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        <TotalAmt>48163956</TotalAmt>
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      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11563278</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12553196</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13697922</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10379006</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50299</CurrentTaxYearAmt>
        <TotalAmt>48243701</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>48243701</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>149</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>149</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>149</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>149</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>24497</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2293</CurrentTaxYearAmt>
        <TotalAmt>26790</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <TotalAmt>48270640</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99940</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99960</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: MISCELLANEOUS 2018: 0. 2019: 0. 2020: 1000. 2021: 0. 2022: 2293. Description: BWC REFUND 2018: 0. 2019: 0. 2020: 23497. 2021: 0. 2022: 0.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleN documentId="IRS990ScheduleN-01">
      <LiquidationOfAssetsTableGrp>
        <LiquidationOfAssetsDetail>
          <AssetsDistriOrExpnssPaidDesc>CASH</AssetsDistriOrExpnssPaidDesc>
          <DistributionDt>2022-12-30</DistributionDt>
          <FairMarketValueOfAssetAmt>149450</FairMarketValueOfAssetAmt>
          <MethodOfFMVDeterminationTxt>CASH</MethodOfFMVDeterminationTxt>
          <EIN>341567805</EIN>
          <PersonNm>UNIVEWRISITY HOSPITALS CLE MED CTR</PersonNm>
          <USAddress>
            <AddressLine1Txt>3605 WARRENSVILLE CTR RD MSC 9155</AddressLine1Txt>
            <CityNm>SHAKER HEIGHTS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44122</ZIPCd>
          </USAddress>
          <IRCSectionTxt>501(C)3</IRCSectionTxt>
        </LiquidationOfAssetsDetail>
      </LiquidationOfAssetsTableGrp>
      <DirectorOfSuccessorInd>false</DirectorOfSuccessorInd>
      <EmployeeOfSuccessorInd>true</EmployeeOfSuccessorInd>
      <OwnerOfSuccessorInd>false</OwnerOfSuccessorInd>
      <ReceiveCompensationInd>false</ReceiveCompensationInd>
      <AssetsDistributedInd>true</AssetsDistributedInd>
      <RequiredToNotifyAGInd>true</RequiredToNotifyAGInd>
      <AttorneyGeneralNotifiedInd>true</AttorneyGeneralNotifiedInd>
      <LiabilitiesPaidInd>true</LiabilitiesPaidInd>
      <BondsOutstandingInd>false</BondsOutstandingInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2e</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL TRUSTEE'S LISTED ON FORM 990, PART VII, PAGE 7 ARE NOW OR WERE EMPLOYED BY THE SUCCESSOR ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="22015534">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS ARE LAKE HOSPITAL SYSTEM, INC., AN OHIO NOT-FOR-PROFIT CORPORATION AND UNIVERSITY HOSPITALS OF CLEVELAND, INC., AN OHIO NOT-FOR-PROFIT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CODE OF REGULATIONS PROVIDES THAT EACH MEMBER SHALL APPOINT THREE TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE UNIVERSITY HOSPITALS ACCOUNTING DEPARTMENT AND A COPY PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>NO TRUSTEE HAS ANY BUSINESS DEALINGS WITH THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES DETERMINES THE EXECUTIVE DIRECTOR'S SALARY. THERE ARE NO OTHER OFFICERS AND THE EXECUTIVE DIRECTOR DETERMINES THE OTHER SALARIES ACCORDING TO A BUDGET APPROVED BY THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO OTHER OFFICERS AND THE EXECUTIVE DIRECTOR DETERMINES THE OTHER SALARIES ACCORDING TO A BUDGET APPROVED BY THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>PART XII, LINE 2A PG 12 THE FINANCIAL STATEMENTS ARE COMPILED BY THE OUTSIDE ACCOUNTING FIRM RICHLAK, LAWYER &amp; CO., MENTOR, OHIO WHICH HAS NO FINANCIAL INTEREST IN THE ORGANIZATION AND ONLY PROVIDES ACCOUNTING AND TAX SERVICES. HOWEVER, BECAUSE OF THE FIRM'S INVOLVEMENT IN THE PREPARATION OF THE FINANCIAL STATEMENTS THE FIRM IS NOT CONSIDERED INDEPENDENT ACCORDING TO THE STANDARDS OF INDEPENDENCE SET FORTH BY THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHED R, PG3, LN2(1) LAKE/HEALTH UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PROVIDES RADIATION ONCOLOGY SERVICES. LAKE/HEALTH UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PHYSICIANS, INC. PROVIDES MEDICAL ONCOLOGY SERVICES. LAKE/HEALTH UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PHYSICIANS, INC. (LH/UHSCCPI) HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A 501(C)3 TYPE I SUPPORTING ORGANIZATION OF LAKE/HEALTH UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER (LH/UHSCC) AND IS SOLEY OWNED BY LH/UHSCC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE DECEMBER 13, 2021, THE BOARD OF LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER APPROVED THE PLAN TO CEASE THE OPERATIONS OF HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER AND DISTRIBUTE THE NET ASSETS TO, UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 9, THE SUCCESSOR ORGANIZATION ASSUMED THE OUTSTANDING OBLIGATIONS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR-01" softwareId="22015534">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LHUH SEIDMAN CANCER CTR PHYS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9485 MENTOR AVE STE 3</AddressLine1Txt>
          <CityNm>MENTOR</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44060</ZIPCd>
        </USAddress>
        <EIN>202873927</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3) TYPE 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
