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      <ProgramServiceRevenue>
        <Description>Title XIX</Description>
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        <ExclusionAmount>455</ExclusionAmount>
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        <Description>Other Income</Description>
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        <RelatedOrExemptFunctionIncome>173719</RelatedOrExemptFunctionIncome>
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      <TotalOtherRevenue>173719</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>14147049</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13835831</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>455</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1488134</Total>
        <ProgramServices>1301968</ProgramServices>
        <ManagementAndGeneral>186166</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>6756242</Total>
        <ProgramServices>5911228</ProgramServices>
        <ManagementAndGeneral>845014</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>600539</Total>
        <ProgramServices>487918</ProgramServices>
        <ManagementAndGeneral>112621</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>255034</Total>
        <ProgramServices>228580</ProgramServices>
        <ManagementAndGeneral>26454</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>715203</Total>
        <ProgramServices>701621</ProgramServices>
        <ManagementAndGeneral>13582</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>193288</Total>
        <ProgramServices>189307</ProgramServices>
        <ManagementAndGeneral>3981</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>305425</Total>
        <ProgramServices>217276</ProgramServices>
        <ManagementAndGeneral>88149</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>246732</Total>
        <ProgramServices>240480</ProgramServices>
        <ManagementAndGeneral>6252</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Ulitities</Description>
        <Total>304917</Total>
        <ProgramServices>296339</ProgramServices>
        <ManagementAndGeneral>8578</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Operating Supplies and Expenses</Description>
        <Total>2650428</Total>
        <ProgramServices>2643547</ProgramServices>
        <ManagementAndGeneral>6881</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other</Description>
        <Total>635910</Total>
        <ProgramServices>631569</ProgramServices>
        <ManagementAndGeneral>4341</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>14151852</Total>
        <ProgramServices>12849833</ProgramServices>
        <ManagementAndGeneral>1302019</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>885955</BOY>
        <EOY>567085</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>15312</BOY>
        <EOY>19417</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>2106122</BOY>
        <EOY>3046393</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>348264</BOY>
        <EOY>256250</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7865065</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>3902718</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>3908424</BOY>
        <EOY>3962347</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>211135</BOY>
        <EOY>193540</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>7475212</BOY>
        <EOY>8045032</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1452651</BOY>
        <EOY>1649401</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>64952</BOY>
        <EOY>17258</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>5547635</BOY>
        <EOY>5861399</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>7065238</BOY>
        <EOY>7528058</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>409974</BOY>
        <EOY>516974</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>409974</BOY>
        <EOY>516974</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7475212</BOY>
        <EOY>8045032</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-4803</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>111803</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="12000057" softwareVersion="12.19.1011.1">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>10923680</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9153925</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8840951</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9639164</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10401731</CurrentTaxYear>
        <Total>48959451</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>10923680</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9153925</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8840951</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9639164</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10401731</CurrentTaxYear>
        <Total>48959451</Total>
      </Total170>
      <PublicSupportTotal170>48959451</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>2975</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>683</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>692</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>479</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>455</CurrentTaxYear>
        <Total>5284</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>2015428</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3535490</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4202939</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4346768</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3744863</CurrentTaxYear>
        <Total>17845488</Total>
      </OtherIncome170>
      <TotalSupport>66810223</TotalSupport>
      <PublicSupportPertcentage170>0.73280</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.76210</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="12000057" softwareVersion="12.19.1011.1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D" softwareId="12000057" softwareVersion="12.19.1011.1">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>420410</OtherCostOrOtherBasis>
        <BookValue>420410</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4957200</OtherCostOrOtherBasis>
        <Depreciation>3902718</Depreciation>
        <BookValue>1054482</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>31031</OtherCostOrOtherBasis>
        <BookValue>31031</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2456424</OtherCostOrOtherBasis>
        <BookValue>2456424</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3962347</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Financial derivatives and other financial products</Description>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Closely-held equity interests</Description>
      </OtherSecurities>
      <OtherLiabilities>
        <Description>Federal income taxes</Description>
      </OtherLiabilities>
      <TotRevenueEtcAuditedFinclStmt>14151708</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>4659</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>4659</RevenueNotRptdF990>
      <RevenueSubtotal>14147049</RevenueSubtotal>
      <TotalRevenuePerForm990>14147049</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>14151852</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>14151852</ExpensesSubtotal>
      <TotalExpensesPerForm990>14151852</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="990O" softwareId="12000057" softwareVersion="12.19.1011.1">
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 739,205, Grants and allocations 0, Revenue 0 Rental Business Activities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11b Columbus Area Inc. management reviews the 990 prior to filing a draft. It is also reviewed by the board, which allows any further inquiries to be discussed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 12c It is the continuing responsibility of the board, officers, and management employees to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make such disclosures. Disclosure in the organization should be made to the chief executive officer or if she is the one with the conflict, then to the board chair who shall bring the matter to the attention of the board or duly constituted committee thereof. The board or a duly constituted committee therof shall determine whether a conflict exists and in the case of an existing conflict, whether the contemplated transaction may be authorized as just, fair, and reasonable to Columbus Area Integrated Health Services, Inc. The decision of the board or a duly constituted committee thereof on these matters will rest in their sole discretion, and their concern must be the welfare of Columbus Area Integrated Health Services, Inc. and the advancement of its purpose.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15 Reviewed by the Executive Committee of the Board of Directors and the full Board of Directors. The overall budget and salaries, including a comparability study, are approved by the Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section C Line 19 Available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part XI Line 5 Unrealized gain on investment of 4,659 and nonoperating gain of 107,144.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>