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        <PersonNm>NORMAN SPENCE</PersonNm>
        <TitleTxt>TRUSTEE (DEC)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF SUBLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ETENE TERRELL-FAKOREDE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR GREGORY TOUSSAINT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL TRYON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD WHALEN MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY WHITE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL WOLCOTT</PersonNm>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK KLOSTERMAN</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM GROSHANS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN HARLAN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARLET BRIGGS</PersonNm>
        <TitleTxt>SECRETARY (JAN-DEC)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH FELDMAN</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>751203</TotalReportableCompFromOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>839669</MembershipDuesAmt>
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      <TotalContributionsAmt>12465477</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>DATA &amp; EDUCATIONAL</Desc>
        <BusinessCd>624200</BusinessCd>
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      <TotalProgramServiceRevenueAmt>163000</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>52389</TotalRevenueColumnAmt>
        <ExclusionAmt>52389</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-8315</TotalRevenueColumnAmt>
        <ExclusionAmt>-8315</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>163000</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>44074</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>8868633</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>819974</TotalAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>42315</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>87677</TotalAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>64129</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>724164</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>63126</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>107509</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>239473</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>54719</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>43</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>106404</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>23629</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ASSESSMENTS</Desc>
        <TotalAmt>1039668</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>47554</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>8782</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT LEASE AND MAI</Desc>
        <TotalAmt>4084</TotalAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>2318</TotalAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>12809795</TotalAmt>
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        <EOYAmt>34080</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1696382</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>47184</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1238755</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>709484</LandBldgEquipAccumDeprecAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1430666</EOYAmt>
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        <EOYAmt>6303468</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2823743</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>1021282</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1265625</BOYAmt>
        <EOYAmt>1021282</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7833912</BOYAmt>
        <EOYAmt>6303468</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>-107099</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>1</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>603349</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>280649</DepreciationAmt>
        <BookValueAmt>322700</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>206571</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>529271</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN GDAHA VENTURES</Desc>
        <BookValueAmt>47138</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLE FROM RELATED ORG: GREATER MIAMI VALLEY EMERGENCY MEDICAL SERVICES</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLE FROM RELATED ORG: SOUTHWEST OHIO HEALTH CARE AFFILIATES</Desc>
        <BookValueAmt>1410578</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLE FROM RELATED ORG: DAYTON PATHWAYS HUB</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>1041663</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>597534</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO RELATED ORG: GREATER DAYTON AREA HEALTH INFORMATION NETWORK</Desc>
        <Amt>2963</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1642160</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY IF THE ASSOCIATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. AS DISCUSSED ABOVE, GDAHA AND GDAHIN ARE EXEMPT FROM INCOME TAXES AND MANAGEMENT BELIEVES THESE ENTITIES HAVE NOT ENGAGED IN ANY ACTIVITIES THAT WOULD DISQUALIFY THEM FROM TAX-EXEMPT STATUS. THE ASSOCIATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OTHER EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIAMI VALLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 W 4TH ST SUITE 1201</AddressLine1Txt>
          <CityNm>DAYTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45402</ZIPCd>
        </USAddress>
        <RecipientEIN>310537504</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7336764</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BRIGHTER FUTURES EXPENSE REIMBURSEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KETTERING MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE PRESTIGE PLACE SUITE 910</AddressLine1Txt>
          <CityNm>MIAMISBURG</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45342</ZIPCd>
        </USAddress>
        <RecipientEIN>310621866</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1531869</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BRIGHTER FUTURES EXPENSE REIMBURSEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL OHIO POISON CENTER: QUARTERLY REPORTS ARE REQUIRED PER CONTRACT WITH COPC. THE REPORTS INCLUDE DETAILED INFORMATION ON EVERY POISON INFORMATION CALL RECEIVED FROM HOSPITALS AND THE PUBLIC BY COUNTY. THESE REPORTS ARE FORWARDED TO THE HOSPITAL EMERGENCY MEDICAL SERVICES COORDINATORS FOR REVIEW. LIFE ESSENTIALS: LIFE ESSENTIALS PROVIDES POWER OF ATTORNEYS FOR ELDERLY PATIENTS, WHO HAVE NO ONE TO TURN TO FOR THESE SERVICES. TWICE A YEAR, THE EXECUTIVE DIRECTOR FOR LIFE ESSENTIALS MEETS WITH THE MEMBERS OF THE GDAHA SOCIAL WORK DIRECTORS COMMITTEE. SHE SHARES A "LIVE" SPREADSHEET THAT SHOWS THE NUMBER OF CASES THEY HAVE, THE REFERRALS RECEIVED FROM EACH HOSPITAL, AND REPORTS ON THE CASES STILL ACTIVE OR COMPLETE. BRIGHTER FUTURES: THE SERVICES PROVIDED BY HELP ME GROW BRIGHTER FUTURES ARE ACTIVELY MONITORED BY THE STATE AND LOCAL LEVELS THROUGHOUT EACH PROGRAM YEAR. THE OHIO DEPARTMENT OF HEALTH'S BUREAU FOR CHILDREN WITH MEDICAL HANDICAPS AND EARLY INTERVENTION SERVICES MONITORS ACTIVITIES, SERVICES, OUTCOMES, AND COMPLIANCE MEASURES THROUGH ITS ONLINE EARLY TRACK STATE DATA SYSTEM, AS WELL AS THROUGH EXPENDITURE AND PROGRAM REPORTS. ODH ALSO CONDUCTS PERIODIC RANDOM INDIVIDUAL CASE AUDITS, INCLUDING PERIODIC SYSTEM REVIEWS. LOCALLY, HELP ME GROW FUNDS ARE ALLOCATED TO THE ADMINISTRATIVE AGENT OF EACH COUNTY'S FAMILY AND CHILDREN FIRST COUNCIL (FCFC). THE FCFC APPROVES THE BUDGET ALLOCATION, AND LOCAL CONTRACTS FOR HELP ME GROW SERVICES ARE APPROVED BY THE MONTGOMERY COUNTY BOARD OF COUNTY COMMISSIONERS AND ADMINISTERED BY ITS DEPARTMENT, THE OFFICE OF FAMILY AND CHILDREN FIRST (OFCF). EACH HELP ME GROW GRANT YEAR IS GIVEN A SEPARATE GRANT NUMBER AND PROJECT CODES RELATED TO THE REVENUE AND EXPENSES OF THE GRANT. HELP ME GROW BRIGHTER FUTURES INVOICES THE COUNTY MONTHLY FOR SERVICES. INVOICES ARE REVIEWED AGAINST AGENCY DOCUMENTATION OF ACTUAL EXPENDITURES AND AVAILABLE FUNDS BY THE COUNTY HELP ME GROW PROJECT DIRECTOR LOCATED AT OFCF. PAYMENTS ARE PROCESSED THROUGH THE OFCF AND MADE BY THE MONTGOMERY COUNTY AUDITOR'S OFFICE. OFCF ALSO PROVIDES ONGOING MONITORING OF HELP ME GROW BRIGHTER FUTURES' ACTIVITIES, SERVICES, OUTCOMES, AND COMPLIANCE MEASURES. PROGRAM AND EXPENDITURE REPORTS ARE PREPARED AND SUBMITTED TO THE OHIO DEPT. OF HEALTH, UPDATES ARE PROVIDED TO THE MONTGOMERY COUNTY FAMILY AND CHILDREN FIRST COUNCIL, AND HELP ME GROW ACTIVITIES ARE AUDITED EACH YEAR BY CERTIFIED PUBLIC ACCOUNTANTS (CHARLES HARRIS AND ASSOCIATES) UNDER THE STATE AUDIT REQUIREMENTS. REDISTRIBUTION OF MONTGOMERY COUNTY HEALTH AND HUMAN SERVICES LEVY FOR INDIGENT CARE: MONTGOMERY COUNTY MONITORS THE USE OF LEVY FUNDS AND ISSUES FUNDS ON A FIRST COME, FIRST SERVE BASIS. GDAHA REDISTRIBUTES LEVY FUNDS AMONGST THE HOSPITALS BASED ON THE REIMBURSEMENT AGREEMENT BETWEEN THE HOSPITALS.</ExplanationTxt>
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        <PersonNm>SARAH HACKENBRACHT</PersonNm>
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        <PersonNm>MARTIN LARSON</PersonNm>
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        <PersonNm>LISA HENDERSON</PersonNm>
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        <PersonNm>LISA RINDLER</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2024 KEVIN HARLAN SERVED AS THE PRESIDENT OF UPPER VALLEY MEDICAL CENTER AND ATRIUM MEDICAL CENTER, MEDICAL PROVIDERS IN PREMIER'S HEALTH NETWORK. ERICA SCHNEIDER IS THE PRESIDENT OF KETTERING HEALTH MIAMISBURG, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. DANIEL TRYON IS THE PRESIDENT OF SOIN MEDICAL CENTER KETTERING HEALTH AND KETTERING HEALTH GREENE MEMORIAL, MEDICAL PROVIDERS IN THE KETTERING HEALTH NETWORK. MIKE BRENDAL IS THE PRESIDENT OF KETTERING HEALTH MAIN, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. NORMAN SPENCE IS THE PRESIDENT OF KETTERING HEALTH TROY, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. PAUL HOOVER IS THE PRESIDENT OF KETTERING HEALTH HAMILTON, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. DURING 2024 THERE WAS A GAP IN LEADERSHIP WHEN CHRIS LAFONTSEE SERVED AS AN EXECUTIVE AND THE NEW LEADERSHIP WITH PAM SPECIALITY HOSPITAL OF DAYTON TOOK OVER IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA) IS A NOT-FOR-PROFIT CORPORATION WHICH PROVIDES VARIOUS SERVICES TO MEMBER HOSPITALS AND HEALTH CARE ORGANIZATIONS. GDAHA ASSISTS MEMBERS IN IMPROVING THE QUALITY AND EFFICIENCY OF THE DELIVERY OF HEALTH CARE SERVICES. GDAHA ALSO PROVIDES ADVOCACY SERVICES BY REPRESENTING MEMBERS BEFORE GOVERNMENT, BUSINESS, THE PUBLIC AND RELATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPANIES AND INDIVIDUALS WHO PAY DUES TO THE GREATER DAYTON AREA HOSPITAL ASSOCIATION ARE MEMBERS AND, AS SUCH, ELECT INDIVIDUALS TO THE BOARD OF DIRECTORS AT THE ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF FINANCE PRIOR TO FILING. THEN THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS REGULARLY REVIEWED AND MONITORED AT THE BOARD OF TRUSTEE MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD UTILIZES NATIONAL MARKET KNOWLEDGE AND ANNUAL PERFORMANCE EVALUATION TO EVALUATE AND ADJUST COMPENSATION OF THE PRESIDENT AND OTHER KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS MADE AVAILABLE AS REQUIRED BY LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE INDEPENDENT AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR.</ExplanationTxt>
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    </IRS990ScheduleO>
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