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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIO VALLEY SURGICAL HOSPITAL. Clark County Combined Health District (CCHD) CONDUCTED A COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) AS PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE PURPOSE OF THE CTSA IS TO UNDERSTAND THE ISSUES THAT RESIDENTS FEEL ARE MOST IMPORTANT, THE BARRIERS TO THE HEALTH OF THE COMMUNITY, AS WELL AS ASSETS AND STRENGTHS THAT SUPPORT IMPROVING THE HEALTH OF THE COMMUNITY. TO COMPLETE THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT, CCCHD CONDUCTED FIVE COMMUNITY FOCUS GROUPS AND COLLECTED DATA FROM AN ONLINE SURVEY THROUGHOUT THE COUNTY TO REFLECT ON COMMUNITY ASSETS, CHALLENGES, AND BARRIERS TO MAINTAINING A HEALTHY COMMUNITY.</ExplanationTxt>
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        <ExplanationTxt>Facility , 1 - OHIO VALLEY SURGICAL HOSPITAL. Mercy Health Springfield</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIO VALLEY SURGICAL HOSPITAL. City of Springfield Clark County Combined Health District Clark County Educational Service Center Clark County Family &amp; Children First Council Clark County, Ohio Clark County Springfield Transportation Coordinating Committee Community Health Foundation Developmental Disabilities of Clark County Mental Health Recovery Board of Clark, Greene, and Madison Counties Mental Health Services for Clark and Madison Counties New Carlisle Community Health Center Rocking Horse Community Health Center Springfield Foundation Springfield Metropolitan Housing Authority United Senior Services Wittenberg Hagan Center</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Ohio Valley Surgical Hospital. Priorities Identified in the CHA Include: - Maternal, Infant, and Sexual Health - Chronic Diseases - Mental Health - Housing &amp; Neighborhood Stability Addressed Need: Chronic Disease Provides the community with 3D Mammograms, simple access colonoscopies and low dose CT screenings for lung cancer. Approximately four out of ten Ohioans will be diagnosed with cancer at some point in their lifetime. Cancer is the second leading cause of death in Ohio, accounting for nearly one in five deaths. Program: 3D Mammograms Metrics: 70.3% of Clark County women 50-74 years old reported they had a mammogram in the past two years, compared with 77.9% in Ohio and 78.6% in the United States. OV Imaging Center provided 5,285 3D screening mammograms and 1,405 3D Diagnostic mammograms in 2023 and 5,100 3D screening mammograms and 1,369 3D Diagnostic mammograms in 2024. Intervention Goal: Mammograms can reveal nearly 90% of breast cancers as early as two years before a lump can be felt, giving you the best chance for a successful treatment. Screenings should be scheduled every year beginning at age 40. Our goal is to continue to increase screening numbers each year. Description: In 2016-2020, the cancer incidence rate for all sites/types combined in Clark County was 494.9 per 100,000 population, compared with the Ohio rate of 465.3 per 100,000 and the U.S. rate of 438.7 per 100,000. The 2016-2020 cancer mortality rate in Clark County was 179.9 per 100,000, compared with the Ohio rate of 166.1 per 100,000 and the U.S. rate of 149.4 per 100,000. Clark County had higher proportions of early-stage breast cancer in 2016-2020, compared with Ohio. Ohio Valley Breast Cancer was the first healthcare facility in the region to offer this state-of-the-art technology and is the only facility in Springfield/Clark County with a team of breast care nurse coordinators. Our nurse coordinators provide personal guidance and resources to patients and their families, helping them move seamlessly through a stressful and often complex healthcare process. Working in partnership with our team of board certified, sub-specialty trained radiologists, the Ohio Valley Breast Center provides patients with the most accurate diagnosis and more timely treatment. Partners: Local Primary Care Physicians, App's and Specialty Surgeons Program: Low dose CT screenings for lung cancer Metrics: Lung and Bronchus cancer was the leading cause of cancer incidence in Clark County in 2016-2020, accounting for 17.5% of cancer cases and 28.0% of cancer deaths. OV Imaging center provided 305 CT lung screenings in 2023 and 409 CT lung screenings in 2024. Intervention Goal: CT lung screening for high-risk people can reduce deaths from lung cancer by 20%. Our goals is to continue to increase screenings each year. Description: In 2016-2020, the cancer incidence rate for all sites/types combined in Clark County was 494.9 per 100,000 population, compared with the Ohio rate of 465.3 per 100,000 and the U.S. rate of 438.7 per 100,000. The 2016-2020 cancer mortality rate in Clark County was 179.9 per 100,000, compared with the Ohio rate of 166.1 per 100,000 and the U.S. rate of 149.4 per 100,000. A low-dose CT scan is recommended for current or former smokers between ages 50-80. Smokers must have 20+ years and former smokers must have quit in the last 15 years. The Ohio Valley Imaging Center uses low-dose CT screening to diagnose early lung cancer, before a person develops symptoms. Lung cancer is the #1 cancer diagnosed in Ohio and the #1 cause of cancer deaths in Ohio. Lung cancer screening may save lives by finding cancer earlier when it may be treated more successfully. LDCT screening is for people at high risk for lung cancer and is the only recommended screening test for the disease. Partners: Local primary care physicians, app's and specialty surgeons. Program: Simple Access Colonoscopies Metrics: 72.0% of Clark County adults 50-75 years old met colon and rectum cancer screening guidelines, compared with 70.2% in Ohio and 70.8% in the U.S.. Ohio Valley Surgical Hospital provided 1,250 screening colonoscopies in 2023 and 1,148 screening colonoscopies in 2024. Intervention Goal: Our goal is to continue to work with local healthcare providers and the community to educate them on the benefits of screening colonoscopies. Description: In response to the recommendation of local primary care physicians, Ohio Valley initiated a process to expedite screening colonoscopies to qualified patients. Our endoscopy coordinator assists patients with scheduling procedures and educating patients about bowel preparation. Colorectal cancer is one of the leading causes of cancer death in Clark County; colonoscopies are the most effective means of prevention, diagnosis, and screening. Partners: Local Primary care physicians, app's and specialty surgeons. Currently, Ohio Valley Surgical Hospital does not offer any community benefit programs that address the following identified health needs: Maternal, Infant and Sexual Health; Mental Health; and Housing and neighborhood stability. The OhioHealth hospital system offers a robust array of services for their patients with regard to maternal, infant and sexual health and mental health. Also, local non-profits as well as the city of Springfield and Clark County provide housing and neighborhood stability services.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c criteria used for determining eligibility for free or discounted care</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE HOSPITAL'S CHARITY CARE PROGRAM, DISCOUNTS ARE PROVIDED AS FOLLOWS WITH RESPECT TO COVERED SERVICES: PATIENTS EARNING UP TO 115% PERCENT OF THE FEDERAL POVERTY GUIDELINES WILL RECEIVE A 100% DISCOUNT, PATIENTS EARNING BETWEEN 116% UP TO 405% PERCENT OF THE FEDERAL POVERTY GUIDELINES WILL RECEIVE DISCOUNTS RANGING BETWEEN 95% AND 5%. FOR INSURED PATIENTS, DISCOUNTS UNDER THIS POLICY ARE APPLIED AGAINST THE REMAINING BALANCE OF CHARGES DUE AFTER REDUCTION FOR AMOUNTS PAID OR ASSUMED BY INSURANCE. FOR UNINSURED PATIENTS, DISCOUNTS ARE APPLIED AGAINST GROSS CHARGES. TO APPLY FOR FINANCIAL ASSISTANCE, A PATIENT OR FAMILY MEMBER MUST COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME MAY BE REQUESTED FROM PATIENTS REQUESTING FINANCIAL ASSISTANCE CONSIDERATION. THIRD-PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. THERE ARE SITUATIONS WHERE INDIVIDUALS MAY NOT HAVE REPORTED INCOME BUT HAVE SIGNIFICANT ASSETS AVAILABLE TO PAY FOR HEALTHCARE SERVICES. IN THESE SITUATIONS, THE HOSPITAL MAY EVALUATE THESE ASSETS AS CASH AVAILABLE TO MEET ESSENTIAL LIVING EXPENSES, WHICH INCLUDES HEALTHCARE EXPENSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IS A COST TO CHARGE RATIO. THE RATIO WAS BASED UPON THE DETAILED CALCULATIONS IN ACCORDANCE WITH THE WORKSHEETS IN THE IRS FORM 990 SCHEDULE H INSTRUCTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>BAD DEBT IS THE COMBINATION OF THE AMOUNT SENT TO COLLECTION AND THE FOLLOWING ESTIMATES: 5% OF CURRENT ACCOUNTS RECEIVABLE, 10% OF ACCOUNTS 31-60 DAYS LATE, 20% OF ACCOUNTS 61-90 DAYS LATE, 75% OF ACCOUNTS 91-120 DAYS LATE, 85% OF ACCOUNTS 121-150 DAYS LATE, 95% OF ACCOUNTS 151-364 DAYS LATE AND 100% OF ACCOUNTS OVER 365 DAYS LATE. ANY AMOUNTS COLLECTED FROM THESE ACCOUNTS ARE CREDITED BACK AGAINST BAD DEBT EXPENSE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>BAD DEBT IS THE COMBINATION OF THE AMOUNT SENT TO COLLECTION AND THE FOLLOWING ESTIMATES: 5% OF CURRENT ACCOUNTS RECEIVABLE, 10% OF ACCOUNTS 31-60 DAYS LATE, 20% OF ACCOUNTS 61-90 DAYS LATE, 75% OF ACCOUNTS 91-120 DAYS LATE, 85% OF ACCOUNTS 121-150 DAYS LATE, 95% OF ACCOUNTS 151-364 DAYS LATE AND 100% OF ACCOUNTS OVER 365 DAYS LATE. ANY AMOUNTS COLLECTED FROM THESE ACCOUNTS ARE CREDITED BACK AGAINST BAD DEBT EXPENSE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF THE COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Ohio Valley Surgical Hospital: Line 16a URL: HTTPS://WWW.OVSURGICAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Ohio Valley Surgical Hospital: Line 16b URL: HTTPS://WWW.OVSURGICAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Ohio Valley Surgical Hospital: Line 16c URL: HTTPS://WWW.OVSURGICAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY SURGICAL HOSPITAL AIMS TO ALIGN ITS PRIORITIES WITH THE TOP COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT (CHA) WHILE PROVIDING SERVICES THAT AID IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, STRUCTURAL AND SYSTEMIC BARRIERS THAT IMPACT THE SURROUNDING COMMUNITY. THE CLARK COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS A RESULT OF COLLABORATIVE COMMUNITY PARTICIPATION. IN ADDITION TO THE CHA/CHIP STEERING COMMITTEE MEMBERS INCLUDING OHIO VALLEY'S MARKET &amp; BRAND STRATEGY DIRECTOR, KRISTIN DAVIS, CONTRIBUTORS INCLUDE MULTIPLE TASK FORCE AND COALITION PARTNERS, AS WELL AS INDIVIDUAL COMMUNITY MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON THE BACK OF OHIO VALLEY SURGICAL HOSPITAL INVOICES, PATIENTS ARE INFORMED ABOUT THE POLICY DURING THE REGISTRATION PROCESS, AND THE POLICY CAN BE FOUND ON THE WEBSITE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS LOCATED IN SPRINGFIELD, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF SPRINGFIELD, AS WELL AS SURROUNDING COMMUNITIES. OHIO VALLEY SURGICAL HOSPITAL'S TOTAL SERVICE AREA POPULATION IS APPROXIMATELY 136,000 PEOPLE. THE MEDIAN HOUSEHOLD INCOME OF CLARK COUNTY IS ALMOST $59,000 PER YEAR, WITH APPROXIMATELY 15.1% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY SURGICAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL SERVICES TO RESIDENTS OF SPRINGFIELD. IN ADDITION TO OFFERING HIGH QUALITY SERVICES AT AFFORDABLE PRICES, OHIO VALLEY WAS APPROVED AS A MEDICARE AND MEDICAID PROVIDER EFFECTIVE JULY 2, 2009, AND CONTINUES TO BE AN ACTIVE PARTICIPANT. OHIO VALLEY ENFORCES A COMPREHENSIVE AND COMPASSIONATE CHARITY CARE POLICY, MEANT TO PROVIDE THE SAME HIGH LEVEL OF SERVICE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. SURGEONS' OFFICES RECEIVE REFERRALS THROUGH THE PRIMARY CARE COMMUNITY AND/OR THE ROCKING HORSE CENTER DIRECTLY; SURGICAL CASES ARE SCHEDULED AT OHIO VALLEY OR OTHER AREA HOSPITALS BASED UPON PATIENTS' CHOICE. OHIO VALLEY BREAST CENTER OFFERS 3D MAMMOGRAPHY TO EVERY PATIENT, EVERY TIME AND WAS THE FIRST HEALTHCARE FACILITY IN THE REGION TO OFFER THIS STATE-OF-THE-ART TECHNOLOGY. OUR NURSE COORDINATORS PROVIDE PERSONAL GUIDANCE AND RESOURCES TO PATIENTS AND THEIR FAMILIES, HELPING THEM MOVE SEAMLESSLY THROUGH A STRESSFUL AND OFTEN COMPLEX HEALTHCARE PROCESS. WORKING IN PARTNERSHIP WITH OUR TEAM OF BOARD CERTIFIED, SUB-SPECIALTY TRAINED RADIOLOGISTS, THE OHIO VALLEY BREAST CENTER PROVIDES PATIENTS WITH THE MOST ACCURATE DIAGNOSIS AND MORE TIMELY TREATMENT. IN RESPONSE TO THE RECOMMENDATION OF LOCAL PRIMARY CARE PHYSICIANS, OHIO VALLEY INITIATED A PROCESS TO EXPEDITE SCREENING COLONOSCOPIES TO QUALIFIED PATIENTS. OUR ENDOSCOPY COORDINATOR ASSISTS PATIENTS WITH SCHEDULING PROCEDURES AND EDUCATING PATIENTS ABOUT BOWEL PREPARATION. THE BENEFITS OF THE SIMPLE ACCESS COLONOSCOPY PROGRAM INCLUDE: PATIENTS RECEIVE A SCREENING COLONOSCOPY AND SKIP THE INCONVENIENCE OF AN INITIAL PHYSICIAN OFFICE VISIT. BY ELIMINATING THIS OFFICE VISIT, THE QUALIFIED PATIENT SAVES TIME AND A CO-PAY. FOR REFERRING PHYSICIANS, THIS PROGRAM ENCOURAGES UNDECIDED PATIENTS TO MOVE FORWARD WITH SCHEDULING THEIR PROCEDURE. COLORECTAL CANCER IS ONE OF THE LEADING CAUSES OF CANCER DEATH IN CLARK COUNTY; COLONOSCOPIES ARE THE MOST EFFECTIVE MEANS OF PREVENTION, DIAGNOSIS AND SCREENING. NO OTHER COLON CANCER SCREENING IS AS THOROUGH AND COMPREHENSIVE. THE OHIO VALLEY IMAGING CENTER USES LOW-DOSE CT (LDCT) SCREENING TO DIAGNOSE EARLY LUNG CANCER, BEFORE A PERSON DEVELOPS SYMPTOMS. LUNG CANCER IS THE #1 CANCER DIAGNOSED IN OHIO AND THE #1 CAUSE OF CANCER DEATHS IN OHIO. LUNG CANCER SCREENINGS MAY SAVE LIVES BY FINDING CANCER EARLIER, WHEN IT MAY BE TREATED MORE SUCCESSFULLY. LDCT SCREENING IS FOR PEOPLE AT HIGH RISK FOR LUNG CANCER AND IS THE ONLY RECOMMENDED SCREENING TEST FOR THE DISEASE. DXA SCANS (BONE DENSITY) ASSIST IN EVALUATING PATIENTS AT RISK FOR OSTEOPOROSIS (BRITTLE, FRAGILE BONES), PROVIDE FOLLOW-UP FOR PATIENTS DIAGNOSED WITH OSTEOPOROSIS AND CALCULATE BODY COMPOSITION FOR PATIENT FITNESS PROGRAMS. OHIO VALLEY OFFERS A COMPREHENSIVE PRE-SURGICAL PATIENT EDUCATION CLASS FOR PATIENTS ABOUT TO UNDERGO TOTAL JOINT REPLACEMENT, SPINE, OR BREAST CANCER SURGERY. THESE PRE-SURGICAL CLASSES HELP PATIENTS UNDERSTAND WHAT CAN BE EXPECTED BEFORE, DURING, AND AFTER THEIR SPINE, JOINT REPLACEMENT (KNEE, HIP, AND SHOULDER) OR BREAST CANCER REMOVAL PROCEDURES. PATIENTS GAIN A BETTER UNDERSTANDING OF THE TOTAL EXPERIENCE BEFORE THEIR SURGERY; WHICH HELPS REDUCE ANXIETY, INCREASES COMFORT LEVELS AND HELPS PATIENTS RECOVER AS QUICKLY AS POSSIBLE. AREA PHYSICIANS CONDUCT FREE COMMUNITY EDUCATION PROGRAMS ON A WIDE VARIETY OF HEALTH TOPICS IN OUR COMMUNITY EDUCATION CENTER, LOCATED IN THE OHIO VALLEY MEDICAL OFFICE BUILDING. OHIO VALLEY PARTICIPATED AND/OR SPONSORED OVER 50 DIFFERENTCOMMUNITY-BASED ORGANIZATIONS SINCE OPENING. THESE ORGANIZATIONS ARE DEDICATED TO THE ARTS, EDUCATION, HEALTH, ECONOMIC EXPANSION, AND OTHERS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>ON DECEMBER 20, 2024, OHIOHEALTH CORPORATION BECAME THE SOLE MEMBER OF CLARK COUNTY HOSPITAL SERVICES. OHIOHEALTH CORPORATION IS AN OHIO NON-PROFIT CORPORATION.</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>441080</TotalCompensationRltdOrgsAmt>
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        <PersonNm>Markovich Stephen E MD</PersonNm>
        <TitleTxt>CEO/President/Board (START 12/20/2024)</TitleTxt>
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        <PersonNm>McWhorter John</PersonNm>
        <TitleTxt>SR. VP AND COO (START 12/20/2024)</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4A: SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM OHIOHEALTH. NO SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ELIGIBLE EXECUTIVES LISTED IN THE FORM 990, PART VII PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED PLAN. THESE ARRANGEMENTS ARE AN INDUSTRY STANDARD AND ARE UNFUNDED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE OFFICERS WILL EVER RECEIVE THESE BENEFITS. AMOUNTS FOR THESE ARRANGEMENTS ARE INCLUDED IN THE DEFERRED COMPENSATION AMOUNT. NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PARENT CORPORATION (A RELATED ORGANIZATION) USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT FOR CLARK COUNTY HOSPITAL SERVICES. - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>ON DECEMBER 20, 2024, OHIOHEALTH CORPORATION BECAME THE SOLE MEMBER OF CLARK COUNTY HOSPITAL SERVICES. THE CODE AND REGULATIONS OF CLARK COUNTY HOSPITAL SERVICES WAS AMENDED TO REFLECT THIS CHANGE OF OWNERSHIP, INCLUDING BUT NOT LIMITED TO: - CHANGES TO THE COMPOSITION OF THE BOARD TO INCLUDE ONLY OHIOHEALTH MEMBERS - CHANGES TO THE POLICIES AND PROCEDURES TO REFLECT OHIOHEALTH POLICIES AND PROCEDURES - CHANGES TO THE MISSION TO INCLUDE ONLY OHIOHEALTH AS THE SOLE MEMBER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>CLARK COUNTY HOSPITAL SERVICES CORPORATION HAS ONE CORPORATE MEMBER: OHIOHEALTH CORPORATION, AN OHIO NON-PROFIT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH CORPORATION SHALL APPOINT DIRECTORS TO SERVE ON THE BOARD OF DIRECTORS, IN ACCORDANCE WITH THE CODE OF REGULATIONS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>A MEMBER MAY REMOVE ANY DIRECTOR APPOINTED BY THAT MEMBER, WITH OR WITHOUT CAUSE, AT ANY TIME. THE BOARD SHALL NOT HAVE THE AUTHORITY TO REMOVE A DIRECTOR. THE MEMBER SHALL HAVE POWER TO MAKE ALTER, AMEND OR RESCIND THE CODE OF REGULATIONS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</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, 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. 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>POTENTIAL CONFLICTS OF INTERESTS ARE REPORTED TO THE BOARD OF DIRECTORS FOR REVIEW. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE WILL LEAVE THE MEETING DURING THE DISCUSSION AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Contributions - 2068661; Redemptions - 189758; Total - 2258419;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Lines 15A AND 15B PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATIONS OF CLARK COUNTY HOSPITAL SERVICES CORPORATION'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS ARE MADE BY OHIOHEALTH CORPORATION, A RELATED ORGANIZATION OF CLARK COUNTY HOSPITAL SERVICES CORPORATION. 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 2024, AND THE NEXT MEETING TO BE HELD IN MAY 2025. 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>
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          <BusinessNameLine1Txt>Hardin Memorial Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>OhioHealth Physician Group Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HomeReach</BusinessNameLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
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        <EIN>311206071</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH CORPORATION</BusinessNameLine1Txt>
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          <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</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>5005 PARKCENTER AVE</AddressLine1Txt>
          <CityNm>DUBLIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43017</ZIPCd>
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        <EIN>272103713</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Executive Imaging LLC</BusinessNameLine1Txt>
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          <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>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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          <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 (OHRH LLC)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <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>
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          <AddressLine1Txt>801 OhioHealth Blvd</AddressLine1Txt>
          <CityNm>Delaware</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>201547399</EIN>
        <PrimaryActivitiesTxt>Physician Practice</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Polaris Surgery Center LLC</BusinessNameLine1Txt>
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        <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>
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        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
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        <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>Surgery Centers of Ohio LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>340 Seven Springs Way</AddressLine1Txt>
          <AddressLine2Txt>Suite 600</AddressLine2Txt>
          <CityNm>Brentwood</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</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 LTD</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>
      <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>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>New Horizons Surgery Center</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1167 Independence Ave</AddressLine1Txt>
          <CityNm>Marion</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43302</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OH Independent Medical Group LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>950 N Glebe Rd Ste 700</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22203</ZIPCd>
        </USAddress>
        <EIN>883225113</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Compassus OhioHealth Holdings LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>993335276</EIN>
        <PrimaryActivitiesTxt>Hospice Holdings</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Ohio Valley Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 W Main Street</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45502</ZIPCd>
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        <EIN>205882991</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CLARK COUNTY HOSPITAL SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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        <UBICodeVAmt>0</UBICodeVAmt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY CARE SYSTEMS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
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        <EIN>341783212</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
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        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
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        <RelatedOrganizationName>
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        <EIN>981288216</EIN>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OhioHealth Star Corporation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY HEALTH INSURING CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY INSURANCE COMPANY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
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          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
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          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
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          <BusinessNameLine1Txt>Ohio Valley Medical Center LLC</BusinessNameLine1Txt>
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</Return>