</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>18697 Bagley Road</AddressLine1>
          <City>Middleburg Hts</City>
          <State>OH</State>
          <ZIPCode>44130</ZIPCode>
        </USAddress>
        <EIN>341461753</EIN>
        <PrimaryActivitiesTxt>Retail Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>