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        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>927728</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>12988</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NABIEL ALKHOURI MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>300019</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>14013</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2933560</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>744084</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>157000</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>EMCARE INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>7032 COLLECTION CENTER DR</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY ROOM PHYSICIANS</ServicesDesc>
        <CompensationAmt>953534</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>NORTHSTAR ANESTHESIA OF OHIO</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>200 E LAMAR BLVD STE 400</AddressLine1>
            <City>ARLINGTON</City>
            <State>TX</State>
            <ZIPCode>76006</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA SERVICES</ServicesDesc>
        <CompensationAmt>813577</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HILSCHER CLARKE ELECTRIC CO INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>519 4TH ST NW</AddressLine1>
            <City>CANTON</City>
            <State>OH</State>
            <ZIPCode>44703</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRICAL CONTRACTOR</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ECONOMY LINEN &amp; TOWEL SERVICE</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>503 HOWARD ST</AddressLine1>
            <City>ZANESVILLE</City>
            <State>OH</State>
            <ZIPCode>43701</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAUNDRY &amp; LINEN SERVICE</ServicesDesc>
        <CompensationAmt>345405</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>THE ADVISORY BOARD CO</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2445 M STREET NW</AddressLine1>
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            <State>DC</State>
            <ZIPCode>20037</ZIPCode>
          </USAddress>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>54353</ProgramServicesAmt>
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        <ProgramServicesAmt>105778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4177</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>528385</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>1055766</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>105129829</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION FOR DOUBTFUL ACCOUNTS</Desc>
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        <ProgramServicesAmt>5207309</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <EOYAmt>61423395</EOYAmt>
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        <EOYAmt>27329364</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>11550000</EOYAmt>
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        <EOYAmt>4809008</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>43688372</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>17735023</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>17735023</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>61423395</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3908401</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1040362</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>7350192</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="00000002" softwareId="13000178">
      <HospitalInd>X</HospitalInd>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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      </GrossInvestmentIncome170Grp>
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      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
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        <BookValueAmt>935800</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>34405081</DepreciationAmt>
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      <EquipmentGrp>
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        <BookValueAmt>10454724</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>1767873</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>20766485</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt V Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT HELD BY PARENT COMPANY GUERNSEY HEALTH SYSTEMS USED FOR SUPPORT OF CHARITABLE HEALTH CARE PURPOSES</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, 2013 AND 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt X Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. MEDICARE MEDICAID &amp; INSURANCE CONTRACTUAL ALLOWANCES 105,129,829 SALE OF SCRAP &amp; WASTE 130,224 PHYSICIAN LOAN LOSSES 48,570</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. MEDICARE MEDICAID &amp; INSURANCE CONTRACTUAL ALLOWANCES 105,129,829 SALE OF SCRAP &amp; WASTE 130,224 PHYSICIAN LOAN LOSSES 48,570</ExplanationTxt>
      </SupplementalInformationDetail>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <DirectOffsettingRevenueAmt>1521373</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2088669</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01070</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>29372</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>15151138</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>9919422</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5231716</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02690</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>37681</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>18761180</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>11440795</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7320385</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03760</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>27</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>4450</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>87377</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13766</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>73611</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>69</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>182090</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>182090</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>1764</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>133841</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>133841</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00070</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>35</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>6283</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>403308</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13766</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>389542</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>35</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>43964</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>19164488</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>11454561</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7709927</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03960</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>407</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>407</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>15</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>35</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>35</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</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>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>17</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>96</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>96</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>227</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1209</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1209</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>5</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>259</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1747</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1747</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>4406960</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1589150</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>32703808</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>36014692</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3310884</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>1341 CLARK STREET</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>OH</State>
          <ZIPCode>43725</ZIPCode>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <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>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.SEORMC.ORG</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <PrioritizeServicesInd>X</PrioritizeServicesInd>
        <AllNeedsAddressedInd>false</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>250</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AttachedToInvoiceInd>X</AttachedToInvoiceInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitOtherActionsInd>X</PermitOtherActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>true</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 16e</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 21</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 22</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>10095 BRICK CHURCH ROAD</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>EYAD MAHAYRI MD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1335 CLARK STREET</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CLIFFORD MAXIMO MD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1200 CLARK STREET</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>MELISSA NAU MD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>205 SENECA AVENUE</AddressLine1>
            <City>BYESVILLE</City>
            <State>OH</State>
            <ZIPCode>43723</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SANDRA SCHUBERT MD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>9259 CADIZ ROAD</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SOUTHEASTERN OHIO ENT</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1210 NEAL DRIVE</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SIVARAM KOLLENGODE MD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1432 CLARK STREET SUITE B</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>TONY STARR DO</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>18125 WOODSFIELD ROAD</AddressLine1>
            <City>CALDWELL</City>
            <State>OH</State>
            <ZIPCode>43724</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SOUTHEASTERN OHIO PEDIATRICS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1420 CLARK STREET</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SOUTHEASTERN OHIO ORTHOPEDICS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>316 CLARK STREET</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>COURTNEY BONNER DO</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1230 A CLARK STREET</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>KEVIN W ALTEN MD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>65007 OLD TWENTY ONE ROAD</AddressLine1>
            <City>CAMBRIDGE</City>
            <State>OH</State>
            <ZIPCode>43725</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7 col(f)</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS EXCLUDED FROM COSTS 5,195,693</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 II</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS ASSOCIATED WITH COMMUNITY HEALTH NEEDS PERFORMED WITH OTHER COMMUNITY BASED ORGANIZATIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED SUPPLEMENTAL INFORMATION</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 ATTACHED SUPPLEMENTAL INFORMATION</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO</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>435474</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>88985</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10000</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12507</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>546966</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMOND M CHOREY</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>226593</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>28344</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16959</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>271896</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD P HUELSKAMP</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>140837</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>10213</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18055</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>169105</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA SUE LONG</PersonNm>
        <CompensationBasedOnRltdOrgsAmt>130628</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>9528</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12898</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>153054</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COREY A JACKSON DO</PersonNm>
        <BaseCompensationFilingOrgAmt>640434</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>256151</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>31143</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12988</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>940716</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NABIEL ALKHOURI MD</PersonNm>
        <BaseCompensationFilingOrgAmt>300019</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14013</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>314032</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLIFFORD B MAXIMO MD</PersonNm>
        <BaseCompensationFilingOrgAmt>467332</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18760</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>9599</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>495691</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOEL LINK MD</PersonNm>
        <BaseCompensationFilingOrgAmt>316522</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3168</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>14013</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>333703</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY STARR DO</PersonNm>
        <BaseCompensationFilingOrgAmt>180237</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>125376</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14013</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>319626</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="00000006" softwareId="13000178">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>COREY JACKSON DO</PersonNm>
        <RelationshipWithOrgTxt>HIGHLY COMP EMP</RelationshipWithOrgTxt>
        <LoanPurposeTxt>PHYSICIAN RECRUIT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>129600</OriginalPrincipalAmt>
        <BalanceDueAmt>5502</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>5502</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>SOUTHEASTERN OHIO PHYSICIANS INC</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PARTIAL OWNERSHIP BY TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>118698</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>SOUTHEASTERN OHIO PHYSICIANS INC</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PARTIAL OWNERSHIP BY TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>109613</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>41647</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JORDI B HARDING</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>42426</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BRENDA L GRESS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>38802</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>AMBER E GARBER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>44723</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="00000007" softwareId="13000178">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEWED BY AUDIT COMMITTEE OF BOARD BEFORE FILING. PROVIDED COPY OF FORM 990 TO ALL BOARD MEMBERS BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES COMPLETE ANNUAL DISCLOSURE STATEMENT DISCLOSING ALL CONFLICTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE OF BOARD OF TRUSTEES PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PENSION LIABILITY 7,350,192</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE OF BOARD OF TRUSTEES 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>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES &amp; FEES 1098612. 1098587. 25. 0. FOOD PURCHASES 543096. 519166. 23930. 0. SUNDRY 398089. 234904. 163185. 0. BOOKS &amp; SUBSCRIPTIONS 53168. 49303. 3865. 0. DUES &amp; MEMBERSHIPS 76928. 47523. 29405. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000008" softwareId="13000178">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>SUPERIOR MED LLC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1341 CLARK STREET</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>OH</State>
          <ZIPCode>43725</ZIPCode>
        </USAddress>
        <EIN>311311881</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN OFFICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>2067548</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1341 CLARK STREET</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>OH</State>
          <ZIPCode>43725</ZIPCode>
        </USAddress>
        <EIN>311148352</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT &amp; FUND RAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>SOUTHEASTERN HOME CARE LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </USAddress>
        <EIN>271219638</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>61827</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>413278</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.33000</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>GUERNSEY HEALTH ENTERPRISES INC</BusinessNameLine1>
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        <USAddress>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1>GUERNSEY HEALTH SYSTEMS</BusinessNameLine1>
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          <State>OH</State>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>CASH OWED</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>LOANS GUARANTEED</MethodOfAmountDeterminationTxt>
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        <TransactionTypeTxt>o</TransactionTypeTxt>
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</Return>