<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-05-14T16:51:57+00:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>861065772</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DELOITTE TAX LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>111 MONUMENT CIRCLE SUITE 4200</AddressLine1Txt>
        <CityNm>INDIANAPOLIS</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>462045108</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>314391798</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SOUT</BusinessNameControlTxt>
      <PhoneNum>6145444350</PhoneNum>
      <USAddress>
        <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
        <CityNm>Columbus</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>432021575</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MICHAEL P BROWNING</PersonNm>
      <PersonTitleTxt>SR VP AND CFO</PersonTitleTxt>
      <SignatureDt>2024-05-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>Mike</PersonFirstNm>
        <PersonLastNm>Browning</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>SHAWNA M JANSONS</PreparerPersonNm>
      <PTIN>P01222873</PTIN>
      <PhoneNum>3174648600</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="IRS990" softwareId="22016089" softwareVersionNum="2022v5.0" accountingPeriodChangeCd="CHANGE OF ACCOUNTING PERIOD" accountingPeriodChangeApprvCd="REVENUE PROCEDURE 85-58 RULES APPLY">
      <AddressChangeInd>X</AddressChangeInd>
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>Stephen E Markovich MD</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
        <CityNm>Columbus</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>432021575</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>75597829</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.ohiohealth.com</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1946</FormationYr>
      <LegalDomicileStateCd>OH</LegalDomicileStateCd>
      <ActivityOrMissionDesc>OUR MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>21</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>17</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>72</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1292336</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>104671305</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>48671490</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>866136</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-853529</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>267034</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>179677</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>107096811</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>47997638</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>47970050</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>23746289</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>61358939</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>24226646</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>109328989</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>47972935</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-2232178</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>24703</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>84018192</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>119936548</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>28117147</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>25147254</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>55901045</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>94789294</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>TO IMPROVE THE HEALTH OF THOSE WE SERVE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>30074760</ExpenseAmt>
      <GrantAmt>0</GrantAmt>
      <RevenueAmt>37327826</RevenueAmt>
      <Desc>HOSPITAL: OhioHealth Southeastern Medical Center, is a 98-bed hospital facility that offers adult medical and surgical care, an adult intensive care unit and labor and delivery services. Southeastern Ohio Regional Medical Center offers various surgical procedures, treatment options, therapies and primary care services. Outpatient services include laboratory services, computed tomography (CT) scanning, mammography, magnetic resonance imaging (MRI), x-ray, oncology and infusion services, and a cardiac and pulmonary rehabilitation program.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>9319888</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>11567545</RevenueAmt>
        <Desc>PHYSICIAN PRACTICES: THE ACTIVE PROVIDERS ON THE SOUTHEASTERN MED MEDICAL STAFF BRING VAST EXPERIENCE, KNOWLEDGE, AND COMPASSION TO PATIENTS THROUGHOUT GUERNSEY AND NOBLE COUNTIES. WITH MORE THAN 33 MEDICAL SPECIALTIES, SOUTHEASTERN MED PHYSICIANS OFFER QUALITY CARE WITH CLOSE-TO-HOME COMFORT. NINETY-SIX PERCENT OF SOUTHEASTERN MED PHYSICIANS HAVE EARNED BOARD CERTIFICATION, WHICH INVOLVES UNDERGOING RIGOROUS TRAINING, PASSING A NATIONAL EXAM, AND TAKING STEPS TO MAINTAIN BOARD-CERTIFIED STATUS. BOARD CERTIFICATION DEMONSTRATES SOUTHEASTERN MED'S MEDICAL PROFESSIONALS' EXCEPTIONAL EXPERTISE IN THEIR PARTICULAR SPECIALTY OF MEDICAL PRACTICE.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>39394648</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRS990ScheduleD">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd>false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="IRS990ScheduleH">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="AuditedFinancialStatements">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="IRS990ScheduleK1">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>21</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>17</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>true</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>true</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>true</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Finance</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>6145444350</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Markovich Stephen E MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CEO/President/Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Akins Nicholas</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chair Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Anderson Kerrii B</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Coleman Michael</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Cook Karen Rev</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Eichinger David</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Flaherty Sarah</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023) (End 6/30/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>46.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Giffin Wade Rev</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Hamrock Joe</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Treasurer (End 1/31/2023)-Board (Start 1/1/2023) (End 6/30/23)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Harrison David</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Herbei Andreea</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>47.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Hicks William J II MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>47.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Hondros Linda</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Hutchison Jeffrey DO</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ingram Lisa</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>James Donna</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Secretary - Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>McFarland James E</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023) (End 6/30/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Palmer Bishop Gregory</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Rose Andy</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Treasurer (Start 2/1/2023) - Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Schwemer John</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Board (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Watson Pete</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Vice Chair - Board (Start 1/1/2023) (End 6/30/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Browning Mike P</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Sr. VP and CFO (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>McWhorter John</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Sr. VP and COO (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Meldrum Terri W Esq</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Sr. VP General Counsel &amp; Secretary (Start 1/1/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>53.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE &amp; MEDICAID</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>23409160</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23409160</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH &amp; MEDICAL SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>22397065</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22397065</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN OFFICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>2865265</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2865265</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>48671490</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>239637</TotalRevenueColumnAmt>
        <ExclusionAmt>239637</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>313578</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>357782</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-44204</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-44204</TotalRevenueColumnAmt>
        <ExclusionAmt>-44204</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>26149243</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>27242409</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-1093166</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1093166</TotalRevenueColumnAmt>
        <ExclusionAmt>-1093166</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722300</BusinessCd>
        <TotalRevenueColumnAmt>123839</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>123839</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>SALE OF SCRAP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1672</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1672</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>98370</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>98370</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>223881</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>47997638</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>48895371</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-897733</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19403596</TotalAmt>
        <ProgramServicesAmt>14806884</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4596712</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>205452</TotalAmt>
        <ProgramServicesAmt>156781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48671</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3077227</TotalAmt>
        <ProgramServicesAmt>2348232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>728995</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1060014</TotalAmt>
        <ProgramServicesAmt>808896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251118</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>343518</TotalAmt>
        <ManagementAndGeneralAmt>343518</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>78735</TotalAmt>
        <ManagementAndGeneralAmt>78735</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>2097</TotalAmt>
        <ManagementAndGeneralAmt>2097</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>29557</TotalAmt>
        <ManagementAndGeneralAmt>29557</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8226059</TotalAmt>
        <ProgramServicesAmt>6277306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1948753</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>96518</TotalAmt>
        <ProgramServicesAmt>96518</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>360483</TotalAmt>
        <ProgramServicesAmt>275084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85399</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>486315</TotalAmt>
        <ProgramServicesAmt>486315</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>665976</TotalAmt>
        <ProgramServicesAmt>665976</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>7671</TotalAmt>
        <ProgramServicesAmt>7671</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>743</TotalAmt>
        <ProgramServicesAmt>743</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>93030</TotalAmt>
        <ProgramServicesAmt>93030</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1590958</TotalAmt>
        <ProgramServicesAmt>1214060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376898</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>160703</TotalAmt>
        <ProgramServicesAmt>160703</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supply Expense</Desc>
        <TotalAmt>9478876</TotalAmt>
        <ProgramServicesAmt>9478876</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Maintenance</Desc>
        <TotalAmt>1166307</TotalAmt>
        <ProgramServicesAmt>1166307</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Franchise Fee</Desc>
        <TotalAmt>1068333</TotalAmt>
        <ProgramServicesAmt>1068333</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>370767</TotalAmt>
        <ProgramServicesAmt>282933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87834</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>47972935</TotalAmt>
        <ProgramServicesAmt>39394648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8578287</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5649065</BOYAmt>
        <EOYAmt>36523062</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>11753662</BOYAmt>
        <EOYAmt>19447099</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>55003</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2770714</BOYAmt>
        <EOYAmt>2699657</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>9897900</BOYAmt>
        <EOYAmt>1091309</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>163417033</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>103970049</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>21255003</BOYAmt>
        <EOYAmt>59446984</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>31662145</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>185200</BOYAmt>
        <EOYAmt>194800</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>789500</BOYAmt>
        <EOYAmt>533637</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>84018192</BOYAmt>
        <EOYAmt>119936548</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>16754880</BOYAmt>
        <EOYAmt>17539820</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>6609964</BOYAmt>
        <EOYAmt>6769033</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3718542</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1033761</BOYAmt>
        <EOYAmt>838401</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>28117147</BOYAmt>
        <EOYAmt>25147254</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>55901045</BOYAmt>
        <EOYAmt>94836858</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>-47564</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <CapStkTrPrinCurrentFundsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>55901045</BOYAmt>
        <EOYAmt>94789294</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>84018192</BOYAmt>
        <EOYAmt>119936548</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>24703</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1810446</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>37053100</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="22016089" softwareVersionNum="2022v5.0">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="22016089" softwareVersionNum="2022v5.0">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>2097</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>2097</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES ARE DUES FOR MEMBERSHIP IN OHIO HOSPITAL ASSOCIATION (OHA). SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER DOES NOT PARTICIPATE IN NOR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR POLITICAL OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="22016089" softwareVersionNum="2022v5.0">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>24554</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1713</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>197</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>26070</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>29184</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-4248</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>382</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>24554</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25767</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3545</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>428</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>29184</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>23218</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2597</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>348</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>25767</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19676</BeginningYearBalanceAmt>
        <ContributionsAmt>250</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3631</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>339</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>23218</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.0</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.0</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.0</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>539181</OtherCostOrOtherBasisAmt>
        <BookValueAmt>539181</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>66365541</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>51926011</DepreciationAmt>
        <BookValueAmt>14439530</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2735267</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1401958</DepreciationAmt>
        <BookValueAmt>1333309</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>93373951</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>50642080</DepreciationAmt>
        <BookValueAmt>42731871</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>403093</OtherCostOrOtherBasisAmt>
        <BookValueAmt>403093</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>59446984</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE OBLIGATIONS</Desc>
        <Amt>838401</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>838401</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>TO EARN INVESTMENT INCOME FOR USE IN MEDICAL CHARITY CARE, MEDICAL PROCEDURES, MEDICAL EDUCATION AND VARIOUS OTHER HOSPITAL SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>FROM THE AUDITED FINANCIAL STATEMENTS OF OHIOHEALTH CORPORATION (WHICH INCLUDE THE ACTIVITY OF OHIOHEALTH SOUTHEASTERN MEDICAL CENTER): MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND ITS SUBSIDIARIES AND HAS CONCLUDED THAT AS OF JUNE 30, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF ANY TAX BENEFITS OR LIABILITIES, OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="22016089" softwareVersionNum="2022v5.0">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>925124</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>925124</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0193</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>2858701</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2201490</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>657211</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0137</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3783825</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2201490</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1582335</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0330</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>4954</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>80</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4874</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0001</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>1181</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1181</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0000</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>533</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>533</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0000</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>3663</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3663</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0001</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>10331</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>80</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10251</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0002</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3794156</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2201570</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1592586</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0332</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>403</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>403</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>403</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>403</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0000</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2628467</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>17958176</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>21618757</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3660581</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://www.ohiohealth.com/locations/hospitals/southeastern-medical-center</WebsiteAddressTxt>
        <StateLicenseNum>ODH1181</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.ohiohealth.com/community-health</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.0</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>www.ohiohealth.com/locations/hospitals/southeastern-medical-center/insurance-and-billing</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>www.ohiohealth.com/locations/hospitals/southeastern-medical-center/insurance-and-billing</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>www.ohiohealth.com/locations/hospitals/southeastern-medical-center/insurance-and-billing</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH SOUTHEASTERN MEDICAL CENTER. SOUTHEASTERN MED IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN CAMBRIDGE, OHIO. SOUTHEASTERN MED IS THE SOLE HOSPITAL PROVIDER FOR GUERNSEY COUNTY. MORE THAN TWO-THIRDS OF SOUTHEASTERN MED'S PATIENTS ARE RESIDENTS OF THE GUERNSEY COUNTY COMMUNITY, MAKING GUERNSEY COUNTY THE PRIMARY COMMUNITY SERVED BY THE HOSPITAL. SOUTHEASTERN MED ALSO PROVIDES MEDICAL CARE FOR RESIDENTS OF SURROUNDING COMMUNITIES, SUCH AS NOBLE, MUSKINGUM, BELMONT, AND TUSCARAWAS COUNTIES. SOUTHEASTERN MED TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH WHEN IT UTILIZED THE PRIORITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE FOLLOWING: - 2020 GUERNSEY COUNTY COMMUNITY HEALTH ASSESSMENT - PUBLICLY RELEASED IN JUNE 2020 THE CAMBRIDGE-GUERNSEY HEALTH DEPARTMENT HIRED ILLUMINOLOGY AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH CENTER FOR PUBLIC HEALTH PRACTICE TO DEVELOP A REGIONAL COMMUNITY HEALTH IMPROVEMENT PLAN. COMMUNITY STAKEHOLDERS IDENTIFIED THE PRIORITY HEALTH NEEDS BY IDENTIFYING TOP FIVE HEALTH ISSUES. THE CONTRACTORS, ILLUMINOLOGY AND THE OHIO STATE UNIVERSITY CENTER FOR PUBLIC HEALTH PRACTICE, ANALYZED THE SURVEY RESULTS AND PRESENTED THEIR FINDINGS WITH THREE PRIORITY HEALTH NEEDS AND ONE PRIORITY CROSSCUTTING FACTOR. - GUERNSEY COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN - PUBLICLY RELEASED IN JULY 2021 PUBLIC HEALTH PROFESSIONALS FROM THE CAMBRIDGE-GUERNSEY COUNTY HEALTH DEPARTMENT, ALONG WITH LEADERS REPRESENTING A DIVERSE ARRAY OF SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS, PARTICIPATED IN LARGE AND SMALL GROUP DISCUSSIONS ON AUGUST 13, 2019. THIS SESSION WAS HELD ON THE ZOOM VIDEOCONFERENCING PLATFORM, TO ENABLE SOCIALLY DISTANCED CONVERSATION DURING THE COVID-19 PANDEMIC. DURING THIS SESSION, COMMUNITY MEMBERS WORKED IN SMALL GROUPS TO REVIEW THE RECENTLY COMPLETED CHA AND IDENTIFIED THE MOST IMPORTANT HEALTH ISSUES FACING RESIDENTS IN GUERNSEY COUNTY. - PRIORITY NEED 1: DRUG ADDICTION - PRIORITY NEED 2: CHRONIC DISEASE (OBESITY, HEART DISEASE) - PRIORITY NEED 3: MENTAL HEALTH (DEPRESSION) - CROSSCUTTING FACTOR: POVERTY - NOBLE COUNTY COMMUNITY HEALTH ASSESSMENT - PUBLICLY RELEASED IN MARCH 2022 THIS REPORT WAS COMPLETED USING THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MOBILIZING ACTION THROUGH PARTNERSHIPS AND PLANNING (MAPP) PROCESS. MAPP IS A COMMUNITY-DRIVEN PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. THIS PROCESS WAS FACILITATED BY HCNO IN COLLABORATION WITH VARIOUS LOCAL AGENCIES REPRESENTING A VARIETY OF SECTORS. Based from the Community Health Improvement Plan (CHIP) document sent by Noble County Health Department to Southeastern Ohio Regional Medical Center (SEORMC), action plans will be developed to address the following priority health needs: - PRIORITY 1: SUBSTANCE USE - PRIORITY 2: CHRONIC DISEASE (DIABETES, HEART DISEASE RISK FACTORS SUCH AS HIGH CHOLESTEROL, HIGH BLOOD PRESSURE) - PRIORITY 3: MENTAL HEALTH (ANXIETY AND DEPRESSION) THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER CONSULTED WITH JAMES (JIM) G. PETRIE, MEMBER OF EPSTEIN, BECKER AND GREEN, A NATIONAL LAW FIRM THAT SPECIALIZES IN HEALTHCARE, LIFE SCIENCES AND WORKFORCE MANAGEMENT SOLUTIONS (EPSTEIN BECKER AND GREEN, P.C., 2022). BELOW IS THE LIST OF COMMUNITY STAKEHOLDERS IN SEORMC'S COMMUNITY HEALTH NEEDS ASSESSMENT. APPENDIX C OF THE ATTACHED IMPLEMENTATION STRATEGY LISTS THE KNOWLEDGE AND SKILLS IN PUBLIC HEALTH OF EACH OF THESE COMMUNITY STAKEHOLDERS. INPUTS: NOVEMBER 2019 TO JULY 2021 - PARTICIPATED IN AT LEAST ONE MEETING OF THE GUERNSEY COUNTY HEALTH DEPARTMENT COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN AND JULY 2022 - SEORMC EMAILED THE (A) LIST OF PRIORITY HEALTH NEEDS THAT IT WILL ADDRESS IN ITS CALENDAR YEAR 2023-2025 IMPLEMENTATION STRATEGY AND (B) PROPOSED ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN TO VARIOUS COMMUNITY STAKEHOLDERS: - AllWell Behavioral Health Services Guernsey and Noble Counties - Area Agency on Aging Region 9 - Caldwell First Church of Nazarene - Cambridge Area Chamber of Commerce - Cambridge Area YMCA Family Center - Cambridge City Government - Cambridge City Schools - Cambridge - Guernsey County Health Department - Cedar Ridge Behavioral Health Solutions - Community Members - D. Miser (community member), V.L.Hare (community member), E Duce, - C. LaFollette (community member) - Early Intervention of Ohio - Guernsey County - East Guernsey Local School District - Guernsey County Board of Developmental Disabilities - Guernsey County Children's Services - Guernsey County Community Development Corporation - Guernsey County Government - Dave Wilson (Commissioner) - Guernsey County Department of Job and Family Services - Guernsey County Juvenile Court - Guernsey County Senior Citizens Center, Inc. - Guernsey County Sheriff's Office - Guernsey Health Choices - Mental Health and Recovery Services Board serving Coshocton, Guernsey, Morgan, Muskingum, Noble and Perry Counties - Muskingum Valley Health Centers - Ohio Farm Bureau Guernsey County - Rolling Hills Local School District - Southeastern Ohio Regional Medical Center (SEORMC) - Village of Byesville Government - Jay Jackson - Your Radio Place AVC Communications INPUTS: JULY 2022 - SEORMC EMAILED THE (A) LIST OF PRIORITY HEALTH NEEDS THAT IT WILL ADDRESS IN ITS CALENDAR YEAR 2023-2025 IMPLEMENTATION STRATEGY AND (B) PROPOSED ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN TO VARIOUS COMMUNITY STAKEHOLDERS: - GMN Tri-County CAC, Inc. - Noble County Board of Developmental Disabilities - Noble County Commissioners Office - Noble County Family &amp; Children First Council - Noble County Family Violence Council - Noble County Health Department - Noble County Veteran's Service Commission Office - The Ohio State University Extension-Noble County INPUTS: COLLABORATED WITH THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER (SEORMC) TEAM IN WRITING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND CALENDAR YEAR 2023-2025 IMPLEMENTATION STRATEGY: - OhioHealth Community Health Partnerships</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH SOUTHEASTERN MEDICAL CENTER. OHIOHEALTH SOUTHEASTERN MEDICAL CENTER'S (HEREAFTER, "SOUTHEASTERN MED") LONG-STANDING COMMITMENT TO OUR COMMUNITY SPANS MORE THAN SIX DECADES. SOUTHEASTERN MED'S COMMITMENT TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE, AFFORDABLE, PATIENT CENTERED HEALTHCARE IN A CARING AND SAFE ENVIRONMENT, WHILE ADDRESSING COMMUNITY NEEDS, HAS GROWN DURING THIS TIME AS IT IDENTIFIED AND MET THE CHANGING HEALTHCARE NEEDS OF THE COMMUNITY. THROUGH THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, SOUTHEASTERN MED IDENTIFIED THREE PRIORITY HEALTH NEEDS: - DRUG ADDICTION AND SUBSTANCE ABUSE; - CHRONIC DISEASE (OBESITY, HEART DISEASE, DIABETES, HIGH CHOLESTEROL, HIGH BLOOD PRESSURE); - MENTAL HEALTH (ANXIETY AND DEPRESSION); SOUTHEASTERN MED IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS FOLLOWS: NEED 1 - DRUG ADDICTION AND SUBSTANCE ABUSE - CONTINUE COLLABORATION WITH CHOICES ANTI-DRUG COALITION OF GUERNSEY COUNTY. CHOICES STANDS FOR COMMUNITY, HOPE, OPPORTUNITY, INDEPENDENCE, CHANGE, EMPOWERMENT, SUCCESS. CHOICES AIMS TO ADDRESS: (A) PREVENTION MEASURES, (B) SUBSTANCE USE RISK FACTORS, (C) PROTECTIVE FACTORS, (D) STRATEGIC PLANNING TO PROMOTE HEALTHY LIVING, (E) IMPLEMENTATION OF COMMUNITY-WIDE INITIATIVES. - CONTINUE COLLABORATION WITH NOBLE COUNTY CARES (COMMUNITY ACCESS, RESOURCES, EDUCATION, AND SERVICES), A REGIONAL COALITION OF HOSPITAL, HEALTH CENTERS, MENTAL HEALTH, AND ADDICTION AGENCIES, IN SOUTHEAST OHIO TO PROVIDE COMMUNITY ACCESS, RESOURCES, EDUCATION, AND SERVICES TO ALL COMMUNITY MEMBERS IN NOBLE COUNTY, GUERNSEY COUNTY, AND SOUTHEAST OHIO COUNTIES. - CONTINUE SUPERIOR MED FAMILY PRACTICE SERVICES TO ASSESS, DIAGNOSE, AND REFER PATIENTS TO SOUTHEASTERN OHIO COUNSELING CENTER AND CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS, AND OTHER COMMUNITY RESOURCES. SOUTHEASTERN OHIO COUNSELING CENTER PROVIDES SERVICES SUCH AS COUNSELING FOCUSED ON ADDICTION AND RECOVERY, SUBSTANCE USE TREATMENT AND CASE MANAGEMENT. CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS PROVIDES SERVICES SUCH AS DETOXIFICATION SERVICES, RESIDENTIAL SERVICES, OUTPATIENT ADDICTION AND RECOVERY SERVICES, AND MEDICATION ASSISTED TREATMENT. - CONTINUE COLLABORATION WITH THE "HEALTHY MOMS, HEALTHY BABIES" PROGRAM, THE COUNSELOR PREVENTIONS SPECIALIST FROM CAMBRIDGE-GUERNSEY HEALTH DEPARTMENT LINKS PREGNANT WOMEN OR WOMEN WHO DELIVERED WITHIN THE LAST 12 MONTHS WITH RESOURCES TO SUPPORT THE HEALTH AND SAFETY OF MOM AND BABY IN VARIOUS ASPECTS OF SUBSTANCE USE RECOVERY. THE COUNSELOR- PREVENTION SPECIALIST PROVIDES SERVICES IN GUERNSEY AND NOBLE COUNTIES. THE COUNSELOR- PREVENTION SPECIALIST GOES TO SEORMC CHILDBIRTH CENTER TO RECRUIT PARTICIPANTS AND PROVIDE THE FOLLOWING SERVICES: TRAUMA INFORMED SERVICES, INCLUDING CASE MANAGEMENT AND ASSESSMENT, SUBSTANCE DEPENDENCY AND PREVENTION SUPPORT, AND INFANT BONDING TECHNIQUES. EDUCATION, INCLUDING REPRODUCTIVE HEALTH AND BIRTH CONTROL, NEONATAL ABSTINENCE SYNDROME, INFANT CARDIOPULMONARY RESUSCITATION (CPR) TRAINING ASSISTANCE, SUPPORT WITH ATTENDING MEDICAL APPOINTMENTS AND COURT HEARINGS. REFERRALS, INCLUDING SOCIAL SERVICES, EMPLOYMENT, RELAPSE PREVENTION, DETOX FACILITIES, NALOXONE PROGRAMS. CONTINUE THE SERVICES OF A CASE MANAGER/SUBSTANCE USE NAVIGATOR, ASSISTING PATIENTS IN THE EMERGENCY DEPARTMENT BY PROVIDING EDUCATION, REFERRAL, AND LINKAGES. THE SUBSTANCE USE NAVIGATOR ALSO HELPS PATIENTS IDENTIFY A PRIMARY CARE PROVIDER AND CONNECTING PATIENTS WITH MENTAL HEALTH AND ADDICTION AGENCIES INCLUDING MUSKINGUM VALLEY HEALTH CENTER (MVHC), ALLWELL BEHAVIORAL HEALTH SOLUTION, SUPERIOR MED, AND MEDICAL ASSOCIATES OF CAMBRIDGE. MUSKINGUM VALLEY HEALTH CENTER PROVIDES THE FOLLOWING SERVICES INCLUDING (BUT NOT LIMITED TO) BEHAVIORAL HEALTH, ADDICTION SERVICES, MEDICATION ASSISTED TREATMENT (MAT). ALLWELL BEHAVIORAL HEALTH SOLUTIONS PROVIDES SERVICES INCLUDING (BUT NOT LIMITED TO) ASSESSMENT AND EVALUATION, COMMUNITY SUPPORT AND CASE MANAGEMENT, PEER SUPPORT, CONSULTATION AND EDUCATION, COUNSELING AND THERAPY, OVERALL PREVENTION AND WELLNESS, MEDICATION-ASSISTED TREATMENT (MAT). SUPERIOR MED PROVIDES SERVICES INCLUDING (BUT NOT LIMITED TO) PRIMARY CARE SERVICES AND REFERRAL OF PATIENTS TO MENTAL AND BEHAVIORAL HEALTH AGENCIES. MEDICAL ASSOCIATES OF CAMBRIDGE PROVIDES SERVICES INCLUDING (BUT NOT LIMITED TO) SOCIAL SERVICES AND EDUCATION ON COMMUNITY RESOURCES REGARDING SUBSTANCE ABUSE AND ADDICTION. NEED 2 - CHRONIC DISEASE (OBESITY, HEART DISEASE, DIABETES, HIGH CHOLESTEROL, HIGH BLOOD PRESSURE) - CONTINUE CHRONIC DISEASE PREVENTATIVE SCREENINGS IN COLLABORATION WITH GUERNSEY AND NOBLE COUNTY EMPLOYERS SUCH AS (BUT NOT LIMITED TO) RIGID TOOL NORTH AMERICAN DISTRIBUTION CENTER; GUERNSEY COUNTY ADMINISTRATION; COLGATE PALMOLIVE CO; QUANEX IG SYSTEMS - CONTINUE COLLABORATION WITH THE NOBLE COUNTY WELLNESS COALITION, COMPRISED OF REPRESENTATIVES FROM THE NOBLE COUNTY HEALTH DEPARTMENT, SEORMC, OSU EXTENSION, AND VARIOUS COMMUNITY STAKEHOLDERS. THE COALITION AIMS TO PROMOTE OVERALL HEALTH AND WELLNESS OF NOBLE COUNTY RESIDENTS. EXAMPLES OF COMMUNITY ACTIVITIES INCLUDE A COMMUNITY WALKING CHALLENGE, HOSTED A FREE 5K, PRESENCE AT VARIOUS COMMUNITY EVENTS, AND EDUCATION RELATED CHRONIC DISEASE. NOBLE COUNTY HEALTH DEPARTMENT - INCLUDES THE HEALTH EDUCATORS. OSU EXTENSION SNAP-ED (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) EDUCATOR AND THE FAMILY AND CONSUMER SCIENCES COORDINATOR. CALDWELL CHURCH OF NAZARENE PASTOR; UNITED WAY OF GUERNSEY, NOBLE, AND MONROE COUNTIES; VARIOUS COMMUNITY MEMBERS; NOBLE LOCAL SCHOOLS; CALDWELL EXEMPTED SCHOOLS. THIS ACTION ALIGNS WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP). - CONTINUE HEART AND LUNG HEALTH EDUCATION. SEORMC PROVIDES HEART AND LUNG HEALTH EDUCATION DURING OUTPATIENT SCREENINGS SUCH AS LUNG CANCER COMPUTED TOMOGRAPHY (CT) SCREENINGS. LUNG HEALTH SCREENINGS ARE AFFORDABLE AND AVAILABLE TO PATIENTS IN SOUTHEAST OHIO COUNTIES. HEALTH EDUCATION IS PROVIDED TO ADULTS AGES 50-77, CURRENT SMOKERS OR ONE WHO HAS QUIT WITHIN THE PAST 15 YEARS, HISTORY OF SMOKING A PACK A DAY FOR THE PAST 20 YEARS, HAVE NO HISTORY OF LUNG CANCER. - CONTINUE SUPERIOR MED'S PREVENTIVE SCREENINGS, ASSESSMENT, DIAGNOSIS, TREATMENT, AND REFERRAL OF PATIENTS WITH CHRONIC DISEASES. SUPERIOR MED FAMILY PRACTICE PROVIDERS INCLUDE DR. MELISSA NAU, CLARICE HALL, NP, AND STEPHANIE MCCURDY, NP. SUPERIOR MED PULMONOLOGY PROVIDERS INCLUDE DR. EYAD MAHAYRI,( MD) AND KAILA CZIGANS, PHYSICIAN ASSISTANT (PA). THIS ACTION ALIGNS WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP). - CONTINUE PROVIDING EMERGENCY AND INPATIENT CARE TO PERSONS WITH CHRONIC DISEASES. HEART AND VASCULAR CARE INCLUDES SERVICES OF DR. STEPHANY MOORE, MD AND DR. JAY T. MUKHERJEE, MD. AND OUTPATIENT CARDIAC AND PULMONARY REHABILITATION. LUNG HEALTH INCLUDES SERVICES OF DR. EYAD MAHAYRI MD (PHYSICIAN) AND KAILA CZIGANS, PA (PHYSICIAN ASSISTANT). NEED 3 - MENTAL HEALTH (ANXIETY AND DEPRESSION) - CONTINUE COLLABORATION WITH THE MENTAL HEALTH AND RECOVERY SERVICES BOARD SERVING COSHOCTON, GUERNSEY, MORGAN, MUSKINGUM, NOBLE AND PERRY COUNTIES. SEORMC WILL CONTINUE ENGAGEMENT AND PARTNERSHIP WITH THE MENTAL HEALTH AND RECOVERY SERVICES BOARD TO DETERMINE HOW BEST TO ADDRESS THE MENTAL HEALTH NEEDS OF GUERNSEY AND NOBLE COUNTY RESIDENTS. LEARNING MORE ABOUT THE CRITICAL INCIDENT STRESS-MANAGEMENT TEAM INCLUDING CRITICAL INCIDENT STRESS-MANAGEMENT PROVIDES CONFIDENTIAL SERVICES AT NO CHARGE, SUCH AS PRE- STRESS EDUCATION, PEER SUPPORT, CRISIS MANAGEMENT, DEFUSING, DEBRIEFING, FOLLOW-UP, REFERRAL. LEARNING MORE ABOUT THE MENTAL HEALTH AND RECOVERY SERVICES BOARD SERVICES INCLUDING TRAININGS, BRIDGES OUT OF POVERTY, CRISIS INTERVENTION TEAM, MENTAL HEALTH FIRST AID, PAX, PEER RECOVERY SUPPORT TRAINING, SUICIDE PREVENTION AND GATE KEEPERS, TRAINING HUB, AND COVID-19. THIS ACTION ALIGNS WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP). - CONTINUE COLLABORATION WITH THE NOBLE COUNTY CARES REGIONAL COALITION RELATED TO ADDRESSING MENTAL HEALTH IN NOBLE AND GUERNSEY COUNTIES. NOBLE COUNTY CARES AND ALLWELL BEHAVIORAL HEALTH SOLUTIONS LEADS NOBLE AND GUERNSEY COUNTIES IN DEVELOPING APPROACHES TO ADDRESS MENTAL HEALTH (DEPRESSION AND ANXIETY) IN NOBLE AND GUERNSEY COUNTIES. - CONTINUE SERVICES OF SUPERIOR MED FAMILY PRACTICE IN ADDRESSING MENTAL HEALTH. SUPERIOR MED PROVIDERS DIAGNOSE, TREAT, AND REFER PATIENTS WITH MENTAL HEALTH DISORDERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>9</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP ORTHOPEDIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1230A CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP ORTHOPEDIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10095 BRICK CHURCH ROAD</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP SPORTS MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10095 BRICK CHURCH ROAD</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP PODIATRIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1230B CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WORKHEALTH CAMBRIDGE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10095 BRICK CHURCH ROAD</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP PULMONOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1335 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1210 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH PHYSICIANS GROUP PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18125 WOODSFIELD ROAD</AddressLine1Txt>
            <CityNm>CALDWELL</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43724</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 CLARK STREET</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43725</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20a</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital did not provide a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the FAP at least 30 days before initiating those ECAs, because the hospital did not issue any ECAs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IS BASED UPON THE SOUTHEASTERN MED'S DETAILED COST-TO-CHARGE RATIO. THE RATIO WAS BASED UPON THE DETAILED CALCULATIONS IN ACCORDANCE WITH THE IRS FORM 990 SCHEDULE H INSTRUCTIONS. THIS CALCULATION ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY SERVICES. THE COST-TO-CHARGE RATIO WAS USED FOR SCHEDULE H CALCULATIONS IN LIEU OF USING A COST ACCOUNTING SYSTEM, AND WAS DERIVED FROM SCHEDULE H WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>AT OHIOHEALTH, WE BELIEVE THAT EVERY ACTION MUST ADVANCE OUR MISSION: TO IMPROVE THE HEALTH OF THOSE WE SERVE. WE ARE ACCOUNTABLE TO OUR COMMUNITIES THROUGH STEWARDSHIP. WE ARE COMMITTED TO MAKING QUALITY HEALTHCARE AVAILABLE TO ALL. IN FACT, "PROVIDING EXCEPTIONAL CARE FOR ALL" IS A CORE TENET IN OUR NEW VISION STATEMENT. IN FISCAL YEAR 2023, OHIOHEALTH PROVIDED MORE THAN $468 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFIT PROGRAMS INCLUDING WELLNESS ON WHEELS, MATERNAL HOME VISITING, AND COVID-19 VACCINE EQUITY EFFORTS. TO ENHANCE AND EXPAND THESE PROGRAMS, WE ALSO PARTNER WITH LOCAL AND NONPROFIT ORGANIZATIONS. WE ARE DEDICATED TO: + PROMOTING WELLNESS BY CONNECTING PEOPLE TO COMMUNITY RESOURCES + PROVIDING ADVOCACY AND EMOTIONAL SUPPORT SERVICES + HELPING PEOPLE MANAGE CHRONIC CONDITIONS, SUCH AS DIABETES AND HIGH BLOOD PRESSURE + PROVIDING ACCESS TO PRIMARY CARE AND MEDICAL SERVICES FOR ALL + SUPPORTING WOMEN'S HEALTH AND HEALTHY BABIES + INVESTING IN WORKFORCE DEVELOPMENT + ADVANCING HEALTH EQUITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REPORTS BAD DEBT EXPENSE AS SHOWN IN THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH SYSTEM HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. ALTHOUGH OUR FINANCIAL ASSISTANCE POLICIES AND PROCEDURES MAKE EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BEFORE THE BILLING PROCESS BEGINS, OFTEN IT IS NOT POSSIBLE TO MAKE AN APPROPRIATE DETERMINATION UNTIL AFTER THE BILLING AND COLLECTION CYCLE HAS COMMENCED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable for patients, insurance companies, and governmental agencies are based on gross charges, reduced by explicit price concessions provided to third-party payors, discounts provided to qualifying individuals as part of our financial assistance policy, and implicit price concessions provided primarily to self-pay patients. Estimates for explicit price concessions are based on provider contracts, payment terms for relevant prospective payment systems, and historical experience adjusted for economic conditions and other trends affecting the Corporation's ability to collect outstanding amounts. For receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, the Corporation records significant implicit price concessions in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. PATIENT ACCOUNTS RECEIVABLE IS BASED ON THE ESTIMATED TRANSACTION PRICE FOR COMPLETED CONTRACTS ON JUNE 30.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHEASTERN MED'S SCHEDULE H HAS BEEN PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION GUIDELINES PER "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS", AND AS SUCH, OHIOHEALTH DOES NOT REPORT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. HOWEVER, PER A RECENT STUDY DONE FOR THE AMERICAN HOSPITAL ASSOCIATION BY ERNST &amp; YOUNG, THE TAX-EXEMPT HOSPITAL COMMUNITY COLLECTIVELY BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL COULD BE TREATED AS COMMUNITY BENEFIT. FIRST, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. OHIOHEALTH USES AN INTERNAL COSTING METHODOLOGY SYSTEM CALLED STRATA WHICH USES SEVERAL FACTORS TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHEASTERN MED'S FINANCIAL ASSISTANCE GUIDELINES ALLOW PATIENTS TO RECEIVE HEALTHCARE AT REDUCED RATES BASED ON FINANCIAL STATUS. THE GOAL IS TO WORK WITH EACH INDIVIDUAL PATIENT TO FULLY EXPLORE PAYMENT OPTIONS, INCLUDING GOVERNMENT ASSISTANCE PROGRAMS AND PAYMENT PLANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- OHIOHEALTH SOUTHEASTERN MEDICAL CENTER: Line 16a URL: www.ohiohealth.com/locations/hospitals/southeastern-medical-center/insurance-and-billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- OHIOHEALTH SOUTHEASTERN MEDICAL CENTER: Line 16b URL: www.ohiohealth.com/locations/hospitals/southeastern-medical-center/insurance-and-billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- OHIOHEALTH SOUTHEASTERN MEDICAL CENTER: Line 16c URL: www.ohiohealth.com/locations/hospitals/southeastern-medical-center/insurance-and-billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2022, SOUTHEASTERN MED COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS A FOLLOW-UP TO OUR 2019 ASSESSMENT. SOUTHEASTERN MED DETERMINED THAT IT WOULD BE BEST TO USE THE SURVEY QUESTIONS FROM 2019 SO THAT WE COULD COMPARE THE DATA BETWEEN THE TWO SURVEYS. THE INITIAL SURVEY QUESTIONS WERE PRIMARILY ADOPTED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND EXTRA QUESTIONS WERE DRAFTED IN AN EFFORT TO OBTAIN ADDITIONAL INFORMATION TO SUPPORT THE IDENTIFIED PERCEIVED HEALTH NEEDS. THE CONTENT OF THE SURVEY QUESTIONS WAS DRIVEN BY BOTH INTERNAL AND EXTERNAL GROUPS THAT REPRESENTED COMMUNITY AGENCIES AND INTERNAL STAKE HOLDERS. GUERNSEY HEALTH SYSTEMS AND OHIO HEALTH FACILITATED A FOCUS GROUP OF LOCAL HEALTH CARE EXPERTS AND COMMUNITY MEMBERS FROM GUERNSEY AND NOBLE COUNTY TO DEVELOP THE ACTION PLAN ITEMS FOR THE CHNA. COMMITTEES WERE REFORMED AND CO-CHAMPION LEADERS WERE IDENTIFIED FOR EACH HEALTH ISSUE. FURTHERMORE, SUBSTANCE ABUSE, LIFESTYLE RELATED DISEASES AND RISK FACTORS COMMITTEES WERE EXPANDED TO INCLUDE COMMUNITY REPRESENTATIVES FOR THE PURPOSE OF DEVELOPING BROADER COMMUNITY ACTION PLANS THE ACTION COMMITTEES WERE PROVIDED WITH THE 2022 IDENTIFIED HEALTH PROBLEMS. THE ACTION PLANS AND CURRENT TACTICS APPLIED BY SOUTHEASTERN MED TO ADDRESS THE PROBLEMS, DEVELOP AN OVERALL GOAL, AND CONSIDER FURTHER ACTIONS OR STRATEGIES THAT MAY BE USED TO IMPACT THE HEALTH NEEDS. THE EFFORTS OF EACH TEAM WERE RECORDED AND THEN DEVELOPED TO CREATE AN UPDATED 2022 IMPLEMENTATION STRATEGY WORKSHEET TO PROVIDE A TOOL FOR ONGOING MONITORING OF PROGRESS TOWARDS THE OVERALL GOAL TO IMPROVE THE RELATED HEALTH ISSUE. AFTER REVIEW OF ALL THE DATA, THE HEALTH NEEDS OF THE COUNTY DID NOT CHANGE SIGNIFICANTLY FROM 2019. MENTAL HEALTH AND ADDICTION WERE IDENTIFIED AS THE HIGHEST NEED HEALTH PRIORITY IN 2022. CHRONIC DISEASE AND ACCESS TO HEALTHCARE WERE ALSO IDENTIFIED AS TOP HEALTH NEEDS. IN 2022, THE SOUTHEASTERN MED SENIOR MANAGEMENT TEAM AND BOARD OF DIRECTORS MET TO REVIEW THE IDENTIFIED HEALTH PRIORITIES TO BE ADDRESSED BY THE HOSPITAL AND CONSIDER FOR APPROVAL THE SUGGESTED IMPLEMENTATION STRATEGIES SET FORTH BY THE ASSOCIATE TEAM, AT SOUTHEASTERN MED. AT THAT TIME, IT WAS DETERMINED THAT THE PROPOSED IMPLEMENTATION STRATEGY PLANS WERE REASONABLE AND IN ACCORDANCE WITH THE ESTABLISHED MISSION OF SOUTHEASTERN MED. INCOME AND POVERTY: THE MEDIAN HOUSEHOLD INCOME IN GUERNSEY COUNTY IS SIGNIFICANTLY LOWER THAN THAT OF THE STATE AND THE NATION. ADDITIONALLY, THE PERCENTAGE OF THOSE WHO LIVE BELOW THE POVERTY LEVEL IS CONSIDERABLY HIGHER THAN IN OHIO AS A WHOLE AND IN THE UNITED STATES. SPECIFICALLY, THE PERCENTAGE OF CHILDREN THAT ARE LIVING BELOW THE POVERTY LEVEL REPRESENTS MORE THAN ONE-QUARTER OF ALL CHILDREN IN GUERNSEY COUNTY, WHICH IS STRIKINGLY HIGHER THAN THE STATE AND NATION. COMMUNITY HEALTH NEEDS ASSESSMENT RESPONDENTS: IN 2022, SOUTHEASTERN MED HOSTED A VIRTUAL COMMUNITY MEETING THAT WAS ATTENDED BY 15 PERSONS REPRESENTING COMMUNITY AND GOVERNMENT ORGANIZATIONS, INCLUDING: ALLWELL BEHAVIORAL HEALTH SERVICES, AREA AGENCY ON AGING/REGION 9, CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS, GUERNSEY COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, GUERNSEY COUNTY SENIOR CITIZENS CENTER, MUSKINGUM VALLEY HEALTH CENTERS, NOBLE COUNTY COMMISSIONERS, NOBLE COUNTY HEALTH DEPARTMENT, OHIOHEALTH, AND THE OHIO STATE UNIVERSITY EXTENSION OFFICE (NOBLE COUNTY). THE OBJECTIVE WAS TO IDENTIFY THE TOP THREE PRIORITY HEALTH NEEDS IN GUERNSEY AND NOBLE COUNTIES. IT WAS DETERMINED BY SOUTHEASTERN MED'S SENIOR MANAGEMENT TEAM THAT THE FOLLOWING HEALTH ISSUES WOULD BE ADDRESSED WITH DEVELOPMENT OF IMPLEMENTATION STRATEGY PLANS BY SOUTHEASTERN MED DURING THE 2023-2025 FISCAL YEARS COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE: 1. DRUG DEPENDENCY/SUBSTANCE ABUSE 2. CHRONIC DISEASE (ESPECIALLY HEART DISEASE AND OBESITY) 3. MENTAL HEALTH (ESPECIALLY DEPRESSION AND ANXIETY)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHEASTERN MED PROVIDES A COPY OF ITS CHARITY CARE POLICY AND RELATED FINANCIAL ASSISTANCE CONTACT INFORMATION IN: A) ADMISSIONS AREAS, EMERGENCY ROOMS, WAITING AREAS, AND OTHER AREAS OF SOUTHEASTERN MED FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT; B) DIRECTLY TO PATIENTS AS PART OF DISCHARGE MATERIALS; AND C) IN BILLS MAILED TO PATIENTS. SOUTHEASTERN MED HAS ALSO DEDICATED TWO FULL-TIME ASSOCIATES AS FINANCIAL COUNSELORS FOR PATIENTS. THEIR OFFICES HAVE BEEN PLACED IN HIGH TRAFFIC PATIENT AREAS AND ARE AVAILABLE FROM 6:30 A.M. TO 4:30 P.M. THROUGH THE FINANCIAL COUNSELING DEPARTMENT, SOUTHEASTERN MED IS ABLE TO ADD INCREASED FOCUS ON ASSISTING PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR MEDICAID, MARKETPLACE, OR OTHER TYPES OF COVERAGE AND ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHEASTERN MED IS LOCATED IN CAMBRIDGE, OHIO WHICH IS IN THE RURAL APPALACHIAN AREA OF EAST CENTRAL AND SOUTHEASTERN OHIO. MORE THAN TWO-THIRDS OF SOUTHEASTERN MED'S PATIENTS ARE RESIDENTS OF THE GUERNSEY COUNTY COMMUNITY, MAKING GUERNSEY COUNTY THE PRIMARY COMMUNITY SERVED BY THE HOSPITAL. SOUTHEASTERN MED ALSO PROVIDES MEDICAL CARE FOR RESIDENTS OF SURROUNDING COMMUNITIES, SUCH AS NOBLE, MUSKINGUM, BELMONT, AND TUSCARAWAS COUNTIES. SOUTHEASTERN MED OFFERS HIGH-QUALITY HEALTH CARE SERVICES AND CONTINUOUSLY REINVESTS TO IMPROVE ITS FACILITIES AND TECHNOLOGY. THE HOSPITAL DEDICATES COUNTLESS RESOURCES TO THE BENEFIT OF THE COMMUNITY IN THE FORM OF HEALTH SCREENINGS, HEALTH FAIRS, EDUCATION, AND FREE OR REDUCED-COST HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDRESSING THE HEALTH NEEDS OF OUR COMMUNITY IS AN IMPORTANT PART OF OUR NOT-FOR-PROFIT ORGANIZATION'S MISSION. SOUTHEASTERN MED IS COMMITTED TO AND RESPONDS TO THE COMMUNITY'S HEALTH AND WELLNESS NEEDS. IN ADDITION TO PROVIDING HOSPITAL-BASED SERVICES, SOUTHEASTERN MED OFFERS A VARIETY OF HEALTH EDUCATION AND WELLNESS SCREENING OPPORTUNITIES THROUGHOUT THE YEAR. EFFORTS ARE MADE TO ENSURE THAT MEMBERS OF THE COMMUNITY WHO HAVE LIMITED ACCESS TO CARE DUE TO LACK OF FINANCIAL RESOURCES OR AVAILABLE HEALTHCARE COVERAGE ARE ABLE TO RECEIVE REGULAR HEALTH AND WELLNESS SCREENINGS AND/OR EDUCATION. THE FOLLOWING ARE EXAMPLES OF PROGRAMS REGULARLY OFFERED BY SOUTHEASTERN MED: HEALTH FAIRS IN COLLABORATION WITH AREA EMPLOYERS AND COMMUNITY ORGANIZATIONS: HEARING SCREENINGS; SKIN CANCER SCREENINGS. OTHER SIGNIFICANT HEALTH AND WELLNESS COMMITMENTS BY SOUTHEASTERN MED INCLUDE LOW-COST LUNG CANCER SCREENINGS, UNITED WAY FUNDRAISERS, AS WELL AS CPR CLASSES. SCREENINGS/EVENTS HEART DISEASE &amp; STROKE - TO INCREASE THE SCOPE OF EDUCATIONAL OPPORTUNITIES FOR AWARENESS OF HEART DISEASE AND STROKE RISK FACTORS AND PREVENTIVE STRATEGIES, SOUTHEASTERN MED TYPICALLY OFFERS CPR CLASSES. APRIL IS NATIONAL DONATE LIFE MONTH. SOUTHEASTERN MED WAS AWARDED THE LIFELINE OF OHIO SILVER AWARD IN 2022. SOUTHEASTERN MED PARTICIPATED IN TWO HEALTH FAIRS AND DISTRIBUTED INFORMATION ON PEDIATRIC OCCUPATIONAL AND PHYSICAL THERAPY, AUDIOLOGY, EXERCISE, HEALTHY EATING AND BLOOD PRESSURE EDUCATION. FINANCIAL COUNSELORS ARE CAC (CERTIFIED APPLICATION COUNSELOR) CERTIFIED BY HEALTHCARE MARKETPLACE AND CONTINUE TO ASSIST PATIENTS WITH APPLICATION FOR MEDICAID ONSITE AT SOUTHEASTERN MED AND TO PROVIDE GUIDANCE REGARDING THEIR MEDICAL INSURANCE. SOUTHEASTERN MED IS A QUALIFIED ENTITY FOR MEDICAID ENROLLMENT. KEEPING CANCER PATIENTS CLOSE TO HOME SOUTHEASTERN MED EXPANDED ITS SUCCESSFUL CANCER SERVICE LINE IN 2012 BY PURCHASING THE CAMBRIDGE REGIONAL CANCER CENTER, LOCATED ACROSS THE STREET FROM SOUTHEASTERN MED. AS SOUTHEASTERN MED HAS SEEN AN INCREASE IN CANCER CARE REMAINING IN THE COMMUNITY, A NEED FOR A NEW AND LARGER CANCER CENTER WAS IDENTIFIED. IN JANUARY 2021, SOUTHEASTERN MED OPENED ITS NEW CANCER CENTER, THE JOHN W. &amp; EDNA MCMANUS SHEPARD CANCER CENTER, LOCATED IN THE WM. L BAKER FAMILY MEDICAL BUILDING AT 1455 CLARK STREET, CAMBRIDGE OHIO. A NEW LINEAR ACCELERATOR WAS PURCHASED; INFUSION CAPACITY INCREASED BY 150% AND PHYSICIAN OFFICE VISIT CAPACITY INCREASED BY MORE THAN 300%. SOUTHEASTERN MED IS NOW BETTER POSITIONED TO TAKE CARE OF OUR COMMUNITY WHILE MAINTAINING LOWER WAIT TIMES TO SEE A CANCER SPECIALIST. THE JOHN W. &amp; EDNA MCMANUS SHEPARD CANCER CENTER OFFERS ADVANCED HEMATOLOGY AND MEDICAL ONCOLOGY SERVICES FOR PATIENTS WITH MANY DIFFERENT TYPES OF CANCER, INCLUDING BREAST, LUNG, COLON AND GENITOURINARY CANCERS, AS WELL AS BENIGN AND MALIGNANT BLOOD DISORDERS, SUCH AS ANEMIA, LYMPHOMA, LEUKEMIA AND MYELOMA. CHRONIC DISEASE (CANCER) WAS IDENTIFIED AS THE SECOND HEALTH NEED IN THE COMMUNITY THROUGH THE 2019 AND 2022 CHNAS. SOUTHEASTERN MED CONTINUES TO PROVIDE SERVICES TO THE COMMUNITY FIVE DAYS A WEEK. THE IDEAL ARRANGEMENT FOR QUALITY BREAST CARE IS A CENTER OR CLINIC HOUSING MULTIPLE SPECIALISTS THAT ACT AS A TEAM TO CARE FOR BENIGN AND MALIGNANT BREAST DISEASE. THE SPECIALISTS INVOLVED IN SUCH A CLINIC INCLUDE SURGEONS, RADIOLOGISTS, ONCOLOGISTS, GENETICS COUNSELORS AND BREAST NAVIGATORS. AN ALL-ENCOMPASSING BREAST CENTER IS NOT FEASIBLE IN RESOURCE-LIMITED AREAS. IN MOST SMALL TOWNS AND RURAL AREAS, THERE IS NO ORGANIZED TEAM APPROACH TO BREAST CARE. SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS, AND MRI SCANS, AND EVEN BREAST BIOPSIES MAY BE ORDERED BY PRIMARY CARE PHYSICIANS, GYNECOLOGISTS AND EVEN NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. CERTAINLY, IT IS VITALLY IMPORTANT FOR EVERY WOMAN TO BE INVOLVED IN A SCREENING PROGRAM, BUT IT IS JUST AS IMPORTANT FOR ALL WOMEN TO GET THE BEST RETURN ON INVESTMENT IN TERMS OF PROPER INTERPRETATION OF THE FINDINGS AND APPROPRIATE FOLLOW-UP. IN 2016, SOUTHEASTERN MED PURCHASED AND BEGAN OFFERING 3D MAMMOGRAPHY TO OUR COMMUNITY. ALL PRIMARY CARE PROVIDERS CAN AND DO ORDER BREAST IMAGING AND BREAST BIOPSIES WHEN SUGGESTED BY THE INTERPRETING RADIOLOGIST. MANY PRACTITIONERS WILL IMMEDIATELY REFER THE PATIENT TO A SURGEON AT THE TIME OF THE INITIAL ABNORMAL IMAGING. INDIVIDUAL PRACTITIONERS RECEIVE THE RESULTS OF ALL IMAGING AND BIOPSY RESULTS. IN ADDITION, THE BREAST NAVIGATOR COLLECTS RESULTS OF ALL ABNORMAL MAMMOGRAMS, ULTRASOUND STUDIES AND MRI STUDIES AND ALL BIOPSY REPORTS. THE INFORMATION IS COLLATED IN A NOTEBOOK ALONG WITH OTHER PERTINENT PATIENT INFORMATION REGARDING SYMPTOMS AND PHYSICAL EXAMINATIONS. THE LEADERSHIP OF THE BREAST CARE TEAM (BCT) THEN REVIEWS EVERY BIRADS CATEGORY IV AND V MAMMOGRAM, AND EACH BIOPSY PERFORMED BY RADIOLOGY OR OTHER PRACTITIONERS. OUR PROGRAM CARES FOR 25-30 NEW BREAST CANCER PATIENTS PER YEAR. THE BREAST HEALTH NAVIGATOR AND BCT ACT AS A TEAM TO REVIEW AND TRACK EVERY PATIENT THAT HAS HAD A BIOPSY OR WHO NEEDS RADIOLOGIC FOLLOW-UP FOR ABNORMAL IMAGES. ANY DISCORDANCE OR IRREGULARITY TRIGGERS CONTACT WITH THE PRIMARY CARE PROVIDER, RADIOLOGIST, PATHOLOGIST, OR SURGEON TO RESOLVE THE ISSUE. THERE IS NO COST TO THE PATIENT FOR THIS QUALITY ASSURANCE ACTIVITY ORGANIZED BY THE BREAST TEAM LEADERSHIP. THE SOUTHEASTERN MED BREAST HEALTH NAVIGATOR SAW 90 WOMEN FROM 1/1/23 - 6/30-23 AND PROVIDED ONE-ON-ONE EDUCATIONAL TRAINING REGARDING THEIR LUMPECTOMY AND OR MASTECTOMY, RESOURCES NEEDED TO NAVIGATE APPOINTMENTS, FINANCIAL RESOURCES, AND EMOTIONAL SUPPORT. SOUTHEASTERN MED AND PHYSICIANS CONTINUE TO OFFER A FREE OR LOW-COST COLONOSCOPY TO ALL PERSONS WHO NEED THE PROCEDURE BUT DO NOT HAVE HEALTH CARE INSURANCE. SOUTHEASTERN MED PHYSICIANS REGULARLY HOST FREE SKIN CANCER SCREENINGS TO COMMUNITY MEMBERS. IN 2023, SOUTHEASTERN MED REMAINED ACCREDITED BY THE COMMISSION ON CANCER (COC), A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS, RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT FOR PROVIDING COMPREHENSIVE, HIGH-QUALITY, AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. SOUTHEASTERN MED, THROUGH COC, HAS ACCESS TO REPORTING TOOLS TO AID IN BENCHMARKING AND IMPROVING OUTCOMES, AS WELL AS EDUCATIONAL AND TRAINING OPPORTUNITIES, DEVELOPMENT RESOURCES, AND ADVOCACY. THE COMMISSION ON CANCER (COC) IS A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS THROUGH STANDARD SETTING, WHICH PROMOTES CANCER PREVENTION, RESEARCH, EDUCATION, AND MONITORING OF COMPREHENSIVE QUALITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH CORPORATION OPERATES GENERAL ACUTE CARE HOSPITALS AS WELL AS OUTPATIENT FACILITIES. IN ADDITION, OHIOHEALTH CORPORATION IS THE PARENT ORGANIZATION AND SOLE VOTING MEMBER OF SEVERAL RURAL COMMUNITY HOSPITALS, ORGANIZATIONS PROVIDING MULTIDISCIPLINARY HOME CARE AND REHABILITATION, MEDICAL RESEARCH, FUNDRAISING IN SUPPORT OF THE SYSTEM HOSPITALS, MEDICAL FACILITY PROPERTY MANAGEMENT, AND PHYSICIAN FOUNDATIONS. ALL SERVING IN OHIOHEALTH "SYSTEMNESS" TO IMPROVE THE HEALTH OF THOSE WE SERVE. OHIOHEALTH IS A HEALTH CARE SYSTEM COVERING FRANKLIN, DELAWARE, ATHENS, HARDIN, MARION, RICHLAND, PICKAWAY, GUERNSEY AND VAN WERT COUNTIES THAT IN TOTAL INCLUDES FIFTEEN HOSPITALS, AMBULATORY HEALTHCARE SERVICES, PHYSICIAN CLINICS, HOSPICE CARE AND OTHER ENTITIES IN SUPPORT OF THE HOSPITAL AND HEALTHCARE SERVICES. OF THOSE FIFTEEN HOSPITALS, SIX INDIVIDUAL HOSPITALS FILE WITH THE OHIOHEALTH GROUP RETURN (OHIOHEALTH MARION GENERAL HOSPITAL, OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL, OHIOHEALTH GRADY MEMORIAL HOSPITAL, OHIOHEALTH HARDIN MEMORIAL HOSPITAL, OHIOHEALTH MEDCENTRAL HEALTH SYSTEM COMPRISED OF OHIOHEALTH MANSFIELD HOSPITAL, AND OHIOHEALTH SHELBY HOSPITAL) PROVIDING SERVICES TO THE RURAL COMMUNITIES SURROUNDING THE SYSTEM'S PRIMARY SERVICE AREAS OF FRANKLIN, DELAWARE, AND RICHLAND COUNTIES. BEGINNING IN FY24, SOUTHEASTERN MED AND VAN WERT HOSPITAL WILL JOIN THE OHIOHEALTH GROUP RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="22016089" softwareVersionNum="2022v5.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF CAMBRIDGE OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400220</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2019-10-01</BondIssuedDt>
        <IssuePriceAmt>7500000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION OF CANCER CENTER</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1001000</RetiredAmt>
        <TotalProceedsAmt>7501536</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>58500</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>7443036</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (e) Schedule K, Part II, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Form 990, Part VI, Lines 15a and 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATIONS OF TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS ARE MADE BY OHIOHEALTH CORPORATION, A RELATED ORGANIZATION. OHIOHEALTH'S EXECUTIVE COMPENSATION IS SET BY THE COMPENSATION COMMITTEE, WHICH IS COMPOSED OF INDEPENDENT AND DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE ANNUALLY RECEIVES A REPORT FROM ITS INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHICH INCLUDES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS IN COMPARABLE NOT-FOR-PROFIT HEALTH SYSTEMS ACROSS THE UNITED STATES. OHIOHEALTH'S EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND ENTITY PRESIDENTS COMPENSATION IS SET BY THE COMPENSATION COMMITTEE WHICH IS COMPOSED OF INDEPENDENT AND DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS. OHIOHEALTH CORPORATION'S COMPENSATION COMMITTEE ANNUALLY RECEIVES A REPORT FROM ITS INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHICH INCLUDES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS IN COMPARABLE NOT-FOR-PROFIT HEALTH SYSTEMS ACROSS THE UNITED STATES. THE ANNUAL REPORT TO THE OHIOHEALTH CORPORATION'S COMPENSATION COMMITTEE COMPLETED EACH FALL INCLUDES MARKET ANALYSIS FOR BASE SALARIES, TOTAL CASH COMPENSATION, BENEFITS AND PERQUISITES, AND AGGREGATE TOTAL COMPENSATION VALUES FOR THE EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND ENTITY PRESIDENTS, TO SUPPORT OHIOHEALTH'S QUALIFICATION FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OHIOHEALTH CORPORATION'S COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH EXECUTIVE'S COMPENSATION, BASED ON PERFORMANCE AND THE COMPENSATION PHILOSOPHY, AND RATIONALE FOR THE COMMITTEE'S DECISIONS AS DOCUMENTED IN MEETING MINUTES. OVERALL, THE EXECUTIVE COMPENSATION COMMITTEE MEETS THREE TIMES EACH YEAR, WITH THE MOST RECENT MEETING HELD IN SEPTEMBER 2023, AND THE NEXT MEETING TO BE HELD IN MAY 2024. WITH RESPECT TO NON-DISQUALIFIED POSITIONS, COMPENSATION FOR RELATED ORGANIZATION EMPLOYMENT IS DETERMINED IN THE SAME MANNER AS SET FORTH ABOVE. HOWEVER, IT IS NOT REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE AND IS INSTEAD DETERMINED BY MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 BUSINESS RELATIONSHIP</FormAndLineReferenceDesc>
        <ExplanationTxt>Persons listed in Part VII may have a "business relationship" with each other by virtue of sitting on related OhioHealth entity boards or by virtue of their employment with related OhioHealth entities. OhioHealth Corporation has an ownership interest in limited liability companies (LLCs) that provide healthcare or related services. As a member of such LLCs, OhioHealth Corporation has the right to appoint two individuals to the managing board of such LLCs. As a result, these individuals may be deemed to have a "business relationship" with each other. LISA INGRAM, DIRECTOR OF OHIOHEATLH SOUTHEASTERN MEDICAL CENTER, AND ANDY ROSE, DIRECTOR OF OHIOHEALTH SOUTHEASTERN MEDICAL CENTER, HAVE A BUSINESS RELATIONSHIP. KERRII ANDERSON, DIRECTOR OF OHIOHEALTH SOUTHEASTERN MEDICAL CENTER, AND ANDY ROSE, DIRECTOR OF OHIOHEALTH SOUTHEASTERN MEDICAL CENTER, HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JANUARY 1, 2023, OHIOHEALTH SOUTHEASTERN MEDICAL CENTER AMENDED ITS CODE OF REGULATIONS. THE SIGNIFICANT CHANGES ARE AS FOLLOWS: ARTICLE 3 CHANGED THE SOLE MEMBER FROM GUERNSEY HEALTH SYSTEMS TO OHIOHEALTH CORPORATION ARTICLE 4 CHANGED THE GOVERNANCE OF THE CORPORATION THROUGH ITS BOARD OF DIRECTORS TO REFLECT THE STRUCTURE, POLICIES, PROCEDURES, POWERS AND RESPONSIBILITES OF THE CODE OF REGULATIONS OF OHIOHEALTH CORPORATION ARTICLE 4 CHANGED THE CONFLICT OF INTEREST POLICY TO REFLECT THE CONFLICT OF INTEREST POLICY AS SET FORTH IN THE CODE OF REGULATIONS OF THE SOLE MEMBER, OHIOHEALTH CORPORATION ARTICLE 4 CHANGED NUMBER OF THE BOARD OF DIRECTORS FROM A MAXIMUM OF 19 TO A MAXIMUM OF 21 ARTICLE 5 CHANGED THE OFFICERS FROM SPECIFICALLY NAMED OFFICERS TO THOSE THAT ARE DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER, OHIOHEALTH CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE WEST OHIO CONFERENCE OF THE UNITED METHODIST CHURCH IS THE SOLE MEMBER OF OHIOHEALTH CORPORATION, AND THIS MEMBERSHIP IS PERMISSIBLE UNDER OHIO REVISED CODE SECTION 1702.13.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE WEST OHIO CONFERENCE OF THE UNITED METHODIST CHURCH IS THE SOLE VOTING MEMBER OF OHIOHEALTH CORPORATION WHICH IN TURN IS THE SOLE VOTING MEMBER OF ALL SUBSIDIARY ORGANIZATIONS. THIS MEMBERSHIP IS PERMISSIBLE UNDER OHIO REVISED CODE SECTION 1702.13.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>REVISIONS OF THE CODE OF REGULATIONS THAT AFFECT THE RIGHTS OF THE MEMBER MUST BE APPROVED BY THE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH PREPARES THE FORM 990 USING IRS APPROVED TAX SOFTWARE. WITHIN OHIOHEALTH THERE ARE MULTIPLE LEVELS OF MANAGEMENT AND EXECUTIVE REVIEWS. THE FORM 990 IS PRESENTED TO AND DISCUSSED BY THE FINANCE AND AUDIT COMMITTEE BEFORE BEING PROVIDED TO THE OHIOHEALTH CORPORATION BOARD. ADDITIONALLY, DELOITTE REVIEWS AND SIGNS THE TAX RETURN AS "PAID PREPARER" PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY HAS BEEN REVIEWED BY INDEPENDENT TAX COUNSEL TO ASSURE ITS COMPLIANCE WITH THE REQUIREMENTS OF THE INTERNAL REVENUE SERVICE. THE POLICY REQUIRES ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES TO COMPLETE AN ANNUAL QUESTIONNAIRE PERTAINING TO CONFLICTS OF INTEREST. THE QUESTIONNAIRE IS ADMINISTERED BY THE GENERAL COUNSEL OF OHIOHEALTH, THE PARENT COMPANY OF THE ORGANIZATION. THE RESPONSES ARE RECORDED AND REPORTED TO THE BOARD IN THE FORMAT APPROVED BY THE CHAIR OF THE BOARD (A COMMUNITY MEMBER). IN THE INTERIM BETWEEN QUESTIONNAIRES, CONFLICTS ARE TO BE REPORTED TO THE GENERAL COUNSEL, WHO WILL ADVISE THE CONFLICTED OFFICER, DIRECTOR OR KEY EMPLOYEE ON THE STEPS REQUIRED TO MANAGE OR CLEAR THE CONFLICT. FAILURE TO REPORT A CONFLICT, OR FAILURE TO FOLLOW THE STEPS ADVISED TO CLEAR THE CONFLICT, CONSTITUTES GROUNDS FOR DISCIPLINARY ACTION. MEMBERS OF THE GOVERNING BOARD WITH A TRANSACTIONAL CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DISCUSSION AND/OR VOTE PERTAINING TO THE CONFLICTED TRANSACTION, AND THIS IS REFLECTED IN THE MINUTES OF THE ORGANIZATION. LEGAL COUNSEL ATTENDS BOARD MEETINGS AND BOARD COMMITTEE MEETINGS WITH THE INSTRUCTION TO ASSURE THE CONFLICT OF INTEREST POLICY IS FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION IS MADE AVAILABLE AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 98370, Related or Exempt Function Revenue: 98370, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Other fees for services - Total Expense: 8226059, Program Service Expense: 6277306, Management and General Expenses: 1948753, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHARGES - 1867430; DISTRIBUTION OF CAPITAL AND OTHER - 35233234; CHANGE IN NET ASSETS - RESTRICTED - -47564;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A RESULT OF THE ACQUISITION OF SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER BY OHIOHEALTH CORPORATION, OVERSIGHT OF THE AUDIT IS NOW PERFORMED BY OHIOHEALTH CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="22016089" softwareVersionNum="2022v5.0">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUPERIOR MED LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311311881</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN OFFICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>1945541</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1896507</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>314394942</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Marion General Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 McKinley Park Drive</AddressLine1Txt>
          <CityNm>Marion</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43302</ZIPCd>
        </USAddress>
        <EIN>311070877</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Grady Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>561 West Central Avenue</AddressLine1Txt>
          <CityNm>Delaware</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43015</ZIPCd>
        </USAddress>
        <EIN>314379436</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hardin Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>921 East Franklin Street</AddressLine1Txt>
          <CityNm>Kenton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43326</ZIPCd>
        </USAddress>
        <EIN>344440479</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hardin Physician Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>921 East Franklin Street</AddressLine1Txt>
          <CityNm>Kenton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43326</ZIPCd>
        </USAddress>
        <EIN>311414276</EIN>
        <PrimaryActivitiesTxt>Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Hardin Memorial Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hardin Memorial Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>921 East Franklin Street</AddressLine1Txt>
          <CityNm>Kenton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43326</ZIPCd>
        </USAddress>
        <EIN>341521537</EIN>
        <PrimaryActivitiesTxt>Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Hardin Memorial Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OhioHealth Physician Group Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311351965</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OhioHealth Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>237446919</EIN>
        <PrimaryActivitiesTxt>Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HomeReach</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311372702</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OhioHealth Research Institute</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>316059784</EIN>
        <PrimaryActivitiesTxt>Research</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hospital Properties Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311206071</EIN>
        <PrimaryActivitiesTxt>Property Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sheltering Arms Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>55 Hospital Drive</AddressLine1Txt>
          <CityNm>Athens</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45701</ZIPCd>
        </USAddress>
        <EIN>314446959</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MedCentral Health System</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>335 Glessner Avenue</AddressLine1Txt>
          <CityNm>Mansfield</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44906</ZIPCd>
        </USAddress>
        <EIN>340714456</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OhioHealth Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PICKAWAY HEALTH SERVICES DBA OHIOHEALTH PHYSICIAN GROUP BERGER HEALTH PARTN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ERS</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 N PICKAWAY STREET</AddressLine1Txt>
          <CityNm>CIRCLEVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43113</ZIPCd>
        </USAddress>
        <EIN>311438107</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH PHYSICIAN GROUP INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VAN WERT COUNTY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>344429514</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Central Ohio Surgical Institute LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6520 W Campus Oval</AddressLine1Txt>
          <CityNm>New Albany</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43054</ZIPCd>
        </USAddress>
        <EIN>743059062</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DUBLIN SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5005 PARKCENTER DRIVE</AddressLine1Txt>
          <CityNm>DUBLIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43017</ZIPCd>
        </USAddress>
        <EIN>272103713</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Grant Scope Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>700 E Broad Street</AddressLine1Txt>
          <AddressLine2Txt>1st Floor</AddressLine2Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>260765486</EIN>
        <PrimaryActivitiesTxt>Endoscopy Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OhioHealth Rehabilitation Hospital LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4714 Gettysburg Road</AddressLine1Txt>
          <CityNm>Mechanicsburg</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <EIN>462458436</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OhioHealth Sleep Services LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>801 OhioHealth Blvd</AddressLine1Txt>
          <CityNm>Delaware</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43015</ZIPCd>
        </USAddress>
        <EIN>201547399</EIN>
        <PrimaryActivitiesTxt>Physician Practice</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Polaris Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6200 Cleveland Avenue</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43231</ZIPCd>
        </USAddress>
        <EIN>208074623</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Upper Arlington Medical Limited Partnership</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311472667</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Westerville Endoscopy Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>300 Polaris Parkway</AddressLine1Txt>
          <CityNm>Westerville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43082</ZIPCd>
        </USAddress>
        <EIN>462755661</EIN>
        <PrimaryActivitiesTxt>Endoscopy Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Executive Imaging LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>C/O 1000 McKinley Park Drive</AddressLine1Txt>
          <CityNm>Marion</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43302</ZIPCd>
        </USAddress>
        <EIN>852050240</EIN>
        <PrimaryActivitiesTxt>Medical Imaging</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Van Wert County Hospital Pain Management LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1250 S Washington Street</AddressLine1Txt>
          <CityNm>Van Wert</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45891</ZIPCd>
        </USAddress>
        <EIN>810822738</EIN>
        <PrimaryActivitiesTxt>PAIN MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Surgery Centers of Ohio LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>340 SEVEN SPRINGS WAY STE 600</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>34027</ZIPCd>
        </USAddress>
        <EIN>922808841</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Knightsbridge Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4845 Knightsbridge Blvd STE 110</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43214</ZIPCd>
        </USAddress>
        <EIN>870650797</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH ENTERPRISES INC -</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET CAMBRIDGE</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311191428</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNITED AMBULANCE SERVICE OF CAMBRIDGE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1341 CLARK STREET</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43725</ZIPCd>
        </USAddress>
        <EIN>311086097</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH SOUTHEASTERN MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1036026</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1101859</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OhioHealth Star Corporation</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311119936</EIN>
        <PrimaryActivitiesTxt>Administrative Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HardinCare Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>921 East Franklin Street</AddressLine1Txt>
          <CityNm>Kenton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43326</ZIPCd>
        </USAddress>
        <EIN>341492617</EIN>
        <PrimaryActivitiesTxt>Property Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Intel Health Services Ins Co (SPC) LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO Box 1051</AddressLine1Txt>
          <AddressLine2Txt>Governors Square</AddressLine2Txt>
          <ProvinceOrStateNm>Grand Cayman</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981288216</EIN>
        <PrimaryActivitiesTxt>Insurance/Reinsurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY MEDICAL PLAN INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>364897871</EIN>
        <PrimaryActivitiesTxt>MEDICAL HEALTH INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>853626444</EIN>
        <PrimaryActivitiesTxt>MEDICAL HEALTH INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY HEALTH INSURING CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>852275116</EIN>
        <PrimaryActivitiesTxt>MEDICAL HEALTH INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY PLANS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>831213470</EIN>
        <PrimaryActivitiesTxt>MEDICAL HEALTH INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTH STAR VENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>833767672</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Community Care Systems Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>341783212</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
