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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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    <IRS990ScheduleA documentId="00000002" softwareId="10000104">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <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>
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    <IRS990ScheduleD documentId="00000004" softwareId="10000104">
      <Land>
        <OtherCostOrOtherBasis>20646041</OtherCostOrOtherBasis>
        <BookValue>20646041</BookValue>
      </Land>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>55317180</OtherCostOrOtherBasis>
        <BookValue>55317180</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>75963221</TotalOfBookValueLandBuildings>
      <TotalRevenue>14443535</TotalRevenue>
      <TotalExpenses>2720342</TotalExpenses>
      <ExcessOrDeficitForYear>11723193</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>1668748</NetUnrealizedGLOnInvestments>
      <OtherAmount>-1387436</OtherAmount>
      <TotalAdjustments>281312</TotalAdjustments>
      <ExcessOrDeficitPerFS>12004505</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>15626000</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>1668748</NetUnrealizedGainsInvestments>
      <OtherRevenues>12513973</OtherRevenues>
      <RevenueNotRptdF990>14182721</RevenueNotRptdF990>
      <RevenueSubtotal>1443279</RevenueSubtotal>
      <OtherRevenuesNotIncluded>13000256</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>13000256</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>14443535</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3622000</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>3426613</OtherExpensesIncluded>
      <ExpensesNotRptdF990>3426613</ExpensesNotRptdF990>
      <ExpensesSubtotal>195387</ExpensesSubtotal>
      <OtherExpensesNotIncluded>2524955</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>2524955</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2720342</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt X</Identifier>
        <Explanation>The Network completed an analysis of its tax positions in accordance with applicable accounting guidance at December 31, 2010 and 2009, and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2010 or 2009.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XI Line 8</Identifier>
        <Explanation>Net transfers to affiliate (1,387,436)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XII Line 2d</Identifier>
        <Explanation>Investment management fees (292,464) Interest expense (2,161,818) Bond issue cost (70,922) Net assets released from restrictions for capital 2,039,177</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XII Line 2d</Identifier>
        <Explanation>Contributions and investment income from restricted investments 13,000,000</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XII Line 4b</Identifier>
        <Explanation>Audit rounding 257 Contributions 13,000,000 Rounding (1)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XIII Line 2d</Identifier>
        <Explanation>Contributions (13,000,000) Transfers for PP&amp;E 2,039,177 Transfers to net assets 10,960,823 Net transfers to affiliate 1,387,436 Net assets released from restrictions for capital 2,039,177</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XIII Line 4b</Identifier>
        <Explanation>Audit rounding (248) Investment management fees 292,464 Interest expense 2,161,818 Bond issue cost 70,922 Rounding (1)</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="00000005" softwareId="10000104">
      <CharityCarePolicy>false</CharityCarePolicy>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfEntity>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>BEAVERCREEK MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>PENTAGON BLVD ROYAL GATEWAY RD</AddressLine1>
          <City>BEAVERCREEK</City>
          <State>OH</State>
          <ZIPCode>45431</ZIPCode>
        </Address>
        <Other>Under Construction</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>BEAVERCREEK MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>false</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>BEAVER CREEK MEDICAL CENTER IS STILL UNDER CONSTRUCTION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>THE ORGANIZATION IS CURRENTLY ADDRESSING THE POLICIES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>CONCERNING THE PROVISIONS OF HEALTH CARE FOR 2011 AND 2012.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="00000006">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>FRED MANCHUR</NamePerson>
        <CompBasedOnRelatedOrgs>771183</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>170029</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>387340</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>207055</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16783</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1552390</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FRANK PEREZ</NamePerson>
        <CompBasedOnRelatedOrgs>863128</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>222466</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>37704</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>13687</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>17505</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1154490</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREG HENDERSON</NamePerson>
        <CompBasedOnRelatedOrgs>361695</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>90000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>28152</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>110202</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>23635</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>613684</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TIM POLLARD</NamePerson>
        <CompBasedOnRelatedOrgs>189410</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>29478</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>6000</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>5885</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>230773</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Pt I Line 4b</Identifier>
        <Explanation>The Network has a Supplemental Executive Retirement Plan available only to a certain class of management.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="00000007" softwareId="10000104">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF GREENE OHIO</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>316000271</IssuerEIN>
        <CUSIPNumber>394650BV6</CUSIPNumber>
        <DateIssued>2009-11-03</DateIssued>
        <IssuePrice>97931091</IssuePrice>
        <DescriptionOfPurpose>Construct and equip a hospital</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>99062400</TotalProceeds>
        <AmountInReserveFund>9551189</AmountInReserveFund>
        <CapitalizedInterest>2633592</CapitalizedInterest>
        <IssuanceCostsFromProceeds>1612304</IssuanceCostsFromProceeds>
        <CapitalExpenditures>85213731</CapitalExpenditures>
        <AmountUnspent>51584</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Explanation>Part II, Line 3: Includes investment earnings of $1,131,309</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="00000008" softwareId="10000104">
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>A tax specialist is engaged to review the 990. The 990 is reviewed</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and accepted by the audit committee which reports this to the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>governing body (board).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>The Network regularly and consistently monitors and enforces compliance</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>with the conflict of interest policy by making it part of the employees'</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>annual reviews. Employees must certify that they have read the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>conflict of interest policy and have disclosed any potential conflicts</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and agree to immediately notify Corporate Integrity if one should arise.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Board members are required to annually review the Network's policy,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>sign a conflict of interest statement, and notify the Network if a conflict</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>should arise.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>The process of determining compensation of CEO's, executive directors,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>officers, and key employees is to have an independent board approve</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>the compensation. The compensation is determined to be reasonable</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>compared to independent comparability data. The approval of the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>amounts is documented in the Board minutes within the appropriate</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>time frame. At year end the organization reviews executive compensation</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>by comparing the amounts approved to the amounts paid.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>The KHN Conflict of Interest policy is available on the KHN intranet. The</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>organization's governing documents and financial statements</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Line 5: Net unrealized gains on investments 1,668,748</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Line 5: Net transfers to affiliate -1,387,436.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>KHN has an audit committee that meets regularly throughout the year</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>to review issues that are brought to it by the internal auditor. This</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>committee is also responsible for the financial audit.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALLIANCE PHYSICIAN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>311175717</EIN>
        <PrimaryActivities>PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DAYTON OSTEOPATHIC HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>310564121</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE FORT HAMILTON HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>310536662</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GREENE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>310886949</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GREENE MEMORIAL HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GREENE MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>310809436</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GREENE MEMORIAL HOSPITAL SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>311358549</EIN>
        <PrimaryActivities>PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>311051688</EIN>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KETTERING MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>310621866</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING ADVENTIST HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KETTERING MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 LEITER ROAD</AddressLine1>
          <City>MIAMISBURG</City>
          <State>OH</State>
          <ZIPCode>45342</ZIPCode>
        </AddressUS>
        <EIN>237419897</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KETTERING MEDICAL CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KETTERING MEDICAL CENTER IS A CONDUIT THROUGH WHICH REVENUE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>lmnor</TransactionType>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>IS RECEIVED AND EXPENSES ARE PAID</BusinessNameLine1>
        </NameOfOtherOrganization>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>