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        <BusinessNameLine1>SOUTHWEST GENERAL MEDICAL GROUP INC</BusinessNameLine1>
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        <State>OH</State>
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      <Name>Marilyn McNamara MD</Name>
      <Title>President</Title>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
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      <ReconcilationOtherChanges>6512205</ReconcilationOtherChanges>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
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      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
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        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
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        <OrganizedInUS>true</OrganizedInUS>
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      <FactsAndCircumstancesTest>Part I Line 11 Southwest General Medical Group supports the Health Center by physician referrals, patient use of the Health Center facilities, inpatient and outpatient - any other medical services allowed by the Health Center.</FactsAndCircumstancesTest>
      <GeneralExplanation>Part I Line 11 Southwest General Medical Group supports the Health Center by physician referrals, patient use of the Health Center facilities, inpatient and outpatient - any other medical services allowed by the Health Center.</GeneralExplanation>
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      <IncludedOnFS>false</IncludedOnFS>
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        <Depreciation>9394</Depreciation>
        <BookValue>260357</BookValue>
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        <Depreciation>275582</Depreciation>
        <BookValue>217732</BookValue>
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        <Depreciation>1184794</Depreciation>
        <BookValue>514146</BookValue>
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      <TotalOfBookValueLandBuildings>992235</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Financial derivatives and other financial products</Description>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Closely-held equity interests</Description>
      </OtherSecurities>
      <OtherAssets>
        <Description>Other Receivables</Description>
        <BookValue>215230</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Tax Deferred Annunity</Description>
        <BookValue>417351</BookValue>
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      <OtherAssets>
        <Description>Goodwill less accum amortization</Description>
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      <OtherLiabilities>
        <Description>Federal income taxes</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Insurance Claims Reserve</Description>
        <Amount>1975343</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1975343</TotalOfAmounts>
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        <ReturnReference>2</ReturnReference>
        <Explanation>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.</Explanation>
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      <IndependentConsultant>X</IndependentConsultant>
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      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>true</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Marilyn McNamara MD</NamePerson>
        <Title>Director, President</Title>
        <CompBasedOnRelatedOrgs>290077</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>30528</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>29024</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>301757</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>18065</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>669451</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Leonard L Brzozowski</NamePerson>
        <Title>Physician</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>Kimberly Kraus MD</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>453157</BaseCompensationFilingOrg>
        <BonusFilingOrg>5957</BonusFilingOrg>
        <OtherCompensationFilingOrg>11203</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>64286</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18677</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>553280</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>John Alton MD</NamePerson>
        <Title>Director, Physician</Title>
        <BaseCompensationFilingOrg>355550</BaseCompensationFilingOrg>
        <BonusFilingOrg>95127</BonusFilingOrg>
        <OtherCompensationFilingOrg>50184</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>90654</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17614</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>609129</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Gil Peleg MD</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>373745</BaseCompensationFilingOrg>
        <BonusFilingOrg>30207</BonusFilingOrg>
        <OtherCompensationFilingOrg>1838</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>59692</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21417</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>486899</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Olga Kovacevic MD</NamePerson>
        <Title>Director, Physician</Title>
        <BaseCompensationFilingOrg>170050</BaseCompensationFilingOrg>
        <BonusFilingOrg>207</BonusFilingOrg>
        <OtherCompensationFilingOrg>5468</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>51947</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17888</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>245560</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas A Selden</NamePerson>
        <Title>Director</Title>
        <CompBasedOnRelatedOrgs>402401</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>95200</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>109914</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18922</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14548</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>640985</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Ann Freas</NamePerson>
        <Title>Director</Title>
        <CompBasedOnRelatedOrgs>283123</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>31445</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>15887</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>15452</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>13810</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>359717</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Wenhui Zhu</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>309126</BaseCompensationFilingOrg>
        <BonusFilingOrg>207</BonusFilingOrg>
        <OtherCompensationFilingOrg>16900</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13972</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>347705</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sampath Ramanavarapu</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>436708</BaseCompensationFilingOrg>
        <BonusFilingOrg>30206</BonusFilingOrg>
        <OtherCompensationFilingOrg>3220</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>10167</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>480301</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Thomas Selden - supplemental nonqualified retirement plan 32,600.00. Marilyn McNamara - supplemental nonqualified retirement plan 15,681.00. Mary Ann Freas - supplemental nonqualified retirement plan 13,875.00.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>6</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="12000057" softwareVersion="12.18.605.2">
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section A Line 6 Southwest General Health Center is the Shareholder of Southwest General Medical Group.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section A Line 7a The Shareholders shall elect the Directors annually and shall determine the number of Shareholders of record. The Board of Directors shall elect a President, a Secretary and a 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section A Line 7b 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, the 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11 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 11, 2013. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 12c Southwest 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 questionnaire 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 impermissable private benefit and whether agreements to provide health care and 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15ab The CEO and other officers do not receive compensation separate from compensation received from Southwest General Health Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section C Line 19 Southwest General Medical Groups organizing documents, conflict of interest policy and financial statements are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VII Marilyn McNamara, Thomas Selden and Mary Ann Freas each devote approximately 38 hours per week to related organizations. The related organization - Southwest General Health Center is where the majority of their time is spent.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part IX Line Line 11g Other Fees 2,206,856 - Other Purchased Services</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part XI Line Line 9 6,512,205 represents the change in paid in capital from the beginning of the year. 59,821,557 EOY - 53,309,353 BOY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part XII Line Line 2a In the course of preparing the audit report, the independent auditors reviewed the organizations financial statements.</Explanation>
      </GeneralExplanation>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18697 Bagley Road</AddressLine1>
          <City>Middleburg Hts</City>
          <State>OH</State>
          <ZIPCode>44130</ZIPCode>
        </AddressUS>
        <EIN>340753531</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501 c3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Southwest Community Health Sys</BusinessNameLine1>
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          <BusinessNameLine1>Southwest Protection Services</BusinessNameLine1>
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          <AddressLine1>18697 Bagley Road</AddressLine1>
          <City>Middleburg Hts</City>
          <State>OH</State>
          <ZIPCode>44130</ZIPCode>
        </AddressUS>
        <EIN>841661280</EIN>
        <PrimaryActivities>Security</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501 c3</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Southwest General Health Center</BusinessNameLine1>
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        <PrimaryActivities>Parent non profit</PrimaryActivities>
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