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      <FactsAndCircumstancesTestTxt>Part IV Section C Line 1 William A. Young Jr. CEO, and Kelly Linson SVP/CFO are officers of both Southwest General Medical Group and Southwest General Health Center. The following Board members of Southwest General Medical Group overlap with Southwest General Health Center William A. Young Jr, John Alton, and Wayne Brassell. This overlap does not represent a majority of the Board members. There is a majority overlap of key officers and therefore there is management of the supporting org vested in the supported org.</FactsAndCircumstancesTestTxt>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <PersonNm>William A Young Jr</PersonNm>
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        <PersonNm>Lee Jai MD</PersonNm>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 5a</FormAndLineReferenceDesc>
        <ExplanationTxt>There are physicians that have their bonus calculated based on the revenue of the organization. This bonus is calculated using WRVUs Worked Related Value Units annually.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Southwest General Health Center is the Shareholder of Southwest General Medical Group.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Shareholders shall elect the Directors annually and shall determine the number of Shareholders of record. The Board of Directors shall elect a President, Secretary, Treasurer, Chairman of the Board, one or more Vice Presidents, and such officers and assistant officers as the Board may deem necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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, Articles of Incorporation, or the Code of Regulations require action to be authorized or taken by Southwest General Health Center, including but not limited to the adoption of the Corporations fee schedule which shall be based upon the usual, customary and reasonable changes for medical services in the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed by the CFO. It is presented and reviewed at the Audit Committee of the Board of Trustees Governing Board meeting in October. The Audit Committee of the Board of Trustees is a joint committee of the Boards of Southwest Community Health System and Southwest General Health Center. The return is distributed electronically to the entire board before filing. Also, prior to filing the entire board is presented with review of the highlights and key points of the 990 at their October meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Southwest Community Health System has a written conflict of interest policy that requires our officers, directors, and key employees to annually disclose potential conflicts of themselves and their family members on a questionnaire distributed by the Compliance Officer. If a designated person discloses in writing a circumstance that falls within the terms and conditions of the Southwest Community Health System policy, such disclosure shall be reviewed by the Compliance Officer and, as applicable, Southwest Community Health Systems Legal Counsel, senior leadership, and the Governance and Ethics Committee to determine the appropriate course of action. Southwest Community Health System requires all new physicians to disclose in writing any potential conflicts as part of the onboarding process. Southwest Community Health System also requires requests for proposals from vendors, suppliers, or contractors to disclose whether the bidder or any of the bidding companys officers or key personnel or their family members have a conflict with Southwest Community Health System. The Compliance Officer monitors potential conflicts disclosed from year to year and addresses changes in disclosures appropriately such as evaluating whether a disclosed conflicted interest still exists when a designated persons disclosure is inconsistent from their previous conflicts reported on the annual questionnaire. Southwest Community Health System enforces the conflict of interest policy in various ways on a case by case basis such as requiring a person to abstain from voting, advocating, or participating in decisions involving the conflicted interest or by requiring severing the relationship. The Compliance Officer is responsible for administering the conflict of interest program and documenting all actions required by the policy.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Southwest General Health Center has a CEO oversight Board committee that annually reviews the CEOs salary. The committee uses an outside consultant to perform a salary survey using data about similarly situated executives in other organizations. Documentation for these decisions are currently kept by Southwest General Health Centers Human Resources department. Southwest General Medical Group utilizes an outside company to help determine salary. The outside company looks at benchmark surveys from Sullivan Cotter and MGMA and narrows it down by region, payor mix, and demographics to determine a salary range that is within the fair market value for a specialty. Southwest General Medical Group then looks at internal equity within the group, and determines the pay based on the practice/specialty and practice needs that the volume can support for a provider.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Southwest General Medical Groups organizing documents, conflict of interest policy and financial statements are made available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>William A Young, Jr. Kelly Linson, devote 59 hours per week to related organizations. The related organization - Southwest General Health Center is where the majority of their time is spent.</ExplanationTxt>
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        <ExplanationTxt>The compensation information for each of the following individuals will also be found on related tax-exempt organizations 990 returns. The compensation amounts of those other 990 returns are not additive to the amounts on this 990 return for tax ID 34-1652755. Kelly Linson 34-1455141 34-0753531, and William A Young, Jr 34-0753531 34-1455141 34-1455135.</ExplanationTxt>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>15,169,133 represents the change in paid in capital from the beginning of the year. 178,919,769BOY - 194,088,903EOY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Section 2, Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>In the course of preparing the audit report, the independent auditors reviewed the organizations financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 34</FormAndLineReferenceDesc>
        <ExplanationTxt>The Southwest General Medical Group employs physicians that work primarily with Southwest General Health Center. It is a subsidiary of Southwest General Health Center and is supported by Southwest General Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>18697 Bagley Road</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44130</ZIPCd>
        </USAddress>
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      <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>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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