<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-05-13T16:50:30-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>381357951</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>PLANTE &amp; MORAN PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>250 S HIGH ST SUITE 100</AddressLine1Txt>
        <CityNm>COLUMBUS</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43215</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>310678022</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SOUT</BusinessNameControlTxt>
      <PhoneNum>7403567622</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1248 KINNEYS LANE</AddressLine1Txt>
        <CityNm>PORTSMOUTH</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>45662</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KARA PLUMMER</PersonNm>
      <PersonTitleTxt>VP OF FINANCE &amp; CFO</PersonTitleTxt>
      <PhoneNum>7403567622</PhoneNum>
      <SignatureDt>2024-05-13</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>KARA</PersonFirstNm>
        <PersonLastNm>PLUMMER</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>AMY CIMINELLO</PreparerPersonNm>
      <PTIN>P00796388</PTIN>
      <PhoneNum>6148493000</PhoneNum>
      <PreparationDt>2024-05-13</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>SEE SCHEDULE O</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>BENJAMIN GILL</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1805 27TH STREET</AddressLine1Txt>
        <CityNm>PORTSMOUTH</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>45662</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>573175871</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.SOMC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1954</FormationYr>
      <LegalDomicileStateCd>OH</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SOUTHERN OHIO MEDICAL CENTER IS AN ACUTE HEALTH CARE SYSTEM LOCATED IN PORTSMOUTH, OHIO. SOMC'S EXEMPT PURPOSE IS TO SERVE SOUTH CENTRAL OHIO AND NORTHEASTERN KENTUCKY WITH STATE-OF-THE-ART FACILITIES AND HEALTH CARE TECHNOLOGIES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>13</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>3744</TotalEmployeeCnt>
      <TotalVolunteersCnt>371</TotalVolunteersCnt>
      <TotalGrossUBIAmt>372274</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>99593</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>15059892</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>9921140</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>454196343</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>447182459</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>34377373</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>3788424</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>42467751</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>59114744</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>546101359</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>520006767</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>159933</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>177872</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>218577629</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>224727984</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>279286</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>246632777</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>238468365</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>465370339</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>463374221</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>80731020</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>56632546</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>600130895</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>590584719</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>210079667</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>189173456</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>390051228</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>401411263</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>AT SOMC, OUR MISSION IS TO MAKE A DIFFERENCE. WE STRIVE TO LIVE OUT THAT MISSION BY PROVIDING OUR REGION WITH THE HIGHEST QUALITY OF CARE, DELIVERED BY PROFESSIONALS WHO ARE AMONG THE BEST IN THEIR FIELDS. WE EXTEND THAT CARE AND PASSION TO MAKE A DIFFERENCE IN THE COMMUNITY BY BEING A VERY GOOD NEIGHBOR, EMPLOYER, AND COMMUNITY SUPPORTER.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>361816605</ExpenseAmt>
      <GrantAmt>177872</GrantAmt>
      <RevenueAmt>503738132</RevenueAmt>
      <Desc>SOUTHERN OHIO MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES AND IS INVOLVED IN VARIOUS PROGRAMS AND ACTIVITIES THROUGHOUT THE AREA. COMMUNITY IS WHAT DRIVES SOMC TO ACHIEVE EXCELLENCE IN HEALTHCARE AND TO MAKE A DIFFERENCE IN THE LIVES OF THOSE AROUND US. THE ECONOMIC, EDUCATIONAL, RECREATIONAL AND CULTURAL ACTIVITIES OF THE LOCAL AREA SHOW THE WIDE SWEEP OF SOMC'S COMMUNITY INVOLVEMENT AND THEIR EFFORTS TO BUILD AND MAINTAIN STRONG RELATIONSHIPS. ALL PATIENTS ARE TREATED REGUARDLESS OF THEIR ABILITY TO PAY.IT'S THROUGH THESE RELATIONSHIPS THAT SOMC HAS BEEN RECOGNIZED FOR MANY OUTSTANDING ACCOMPLISHMENTS, RECEIVING SUCH NOTABLE HONORS AS ANCC'S MAGNET RECOGNITION, OSHA'S VPP STAR STATUS, PRESS GANEY'S DISTINCTIVE WORKPLACE AWARD, AS WELL AS BEING NAMED ONE OF FORTUNE'S 100 BEST COMPANIES TO WORK FOR. KEY DECISIONS MADE AT SOMC ARE GUIDED BY FIVE STRATEGIC VALUES: SAFETY, QUALITY, SERVICE, TEAMWORK AND FINANCE. RELATIONSHIPS SHAPE MANY FACETS OF CUSTOMER SERVICE AND THE CARE THAT IS PROVIDED WITHIN THE HOSPITAL. IT IS THE HOSPITAL'S GOAL TO LISTEN AND PARTNER WITH CUSTOMERS TO MAKE A DIFFERENCE TO THOSE WE SERVE. ADDITIONAL FEEDBACK IS ALSO GATHERED THROUGH FOCUS GROUPS CONDUCTED BY THE SOMC COMMUNITY RELATIONS DEPARTMENT, AS WELL AS THE SOMC EXECUTIVE TEAM'S "OPEN DOOR POLICY," WHICH BOTH PROVIDE THE OPPORTUNITY TO GATHER INFORMATION AND SUGGESTIONS TO IMPROVE HOSPITAL SERVICES AND UNDERSTAND TECHNOLOGICAL NEEDS. SOMC PARTNERS WITH THE NATIONAL RESEARCH CORPORATION (NRC) TO PROVIDE TRANSITIONAL CARE SUPPORT FOLLOWING ACUTE AND AMBULATORY ENCOUNTERS. NRC'S CONNECT CARE TRANSITIONS PLATFORM PERFORMS POST-DISCHARGE CALL-BACKS, LEVERAGING AUTOMATED OUTREACH TO CONTACT PATIENTS IN THE CRITICAL TIMEFRAME OF 24-72 HOURS AFTER LEAVING OUR FACILITY. THE NATURAL VOICE RECOGNITION FOLLOW-UP CALL SEEKS OUT OPPORTUNITIES TO IMPROVE THE PATIENT EXPERIENCE THROUGH ADDRESSING ANY REMAINING SERVICE CONCERNS OR CLINICAL QUESTIONS AFTER DISCHARGE. ANY CONCERNS IDENTIFIED TRIGGER AN ALERT FROM THE CARE TRANSITIONS SOLUTION TO AN RN MEMBER OF OUR CLINICAL CASE MANGER TEAM WHO PERSONALLY RETURNS A CALL FOR RESOLUTION OR TRIAGING. CALL PROMPTS ADDRESS KEY ISSUES AFTER DISCHARGE SUCH AS PRESCRIPTIONS, FOLLOW-UP APPOINTMENTS, DISCHARGE INSTRUCTIONS, WORSENING HEALTH STATUS, SERVICE CONCERNS, POST-PROCEDURAL PAIN, ETC. THE CONNECT PROGRAM IMPACTS SOMC'S STRATEGIC VALUES BY REDUCING READMISSIONS, IMPROVING PATIENT EXPERIENCE AND PERCEPTIONS OF CARE, AND IMPROVING QUALITY AND SAFETY OUTCOMES. AS A FUNCTION OF THE CLINICAL CASE MANAGEMENT DEPARTMENT, CONNECT SERVES TO IMPROVE CLINICAL INTEGRATION BY BRIDGING THE GAPS BETWEEN ACUTE, EMERGENT, AND PROCEDURAL SETTINGS AND THE PATIENT'S HOME ENVIRONMENT.SOMC ESTABLISHES WORKING RELATIONSHIPS WITH ORGANIZATIONS THROUGHOUT THE TRI-STATE AREA TO FOCUS ON THE HEALTH AND WELLNESS OF THE COMMUNITY. SOMC AND ITS EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY-BASED ORGANIZATIONS INCLUDING THE SCIOTO COUNTY HEALTH COALITION, THE PORTSMOUTH AREA CHAMBER OF COMMERCE, ROTARY CLUB, SOUTHERN OHIO PERFORMING ARTS ASSOCIATION, THE PORTSMOUTH AREA ARTS COUNCIL, LITERACY PROGRAMS, SCHOOL BOARDS, COMMITTEES AND CHURCHES. OTHER PARTICIPATORY PROGRAMS INCLUDE LOCAL LITTLE LEAGUE GROUPS, LEADERSHIP PORTSMOUTH, TASK FORCE ON DOMESTIC VIOLENCE, PORTSMOUTH KIWANIS SERVICE CLUB, SCIOTO RESIDENTIAL SERVICES BOARD, PARAMEDIC ADVISORY BOARD, SALVATION ARMY, HABITAT FOR HUMANITY AND CHOICE HOUSING FOR THE DEVELOPMENTALLY DISABLED. SOMC ALSO MAINTAINS CLOSE RELATIONSHIPS WITH SOUTHERN OHIO CORRECTIONAL FACILITY MINISTRIES, ARTHRITIS FOUNDATION, MEDICAL RESERVE CORP, PARISH NURSE NETWORK, SOUTHERN OHIO DIABETES COALITION, PORTSMOUTH BICENTENNIAL BOARD, THE SHAWNEE STATE UNIVERSITY BOARD AND THE SOUTHERN OHIO CORRECTIONAL FACILITY COMMUNITY ADVISORY BOARD. SOMC HAS OPENED 6 PHARMACY TO SERVE THE PUBLIC. THEY ARE LOCATED IN WHEELERSBURG, SOUTH CAMPUS, MAIN CAMPUS, VANCEBURG, WEST UNION AND OUR RETAIL PHARMACY AT THE MAIN CAMPUS. THIS ENABLE US TO SERVE OUR PATIENTS MORE EFFICIENTLY AND QUICKER, WE HAVE A MEDS TO BEDS PROGRAM WHICH BRINGS PATIENTS NEED MEDS TO THIS ROOM UPON RELEASE SO THEY DON'T HAVE TO MAKE STOPS ONCE THE LEAVE THE HOSPITAL. WE HAVE WALK IN CLINIC AT THE SOME LOCATION AS THE PHARMACIES WHICH ENABLES PATIENTS TO RECEIVE TREATMENT FROM 8 AM TO 8 PM AND THEN PICKUP ANY PRESCRIPTIONS PRESCRIBED AT THE SAME LOCATION BEFORE THEY LEAVE. MANY BENEFITS ARE CREATED THROUGH THESE PARTNERSHIPS INCLUDING SPONSORSHIPS FOR CULTURAL AFFAIRS, COMMUNITY HEALTH AND WELLNESS PROGRAMS, HEALTH SCREENINGS, EDUCATION, CHILDREN'S PROGRAMS AND YOUTH ACTIVITIES. ONE SUCH COLLABORATIVE EFFORT ALLOWS SOMC TO PROVIDE ADULT IMMUNIZATIONS FOR INFLUENZA, PNEUMONIA AND HEPATITIS B TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. THE HOSPITAL OFTEN DONATES USED EQUIPMENT TO LOCAL SCHOOLS. NURSES AND PHYSICIANS VOLUNTEER THEIR TIME AND EFFORT TO TRAVEL AROUND THE SOMC REGION AND TO THIRD-WORLD COUNTRIES TO PROVIDE SERVICES FREE OF CHARGE OR AT A REDUCED RATE TO POPULATIONS WHO GREATLY BENEFIT FROM THEIR ANNUAL VISITS. SOMC MEDICAL CARE FOUNDATION IS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES FOR THE BENEFIT OF SOMC, AN OHIO NON-PROFIT CORPORATION INCLUDING (A) PROVIDING MEDICAL, SURGICAL AND OTHER HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED, REGARDLESS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, HANDICAP, SEX, OR THE ABILITY TO PAY FOR SERVICES; (B) CONDUCTING EDUCATIONAL ACTIVITIES RELATED TO HEALTHCARE AND TREATMENT OF THE SICK, DISABLED, INJURED AND TO PROMOTE AND CARRY ON MEDICAL, SCIENTIFIC AND CLINICAL RESEARCH RELATED TO HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED; AND (C) ENGAGING IN ANY LAWFUL ACTIVITIES FOR WHICH CORPORATIONS MAY BE FORMED UNDER CHAPTER 1785 OF THE OHIO REVISED CODE THAT ARE NOT CONSISTENT WITH THE FOREGOING.OUR COMMUNITY RELATIONS DEPARTMENT POSTED SEVERAL ARTICLES ON FACEBOOK AND OTHER SOCIAL MEDIA INFORMING THE PUBLIC OF WAYS TO STAY SAFE. THEY HAVE A WEEKLY SPOT ON LOCAL RADIO TO EDUCATE OUR COMMJNITY ON INFORMATION PERTAINING TO CANCER, DIABETES AND MANY OTHER MEDICAL ISSUES PREVILANT IN OUR LOCAL AREA AND OFFER INFO ON SERVICES PROVIDED BY SOMC FOR DETECTION AND TREATMENT OF SAID ISSUES. WE ALSO HAVE SPOT ON WSAZ TO EDUCATE THE TRISTATE AREA ON THIS SAME ISSUES. SOMC DEVELOPMENT FOUNDATION RENDERS SERVICES TO SOUTHERN OHIO MEDICAL CENTER OF PORTSMOUTH, OHIO AND ITS PATIENTS AND ASSISTS THE HOSPITAL IN PROMOTING HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH THE OBJECTIVES ESTABLISHED BY THE GOVERNING BOARD OF TRUSTEES OF SOUTHERN OHIO MEDICAL CENTER. IN ADDITION, SOMC DEVELOPMENT FOUNDATION CREATES, RECEIVES AND MAINTAINS A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY OR BOTH, TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THEREFROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR THE USE AND BENEFIT OF SOUTHERN OHIO MEDICAL CENTER.DUE TO THE LIFE CHANGING EXPERIENCES EVERYONE HAS SUFFERED THROUGH THIS YEAR, SOMC DECIDED TO CONDUCT A TARGETED NEEDS ASSESSMENT IN THE SCHOOLS INSTEAD OF THE COAT DRIVE. THE NEEDS ASSESSMENT REACHED OUT TO 15 LOCAL AREA SCHOOLS IN OUR SURROUNDING COMMUNITIES. THE RESULTS SHOWED THAT THE SCHOOL KIDS NEEDED A VARIETY OF THINGS SUCH AS SOCKS, SHOES, SCHOOL SUPPLIES, HAND SANITIZER, AND EVEN PILLOWS. AFTER REVIEW OF THE DATA, SOMC DECIDED TO GRANT EACH SCHOOL FUNDING TO BE USED FOR SPECIFIC NEEDS OF THE CHILDREN. THE FUNDS ARE PROVIDED BY THE SOMC COMMUNITY HEALTH &amp; WELLNESS FUND. THIS FUND IS DESIGNED TO OFFER SUPPORT TO PROJECTS THAT WILL POSITIVELY AFFECT THE HEALTH AND WELLNESS OF THOSE LIVING AND WORKING IN OUR COMMUNITY. THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT ALSO ACTIVELY SEEKS GRANTS THAT CAN BE USED TOWARD SPECIFIC COMMUNITY-WIDE PROGRAMS. THE SUSAN G. KOMEN GRANT FOR THE HANDS OF HOPE PROGRAM PROVIDES FREE OR REDUCED FEE EDUCATION, SCREENINGS AND MAMMOGRAMS TO PROMOTE EARLY DETECTION OF BREAST DISEASE. IT LINKS BREAST CANCER PATIENTS TO RESOURCES AFTER BREAST CANCER TREATMENT. SOMC IS DEDICATED TO EDUCATING ITS APPALACHIAN COMMUNITY ON SELF-BREAST EXAMS PROVIDING CLINICAL BREAST SERVICES AND DIAGNOSTIC TESTING, WITH A FOCUS ON YEARLY MAMMOGRAMS. FOR EXAMPLE, OCTOBER IS ANNUALLY KNOWN AS BREAST CANCER AWARENESS MONTH AND OFTEN FEATURES MANY PROGRAMS, SCREENINGS, COMMERCIALS, FLYERS AND ACTIVITIES THAT FOCUS SPECIFICALLY ON THAT TOPIC AND ITS EDUCATION.</Desc>
      <TotalProgramServiceExpensesAmt>361816605</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>0</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>1</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">1</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>194</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>3744</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>13</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>MELANIA COX</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7403567072</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1248 KINNEYS LANE</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMIAH MARTIN MD</PersonNm>
        <TitleTxt>DIRECTOR-CHIEF OF STAFF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.10</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1054873</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34166</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN GILL</PersonNm>
        <TitleTxt>DIRECTOR-PRESIDENT &amp; CEO-SOMC</TitleTxt>
        <AverageHoursPerWeekRt>42.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>692806</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>199139</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH HERRMAN DO</PersonNm>
        <TitleTxt>DIRECTOR-CHIEF OF STAFF ELECT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>770654</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>65987</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENDALL L STEWART MD</PersonNm>
        <TitleTxt>VP OF MEDICAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>651578</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>83483</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIE SAAB MD</PersonNm>
        <TitleTxt>DIRECTOR-CRITICAL CARE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>671195</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54395</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDIA BURCHETT</PersonNm>
        <TitleTxt>VP OF PATIENT SERVICES/CNO</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>433412</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>74396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEAN WRAY</PersonNm>
        <TitleTxt>TEMP VP CONSULTANT - PART YEAR</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.10</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>467317</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39956</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARA PLUMMER</PersonNm>
        <TitleTxt>VP OF FINANCE &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>42.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>355971</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>105735</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI NOEL</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES/ORG DEVLOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>323620</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>129664</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGHAN MAULT</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>337534</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13729</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RORY PHILLIPS</PersonNm>
        <TitleTxt>ADM DIR OF COMMUNITY RELATIONS AND DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>260631</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56344</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARLEY EBLIN JR</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>264356</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45910</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE DECAMP</PersonNm>
        <TitleTxt>VP OF CLINICAL INTEGRATION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>260405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39665</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON DONAHOE</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>242488</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL FOIT</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>234663</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14061</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT DEVER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY DUZAN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE LAWSON</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDALL ARNETT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN CONLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID FOWLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS REISER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BECKY THEIL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4524781</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2496722</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>967630</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>307</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KINDRED HOSPITAL REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>330 SEVENS SPRING WAY</AddressLine1Txt>
            <CityNm>BRENTWOOD</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>27027</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION SERVICES</ServicesDesc>
        <CompensationAmt>7658363</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APOGEE MEDICAL MGMT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15059 N SCOTTSDALE RD</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>6787670</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRELLIS RX LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1180 W PEACHTREE ST</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
        <CompensationAmt>6076168</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DANIS BUILDING CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3233 NEWMARK DR</AddressLine1Txt>
            <CityNm>MIAMISBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45342</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>2747223</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WAI CONSTRUCTION GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1571 SHYVILLE RD</AddressLine1Txt>
            <CityNm>PIKETON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45661</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>1655281</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>58</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>93149</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9815163</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>12828</AllOtherContributionsAmt>
      <TotalContributionsAmt>9921140</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>438116858</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>438116858</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>8028379</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8028379</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LIFE CENTER</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>1037222</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1037222</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>447182459</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3064429</TotalRevenueColumnAmt>
        <ExclusionAmt>3064429</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>21262</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>32444</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-11182</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-11182</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-11182</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>53820926</SecuritiesAmt>
        <OtherAmt>39729</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>53087325</SecuritiesAmt>
        <OtherAmt>49335</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>733601</SecuritiesAmt>
        <OtherAmt>-9606</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>723995</TotalRevenueColumnAmt>
        <ExclusionAmt>723995</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>RETAIL PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>55842179</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55458723</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>383456</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>2057382</TotalRevenueColumnAmt>
        <ExclusionAmt>2057382</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GIFT SHOP REVENUE</Desc>
        <BusinessCd>459420</BusinessCd>
        <TotalRevenueColumnAmt>111540</TotalRevenueColumnAmt>
        <ExclusionAmt>111540</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1114825</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1096950</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>17875</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>59125926</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>520006767</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>503738132</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>372274</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5975221</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>177872</TotalAmt>
        <ProgramServicesAmt>177872</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4591130</TotalAmt>
        <ManagementAndGeneralAmt>4591130</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>157258686</TotalAmt>
        <ProgramServicesAmt>122643771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34415402</ManagementAndGeneralAmt>
        <FundraisingAmt>199513</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>4874923</TotalAmt>
        <ProgramServicesAmt>3801882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1066856</ManagementAndGeneralAmt>
        <FundraisingAmt>6185</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>46053536</TotalAmt>
        <ProgramServicesAmt>35916485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10078623</ManagementAndGeneralAmt>
        <FundraisingAmt>58428</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>11949709</TotalAmt>
        <ProgramServicesAmt>9319405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2615144</ManagementAndGeneralAmt>
        <FundraisingAmt>15160</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>3965458</TotalAmt>
        <ProgramServicesAmt>2565632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1399826</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>156466</TotalAmt>
        <ManagementAndGeneralAmt>156466</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>1459191</TotalAmt>
        <ManagementAndGeneralAmt>1459191</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>25036568</TotalAmt>
        <ProgramServicesAmt>16198537</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8838031</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>814312</TotalAmt>
        <ProgramServicesAmt>771977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42335</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>8984716</TotalAmt>
        <ProgramServicesAmt>8517609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>467107</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2527383</TotalAmt>
        <ProgramServicesAmt>2395987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131396</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>23352797</TotalAmt>
        <ProgramServicesAmt>22138706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1214091</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>624767</TotalAmt>
        <ProgramServicesAmt>592286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32481</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1106004</TotalAmt>
        <ProgramServicesAmt>1048504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57500</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4996368</TotalAmt>
        <ManagementAndGeneralAmt>4996368</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>16555156</TotalAmt>
        <ProgramServicesAmt>5865153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10690003</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2124985</TotalAmt>
        <ManagementAndGeneralAmt>2124985</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY SUPPLIES/DRUGS</Desc>
        <TotalAmt>66297984</TotalAmt>
        <ProgramServicesAmt>62851211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3446773</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>54979551</TotalAmt>
        <ProgramServicesAmt>52207014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2772537</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>14804574</TotalAmt>
        <ProgramServicesAmt>14804574</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OHIO FRANCHISE TAX</Desc>
        <TotalAmt>10682085</TotalAmt>
        <ManagementAndGeneralAmt>10682085</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>463374221</TotalAmt>
        <ProgramServicesAmt>361816605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101278330</ManagementAndGeneralAmt>
        <FundraisingAmt>279286</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2128404</BOYAmt>
        <EOYAmt>1547678</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>19536214</BOYAmt>
        <EOYAmt>27346667</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>70689236</BOYAmt>
        <EOYAmt>70008009</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>9402735</BOYAmt>
        <EOYAmt>11007517</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>4750870</BOYAmt>
        <EOYAmt>5106823</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>426179388</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>285150235</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>143418164</BOYAmt>
        <EOYAmt>141029153</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>326489197</BOYAmt>
        <EOYAmt>312670187</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>4006460</BOYAmt>
        <EOYAmt>4645983</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>19709615</BOYAmt>
        <EOYAmt>17222702</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>600130895</BOYAmt>
        <EOYAmt>590584719</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>54853432</BOYAmt>
        <EOYAmt>41994244</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>123286720</BOYAmt>
        <EOYAmt>115469952</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>31939515</BOYAmt>
        <EOYAmt>31709260</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>210079667</BOYAmt>
        <EOYAmt>189173456</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>390051228</BOYAmt>
        <EOYAmt>401411263</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>390051228</BOYAmt>
        <EOYAmt>401411263</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>600130895</BOYAmt>
        <EOYAmt>590584719</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>56632546</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>19913095</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-65185606</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>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>12111</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>12111</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP DUES IN THE AMOUNT OF $155,398 PAID TO THE OHIO HOSPITAL ASSOCIATION. OF THESE DUES, $8,547 WAS RELATED TO LOBBYING ACTIVITIES (5.5%) AND A TRIP BY RORY PHILLIPS TO WASHINGTON AT A COST OF $3,564 (2.293%).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>6124865</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6124865</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>82979600</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>43631750</DepreciationAmt>
        <BookValueAmt>39347850</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1004753</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>303506</DepreciationAmt>
        <BookValueAmt>701247</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>143044242</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>105987851</DepreciationAmt>
        <BookValueAmt>37056391</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>193025928</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>135227128</DepreciationAmt>
        <BookValueAmt>57798800</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>141029153</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>COST REPORT SETTLEMENT</Desc>
        <Amt>1968562</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION LIABILITY</Desc>
        <Amt>12766470</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SELF-INSURED LIABILITY</Desc>
        <Amt>2281469</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CERP DEFERRED COMP LIABILITY</Desc>
        <Amt>3154866</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>BOND ISSUANCE COSTS</Desc>
        <Amt>5946561</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG TERM LIABILITIES</Desc>
        <Amt>5591332</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>31709260</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>7728</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>7760757</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4040570</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3720187</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00830</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>173689</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>88985513</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>79982662</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9002851</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02010</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>181417</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>96746270</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>84023232</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12723038</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02840</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <PersonsServedCnt>51315</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>149536</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>149536</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>55926717</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>55926717</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12470</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <PersonsServedCnt>51315</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>56076253</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>56076253</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12500</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <PersonsServedCnt>232732</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>152822523</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>84023232</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>68799291</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15340</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>14804574</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>78193989</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>84673105</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-6479116</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1805 27TH STREET</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</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>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://TINYURL.COM/2XH7XSUK</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://TINYURL.COM/2XH7XSUK</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.SOMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.SOMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.SOMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHERN OHIO MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: IN JANUARY 2021, SOUTHERN OHIO MEDICAL CENTER BEGAN PLANNING THE COMMUNITY HEALTH NEEDS ASSESSMENT TO COMPLY WITH ACCREDITATION STANDARDS. SOMC'S COMMUNITY HEALTH AND WELLNESS TEAM ASSISTED WITH THE PLANNING AND IMPLEMENTATION OF THE ASSESSMENT. SOMC ALSO MET WITH OTHER STAKEHOLDERS IN THE COMMUNITY INCLUDING KING'S DAUGHTER'S MEDICAL CENTER, KDMC OHIO, PORTSMOUTH CITY HEALTH DEPARTMENT, AND THE SCIOTO CO HEALTH DEPARTMENT TO DISCUSS COLLABORATION.THE COMMUNITY HEALTH AND WELLNESS TEAM SOUGHT THIRD-PARTY ASSISTANCE TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TWO DIFFERENT LEADING AGENCIES WERE INTERVIEWED UNDER SET CRITERIA IDENTIFIED BY THE COMMUNITY HEALTH TEAM. A MATRIX WAS CONSTRUCTED TO COMPARE AGENCIES. BASED FROM INTERVIEW FINDINGS, QUOTES AND PROPOSALS, PROFESSIONAL RESOURCE CONSULTANTS (PRC) WAS SELECTED AS THE VENDOR AND A CONTRACT WAS SIGNED. SURVEY PREPARATION PROCEEDED WITH PRC. IN OCTOBER, 2021, PRC BEGAN SURVEYING THE COMMUNITY. FINAL SURVEYS WERE COMPLETED IN NOVEMBER 2021. PRC COMPLETED DATA COMPILATION AND DELIVERED THE FINAL REPORT TO SOMC IN DECEMBER 2021.THE ASSESSMENT INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDED PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOWED FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDED PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. UPON REVIEW OF DATA, A PRELIMINARY PLAN WAS DEVELOPED BY KEY SOMC STAKEHOLDERS. THE FINDINGS AND PRELIMINARY PLAN WAS PRESENTED TO THE COMMUNITY OUTREACH LEADERSHIP TEAM AND THE EXTERNAL STEERING COMMITTEE FOR FEEDBACK AND REVISION. THE IMPLEMENTATION PLAN WAS THEN PRESENTED TO THE SOMC BOARD OF DIRECTORS FOR FURTHER REFINEMENT AND FINAL PLAN APPROVAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SOMC; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED REPRESENTATIVES OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 63 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE ONLINE KEY INFORMANT SURVEY. FINAL PARTICIPATION INCLUDED REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS:- ADAMS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- AREA AGENCY ON AGING, DISTRICT 7- BELTONE- CAO OF SCIOTO COUNTY- CAO SCIOTO COUNTY HEAD START AND EARLY HEAD START- CLAY LOCAL SCHOOL DISTRICT- COMMUNITY ACTION ORG WOMEN, INFANT AND CHILD PROGRAM- COMPASS COMMUNITY HEALTH- GLOCKNER ENTERPRISES- MINFORD LOCAL SCHOOL DISTRICT- MONEY CONCEPTS CAPITAL FINANCIAL PLANNING- PORTSMOUTH AREA CHAMBER OF COMMERCE- PORTSMOUTH CITY HEALTH DEPARTMENT- PORTSMOUTH CITY HEALTH DEPARTMENT PREVENTION DIVISION- PORTSMOUTH CITY SCHOOLS- PORTSMOUTH-SCIOTO COUNTY VISITORS BUREAU- SCHMIDT FAMILY RESTAURANT GROUP- SCIOTO COUNTY CAREER TECHNICAL CENTER- SCIOTO COUNTY CAREER TECHNICAL CENTER HEALTH PROGRAMS- SCIOTO COUNTY EMERGENCY MANAGEMENT AGENCY- SCIOTO COUNTY HEALTH DEPARTMENT- SCIOTO FOUNDATION- SCIOTO TECH- SHAWNEE STATE UNIVERSITY- SOMC GREENUP FAMILY PRACTICE- SOMC VANCEBURG FAMILY PRACTICE- SOUTHEASTERN OHIO LEGAL SERVICES- SOUTHERN OHIO MEDICAL CENTER- STAR, INC.- THE PAVILION AT PIKETON- THE POTTER'S HOUSE MINISTRIES, INC.- UNITED SCIOTO SENIOR ACTIVITIES, INC.- WESTERN LOCAL SCHOOL DISTRICT- WHEELERSBURG LOCAL SCHOOLSMINORITY POPULATIONS REPRESENTED THROUGH THE KEY INFORMANT SURVEY:- AFRICAN AMERICAN, APPALACHIAN, ARABIC, ASIAN, CHILDREN (INCLUDING DRUG-ADDICTED INFANTS), DISABLED, FILIPINO, HISPANIC, LGBT, LOW INCOME, MENTALLY ILL, NATIVE AMERICAN, NON-ENGLISH SPEAKINGMEDICALLY UNDERSERVED POPULATIONS REPRESENTED THROUGH THE KEY INFORMANT SURVEY:- CANCER PATIENTS, CHILDREN, DISABLED, ELDERLY, HIGH SCHOOL STUDENTS, HISPANIC, HOMELESS, LGBT, LOW FUNCTIONING, LOW INCOME, MEDICARE/MEDICAID, MENTALLY ILL, SUBSTANCE ABUSERS, TEEN SMOKERS, UNDERINSURED/UNINSURED, VETERANS, WOMEN, YOUNG ADULTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHERN OHIO MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: SOUTHERN OHIO MEDICAL CENTER'S CHNA WAS CONDUCTED WITH:-PORTSMOUTH CITY HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHERN OHIO MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: -KING'S DAUGHTER MEDICAL CENTER-OHIO</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHERN OHIO MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: SOMC IS REPRESENTED ON MULTIPLE BOARDS AND AGENCIES WITHIN OUR COMMUNITY AND MARKET SHARE. THE CHNA RESULTS WERE AVAILABLE TO ALL OF THOSE AGENCIES, ALONG WITH OUR BOARD OF DIRECTORS, THE CITY AND COUNTY HEALTH DEPARTMENTS AND KINGS DAUGHTER MEDICAL CENTER-OHIO AND POSTED ON OUR EXTERNAL WEBSITE WWW.SOMC.ORG.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SOUTHERN OHIO MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: SOMC REVIEWED DATA GATHERED FROM TELEPHONE SURVEYS, ONLINE KEY INFORMANT SURVEYS AS WELL AS FOCUS GROUPS. IN ORDER TO PRIORITIZE HEALTH ISSUES IN WHICH TO DEVELOP GOALS AND ACTIONS PLANS, IT WAS CRITICAL TO IDENTIFY THE MOST PRESSING COMMUNITY HEALTH NEEDS. COMMUNITY NEEDS WERE RANKED IN IMPORTANCE BASED ON THE FOLLOWING CRITERIA:- NUMBER OF PEOPLE AFFECTED- SEVERITY OF THE PROBLEM- HEALTH SYSTEM'S ABILITY TO MAKE A DIFFERENCE IN THE OUTCOME OR DATA- EXTENT TO WHICH OTHER COMMUNITY ORGANIZATIONS ARE COLLABORATING TO MEET THE NEED IN THE TOTAL SERVICE AREA. IN ADDITION TO DATA REVIEW OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, THE FEEDBACK FROM ALL KEY STAKEHOLDER GROUPS WAS SOLICITED TO INFLUENCE AND SHAPE THE STRATEGIES AND ACTIONS IN THE FINAL PLAN. ANOTHER IMPORTANT INFLUENCE ON THE FINAL PLAN WAS THE STATE HEALTH IMPROVEMENT PLAN (SHIP) FOR OHIO. THE TOP PRIORITIES FOR SHIP WERE REVIEWED AND THE GOALS AND ACTION PLANS THAT WERE DEVELOPED WERE IN ALIGNMENT WITH 3 HEALTH PRIORITIES MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE AND LOW INFANT BIRTH WEIGHT. THE PLAN WAS PRESENTED TO THE SOMC BOARD OF DIRECTORS FOR FINAL FEEDBACK AND APPROVAL. THE TOP THREE NEEDS ENCOMPASS ACTIONS RELATED TO AT LEAST FOUR OF THE TOP FOURTEEN AREAS OF CONCERN IDENTIFIED THROUGH THE CHNA. TOBACCO USE:-CONTINUE YEAR-ROUND AVAILABILITY OF TOBACCO CESSATION ALA FREEDOM FROM SMOKING CLASSES AND INCLUDE FREE MEDICATION AID, INCREASING LOCATIONS AND AVAILABILITIES --TOTAL OF 23 ALA FREEDOM FROM SMOKING CLASSES WERE OFFERED IN 2023-PROMOTE TOBACCO PREVENTION PROGRAMMING SPECIFICALLY TARGETED AROUND SMOKELESS TOBACCO, VAPING AND JUULING. --PROGRAMMING DEVELOPED REGARDING VAPING AND JUULING INFORMATION WHICH HAS BEEN DELIVERED TO MULTIPLE AREA SCHOOLS THROUGH IN-CLASS PRESENTATIONS AND HANDOUTS)-CONTINUE AVAILABILITY OF YOUTH TOBACCO PREVENTION PROGRAMS. -SEARCH FOR EMERGING MESSAGING AND BEST PREVENTION STRATEGIES.-STAY CURRENT FOR TRENDS RELATED TO E-CIGARETTES, MARIJUANA, AND OTHER EMERGING PRODUCTS.-PARTNER WITH SCHC OR OTHER ENTITIES TO PROMOTE OR ESTABLISH TOBACCO-RELATED PREVENTION, INTERVENTION, OR LEGISLATIVE STRATEGIES--SCIOTO COUNTY HEALTH COALITION CREATION OF TOBACCO SUBCOMMITTEE--DISTRIBUTED TOBACCO PREVENTION INFORMATION AND RESOURCE BOOKLETS TO ALL AREA SCHOOLS--FREE TRAININGS OFFERED THROUGH OHIO UNIVERSITY VOINOVICH SCHOOL OF RESEARCH FOR 5 A'S TOBACCO CESSATION QUESTIONNAIRE--10 ADDITIONAL INSTRUCTORS TRAINED TO FACILITATE ALA FREEDOM FROM SMOKING-EXPAND AND CONTINUE LUNG NAVIGATION AND LUNG CANCER SCREENING PROGRAM AVAILABILITY--IMPLEMENTED LUNG NAVIGATION/LUNG CANCER SCREENING NOVEMBER 2015 WITH 1 FTE LUNG NAVIGATOR--INCREASED FTES FOR LUNG NAVIGATION PROGRAM (CLERICAL STAFF NOV. 2017, LUNG NAVIGATOR #2 NOV. 2018--EXPAND LUNG NAVIGATION TO INCLUDE ALL LUNG CANCER PATIENTS TO CARE AND MANAGING INCIDENTAL PULMONARY NODULES--INCREASED MARKETING STRATEGIES THROUGHOUT THE COMMUNITY AND PROVIDER EDUCATION/OFFICE VISITS--DEVELOPED LUNG HEALTH LEADERSHIP TEAM--LUNG CANCER SCREENINGS---2016 312 SCREENINGS PERFORMED---2018 778 SCREENINGS PERFORMEDNUTRITION AND OBESITY:-CONTINUE YEAR-ROUND AVAILABILITY FOR NUTRITION EDUCATION OFFERINGS:--SOMC OUTPATIENT DIETICIAN--WEIGHT WATCHERS AT WORK--DIABETES SELF-MANAGEMENT EDUCATION---2019 111 PATIENTS PARTICIPATED---2020 61 PATIENTS PARTICIPATED---2021 53 PATIENTS PARTICIPATED--2023 128 PATIENTS PARTICIPATED--DIABETES MEDICAL NUTRITION THERAPY--HEALTHY CHOICES PRESENTATIONS FOR ALL AGE GROUPS--COOKING CLASSES-PARTNER WITH SCHC OR OTHER ENTITIES TO PROMOTE AND ESTABLISH NUTRITION-RELATED PROMOTION, EDUCATION AND INTERVENTION--PSA THROUGH MEDICAL MONDAYS ON LOCAL RADIO AND MOM'S EVERYDAY ON LOCAL TELEVISION STATIONS TO PROMOTE NATIONAL NUTRITION, HEART AND DIABETES MONTHS-PARTNER WITH SCHC OR OTHER ENTITIES TO PROMOTE AND ESTABLISH OBESITY-RELATED INTERVENTIONS--PEDIATRIC OFFICES REFER AT RISK PATIENTS TO PREDIABETES COUNSELING-EXPAND NUTRITION AND WEIGHT-MANAGEMENT PROGRAM AVAILABILITIES--MEAL PLANNING PRESENTATIONS AND INFORMATIONAL HANDOUTS--HEALTHY U CHRONIC CONDITION SELF-MANAGEMENT CLASSES--BACK 2 BASICS, WEIGHT AND NUTRITIONAL COUNSELLING PROGRAM --FOREVER FIT, A MONTHLY WEIGHT-TRACKING, PHYSICAL ACTIVITY/ NUTRITION PROMOTION PROGRAM -CONTINUE SUPPORT FOR ACCESS TO HEALTHY FOODS --MAJOR SPONSOR OF MARKET STREET PORTSMOUTH FARMER'S MARKET--EMPLOYEE GIVING CAMPAIGN DONATIONS TO STEVEN HUNTER'S POWER PACKS PROGRAM--PROMOTE AND OFFER HEALTHY CHOICE OPTIONS IN SOMC CAFETERIA --OFFER HEALTHY LUNCH/ PRODUCE OPTIONS TO EMPLOYEES AT SATELLITE LOCATIONS OFF MAIN CAMPUS, INCLUDING FOOD TRUCKS AND PRODUCE SALES--OFFER CPR CLASSESPHYSICAL ACTIVITY: -CONTINUE YEAR-ROUND AVAILABILITY FOR PHYSICAL ACTIVITY OFFERINGS --MULTIPLE SOMC LIFE CENTER LOCATIONS -24/7 ACCESS OT FITNESS FACILITY --GROUP FITNESS OFFERINGS, INCLUDING NEW ADDITIONS BOXING, STEP, AEROBICS, VARIATIONS OF YOUGA STRENTH AND MOBILITY AND HIIT CLASSED, CROSSFIT, BOOTCAMP, TIA CHIA, SPIN. HOT YOGA -YOGA AND MEDITATION SERIES --PERSONAL TRAINING --CARDIAC AND PULMONARY REHAB -- CHILDREN'S SWIM LESSONS --TARGETED SCHOOL AND CIVIC GROUP OFFERINGS --SOMC LIFE CENTER OFFERS GUESS PASSES FOR ALL AGES -PERFORMANCE ENHANCEMENT -PROMOTE ADDITIONAL PHYSICAL ACTIVITY OPPORTUNITIES --5K RUNS -LIFE GUARD TRAINING-DAWG DAYS SUMMER OF CROSSFIT COMPETITION -VOLLEYBALL TOURNAMENT-SPECIAL HOLIDAY CROSSFIT CLASSES -PUPPY YOGA-FEEL YOUR FEET YOGA CLASSES FOR YOUTH --SOUTHERN OHIO SENIOR OLYMPIC GAMES --FREE COMMUNITY PHYSICAL ACTIVITY OFFERINGS: YOGA ON THE LAWN-CONTINUE SUPPORT OF LOCAL HIGH SCHOOL ATHLETICS THROUGH SPORTS MOTION PROGRAM --DEDICATED ATHLETIC TRAINER AVAILABLE AT ALL VARSITY ATHLETIC EVENTS --SATURDAY MORNING SPORTS INJURY CLINIC --NEXT-DAY APPOINTMENTS FOR SPORTS-RELATED INJURIES -FREE SPORTS PHYICAL TO CONTRACT SCHOOL DISTRICTS --20+ HOURS OF COMMUNITY HEALTH OR LIFE CENTER ACTIVITIES AVAILABLE TO ALL CONTRACTED SCHOOLS -PARTNER WITH SCHC OR OTHER ENTITIES TO PROMOTE AND ESTABLISH PHYSICAL ACTIVITY-RELATED OFFERINGS - FREE FARMERS MARKET EDUCATION -EXPAND PHYSICAL ACTIVITY PROGRAM AVAILABILITIES &amp; YOUTH FITNESS OFFERINGS BUT NOT LIMITED TO CROSSFIT TEEN -CONTINUE SUPPORT FOR ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES --FREE FITNESS DEMONSTRATION AT AREA SCHOOLS AND CIVIC GROUPS --FREE YOGA ON THE LAWN, ETC. -FREE PICKLEBALL EDUCATION AND LESSONS -FREE 30 DAY MEMBERSHIP FOR OUTPATIENT REHAB PATIENTS-FREE 30 DAY MEMBERSHIP FOR LOCOM PHYSICIANS -FREE YEAR MEMBERSHIP FOR CANCER PATIENTS (MOVEMENT IN MEDICINE) -HEALTHY PARTNER MEMBERSHIP FOR STAFF-PHASE 3 REHAB DISCOUNTED MEMBERSHIP-INSURANCE BASED MEMBERSHIP (SILVER SNEAKER, RENEW ACTIVE, AND ASH NETWORK) -GROUP HOME DISCOUNTED MEMBERSHIP CANCER:-CONTINUE YEAR-ROUND AVAILABILITY SCREENING OFFERINGS--MONTHLY BREAST CANCER SCREENINGS---2016 92 SCREENINGS PERFORMED---2017 85 SCREENINGS PERFORMED---2018 68 SCREENINGS PERFORMED---2020 12 SCREENINGS PERFORMEDCONTINUED LATER ON SCHEDULE H, PART V</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>--2023 8 SCREENING PERFORMED --CLINICAL BREAST EXAM AND SAME DAY IMAGING--LOW-DOSE CT SCAN LUNG CANCER SCREENINGS FOR AT-RISK INDIVIDUALS---2016 312 SCREENINGS PERFORMED---2017 626 SCREENINGS PERFORMED---2018 778 SCREENINGS PERFORMED---2019 946 SCREENINGS PERFORMED---2020 853 SCREENINGS PERFORMED---2021 956 SCREENINGS PERFORMED--2022 1205 SCREENINGS PERFORMED--2023 1542 SCREENINGS PERFORMED--FREE CARDIAC AND DIABETES RISK SCREENINGS THROUGHOUT THE COMMUNITY --100 SCREENINGS WERE PERFORMED IN THE COMMUNITY FROM 2022-2023-PROMOTE ADDITIONAL CANCER-PREVENTION AND EARLY DETECTION OPPORTUNITIES--CONTINUE LUNG NAVIGATION AND LUNG CANCER SCREENING PROGRAM AVAILABILITY---IMPLEMENTED LUNG NAVIGATION/LUNG CANCER SCREENING NOV., 2015 WITH ---1 FTE LUNG NAVIGATOR---INCREASED FTES FOR LUNG NAVIGATION PROGRAM (CLERICAL STAFF - NOV. 2017, LUNG NAVIGATOR # 2 - NOV. 2018) ---EXPANDED LUNG NAVIGATION - ALL LUNG CANCER PATIENTS, MANAGING INCIDENTAL PULMONARY NODULES--ADVOCATE FOR FIT AND COLONOSCOPY TESTING-EDUCATE PUBLIC REGARDING AVAILABLE SCREENING EXAMS AND PROMOTE EARLY DETECTION AND RISK REDUCTION STRATEGIES--ADVOCATE FOR HPV GENE TESTING AND VACCINE ---INCREASED MARKETING - COMMUNITY AND PROVIDER EDUCATION/OFFICE VISITS-CONTINUE SUPPORT FOR BREAST NAVIGATION PROGRAM--PAINT IT PINK! ACTIVITIES AND AWARENESS EACH OCTOBER---5K WALK/RUN, 10K BIKE (2016 - 196 RUNNERS, 2017 148 RUNNERS)---SURVIVOR WALK---CROSS FIT ALPHA PACK WOD---COOKING CLASS---CELEBRITY SOFTBALL GAME---LANTERN LAUNCH--DEDICATED BREAST HEALTH NAVIGATORS FOR SYSTEM ENTRY AND EDUCATION-CONTINUE SUPPORT OF SMOKING CESSATION, NUTRITION AND PHYSICAL ACTIVITY PROGRAMMING-PARTNER WITH OTHER ENTITIES TO PROMOTE CANCER PREVENTION RELATED OFFERINGS--COMMUNITY OFFERS RELATED TO CANCER SCREENINGS' MAMMOGRAMS, PAP SMEARS AND LUNG CANCER SCREENING EVENTS SHARED AND PROMOTED WITH COMMUNITY.MENTAL HEALTH AND SUBSTANCE ABUSE:-PARTICIPATE IN QUARTERLY OPIOID CONSORTIUM MEETING/OVERDOSE REVIEWS-STAFF MEMBERS SERVE ON LOCAL COMMUNITY SUICIDE PREVENTION TEAM--CO-LEAD THE CRISIS RESPONSE TEAM FOR COMMUNITY SUICIDES IN SCHOOL, WORKPLACE VIOLENCE AND OTHER CRISIS EVENTS.--MEMBER OF SEXUAL TRAFFICKING TASKFORCE --MEMBER OF SCIOTO COUNTY CONNECT-COMMUNITY GROUP TO ADDRESS NEEDS OF COMMUNITY MENTAL HEALTH.-CONTINUE PARTNERSHIP BETWEEN JUDGE LEMONS JUVENILE COURT AND SOMC. MEMBER OF THE SAFE BABY COURT PROGRAM. . -MANDATORY ANNUAL EDUCATION SOMC CLINICAL STAFF FOR EARLY IDENTIFICATION OF SUICIDE RISK -FREE GRIEF SUPPORT SERVICES PROVIDED TO COMMUNITY-GRIEF SUPPORT GROUP OFFERED THROUGH HOSPICE SOCIAL WORK SERVICES -PARTNERSHIP WITH NATIONWIDE CHILDREN'S HOSPITAL TO INTEGRATE PRIMARY CARE AND BEHAVIORIAL HEALTH IN 4 LOCAL SCHOOL DISTRICTS.-PARTNERSHIP WITH NATIONWIDE CHILDREN'S HOSPITAL WITH ZERO SUICIDE OHIO INITIATIVE-PARTNERSHIP WITH NATIONWIDE CHILDREN'S HOSPITAL TO IMPLEMENT CARING CONTACTS FOR ADOLESCENT'S POST CRISIS VISIT IN THE ED/PEDIATRICS.-SOCIAL WORKERS MANAGER SERVES ON SCIOTO COUNTY ELDER ABUSE TASKFORCE. -CONTINUE SUPPORT FOR ACCESS TO MENTAL HEALTH AND ADDICTION AWARENESS OPPORTUNITIES</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>55</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - SOMC CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1121 KINNEYS LANE</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER TREATMENT &amp; CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - WOUND HEALING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1745 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>WOUND HEALING</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - SOMC WHEELERSBURG FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8770 OHIO RIVER ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - SOMC WAVERLY FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>835 WEST EMMITT AVENUE</AddressLine1Txt>
            <CityNm>WAVERLY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45690</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - HOSPICE IN-PATIENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2201 25TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE IN-PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - SOMC PORTSMOUTH FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1248 KINNEYS LANE</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - LUCASVILLE LIFE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10617 US ROUTE 23</AddressLine1Txt>
            <CityNm>LUCASVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45648</ZIPCd>
          </USAddress>
          <FacilityTxt>FITNESS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - PORTSMOUTH LIFE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1202 18TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>FITNESS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - WHEELERSBURG LIFE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8430 HAYPORT ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>FITNESS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - SOMC MCF HEART AND VASCULAR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - SOMC MCF COUNSELING AND PSYCHIATRIC SER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - SOMC MCF ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - SOMC MCF GASTROENTEROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - SOMC MCF INFECTIOUS DISEASE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - SOMC MCF LUCASVILLE FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10 THOMAS HOLLOW ROAD</AddressLine1Txt>
            <CityNm>LUCASVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45648</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - SOMC MCF MINFORD FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8792 STATE ROUTE 335</AddressLine1Txt>
            <CityNm>MINFORD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45653</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - SOMC MCF OBSTETRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - SOMC MCF ORTHOPEDICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - SOMC MCF NEUROLOGY AND PM&amp;R</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - SOMC MCF PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1611 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - SOMC MCF PULMONOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - SOMC MCF MCF SURGICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - SOMC MCF UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - SOMC MCF WEST UNION FAMILY HEALTH CENTE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>90 CIC BOULEVARD</AddressLine1Txt>
            <CityNm>WEST UNION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45693</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - SOMC MCF WHEELERSBURG FAMILY HEALTH CEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8770 OHIO RIVER ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - SOMC W PORTSMOUTH FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15888-A US 52</AddressLine1Txt>
            <CityNm>WEST PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45663</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - SOMC SOUTH WEBSTER FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 NORTH JACKSON STREET</AddressLine1Txt>
            <CityNm>SOUTH WEBSTER</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45682</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - SOMC HOME HEATLH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2201 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - IRONTON FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1015 EAST RING ROAD</AddressLine1Txt>
            <CityNm>IRONTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45638</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - EASTERN FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1170 TILE MILL ROAD</AddressLine1Txt>
            <CityNm>BEAVER</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45613</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - FAMILY PRACTICE &amp; SPECIALITY ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 ASHLAND DR</AddressLine1Txt>
            <CityNm>RUSSELL</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41169</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - SOUTH SHORE FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>US 23 INDIANOLA AVE</AddressLine1Txt>
            <CityNm>SOUTH SHORE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41175</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - WESTERN FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7959 OHG-124</AddressLine1Txt>
            <CityNm>LATHAM</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45646</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>34 - SOMC SLEEP LAB &amp; DIAGNOSTIC SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1735 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>35 - SOMC OBSTETRICS - HALDARMAN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1729 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>36 - SOMC PORTSMOUTH FAMILY PRACTICE-DOWNTOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>728 8TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>37 - SOMC NORTHWEST FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>812 MOHAWK DRIVE</AddressLine1Txt>
            <CityNm>MCDERMOTT</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45652</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>38 - SOMC PODIATRY ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1611 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>39 - SOMC VANCEBURG FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>207 PLUMMERS LANE</AddressLine1Txt>
            <CityNm>VANCEBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41179</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>40 - SOMC PHARMACY MAIN CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1805 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>41 - SOMC PHARMACY SOUTH CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1248 KINNEYS LANE</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>42 - SOMC PHARMACY WEST UNION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>90 CIC BLULEVARD</AddressLine1Txt>
            <CityNm>WEST UNION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45693</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>43 - SOMC PHARMACY VANCEBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>207 PLUMMERS LANE</AddressLine1Txt>
            <CityNm>VANCEBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41179</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>44 - SOMC PHARMACY WHEELERSBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8770 OHIO RIVER ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>45 - SOMC PEDIATRIC ASSOCIATES WEST UNION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>90 CIC BLULEVARD</AddressLine1Txt>
            <CityNm>WEST UNION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45693</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>46 - SOMC PEDIATRIC ASSOCIATES WAVERLY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>835 W EMMITT AVE</AddressLine1Txt>
            <CityNm>WAVERLY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45690</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>47 - SOMC PEDIATRIC ASSOCIATES WHEELERSBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8770 OHIO RIVER ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>48 - SOMC OCCUPATIONAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1248 KINNEYS LANE</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>49 - SOMC VANCEBURG OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>38 WEST KENTUCKY 8 SUITE A</AddressLine1Txt>
            <CityNm>VANCEBURGE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41179</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>50 - SOMC WEST UNION OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6061 STATE ROUTE 125</AddressLine1Txt>
            <CityNm>WEST UNION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45693</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>51 - SOMC WHEELERSBURG OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>613 CENTER STREET</AddressLine1Txt>
            <CityNm>WHEELERSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>52 - SOMC PORTSMOUTH OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1202 18TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>53 - SOMC LUCASVILLE OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10617 US 23</AddressLine1Txt>
            <CityNm>LUCASVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45648</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>54 - SOMC PLASTIC SURGERY AND RECONSTRUCTIVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27TH STREET</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER BASED OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>55 - SOMC BREAST CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1211 KINNEYS LANE</AddressLine1Txt>
            <CityNm>PORTSMOUTH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER TREATMENT &amp; CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS FOR LINES 7A AND 7B WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, AND THE COSTS ON LINES 7E AND 7F WERE BASED ON ACTUAL COSTS. THE CASH AND IN-KIND CONTRIBUTIONS ON LINE 7I IS MADE UP OF THE EXPENSES FROM THE FOLLOWING ACTIVITIES:- BLOOD DRIVES HELD FOR THE RED CROSS- EMPLOYEES DONATE THROUGH INTERNAL DONATION CAMPAIGNS SUCH AS THE SOMC MAKE A DIFFERENCE PROGRAM- SOME PHARMACY ITEMS ARE GIVEN OUT AT SMOKING CESSATION PROGRAMS- THE ORGANIZATION AS A WHOLE SUPPORTS COMMUNITY EVENTS AND ORGANIZATIONS THROUGH DONATIONS THAT PROVIDE SERVICES TO THE LOCAL AREA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14,804,574.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS EXCLUDES AMOUNTS KNOWN TO QUALIFY FOR CHARITY DISCOUNTS. ANY PARTIAL PAYMENTS THAT ARE SUBSEQUENTLY RECEIVED ARE APPLIED AS AN OFFSET TO BAD DEBT EXPENSE. NONE OF THE BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS IS TREATED AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO ESTIMATE IS CALCULATED FROM BAD DEBT. THE HOSPITAL USES PRESUMPTIVE ELIGIBILITY TO DETERMINE CHARITY CARE ELIGIBLE PATIENTS AND THOSE ARE RECLASSED OUT OF BAD DEBT. THEREFORE, BAD DEBT ESTIMATE IS DEEMED CLOSE TO OR ZERO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE ORGANIZATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTS WERE TAKEN FROM THE MEDICARE COST REPORT, WHICH USES A COST TO CHARGE RATIO ALLOWED UNDER MEDICARE COST REPORT METHODOLOGY. NONE OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL SELF-PAY ACCOUNTS AND SELF-PAY AFTER INSURANCE ARE PROCESSED FOR PRESUMPTIVE CHARITY USING ISOLUTIONS. IF THE SELF-PAY PATIENT QUALIFIES, A DISCOUNT IS APPLIED RIGHT AWAY, AND IF THERE IS STILL A BALANCE DUE ON THE ACCOUNT, WE BILL THE CLAIMS FOR PAYMENTS OVER A FOUR STATEMENT AND CALL CYCLE. IF THE BALANCE REMAINS UNPAID IT IS FORWARDED FOR COLLECTIONS WITH AN OUTSIDE AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEEDS OF THE COMMUNITY ARE ASSESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. SEE SCHEDULE H PART V FOR FURTHER DETAILS OF THE REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BILLING STATEMENT MAILED TO PATIENTS OFFERS THE FINANCIAL ASSISTANCE APPLICATION (FOR HCAP AND CHARITY FUNDING) FOR THE PATIENT TO COMPLETE AND RETURN TO THE BUSINESS OFFICE.WE ALSO OFFER ONLINE APPLICATIONS THAT CAN BE COMPLETED AND SENT ELECTRONICALLY.SOMC CONTRACTS WITH NAKAO-PIKE FOR THE PROCESSING OF HCAP AND/OR CHARITY APPLICATIONS RECEIVED IN PATIENT ACCOUNTING. THE APPLICATIONS ARE SENT TO THEM TWICE WEEKLY VIA THE US MAIL. UPON RECEIPT, THEY NOTATE THE ACCOUNTS, PROCESS THE APPLICATIONS AND SCAN THE APPLICATION AND DETERMINATION INTO MEDITECH . THEY THEN SEND US A LISTING OF THE ACCOUNTS INCLUDED, ALONG WITH THE APPROPRIATE ADJUSTMENT CODE AND THE DOLLAR AMOUNT TO BE ADJUSTED.IF THE APPLICATION LACKS SUFFICENT INCOME SUPPORT DOCUMENTATION, A REQUEST FOR ADDITIONAL INFORMATION IS SENT TO THE PATIENT. THEY MUST RETURN THE APPLICATION WITH THE NEEDED INFORMATION. IF NOTHING IS RETURNED, NOTHING IS DONE WITH THE PATIENT'S ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOMC IS LOCATED IN PORTSMOUTH, OHIO, A RURAL COMMUNITY WITH A POPULATION OF 20,158 SITUATED ALONG THE WINDING OHIO AND SCIOTO RIVERS. PORTSMOUTH IS SEATED AT THE SOUTHERN TIP OF THE STATE, ACROSS THE RIVER FROM KENTUCKY, AND NEARLY TWO HOURS AWAY FROM THE NEAREST MAJOR CITIES OF COLUMBUS AND CINCINNATI IN OHIO, CHARLESTON IN WEST VIRGINIA AND LEXINGTON IN KENTUCKY. PORTSMOUTH IS A PART OF SCIOTO COUNTY AND IS HOME TO 8,582 HOUSEHOLDS. THE CITY IS DIVERSE IN TERMS OF RACE, AGE AND EDUCATION, WITH THE MEDIAN INCOME FOR A HOUSEHOLD FALLING BELOW $28,840. SOMC'S PRIMARY MARKET IS SCIOTO COUNTY AND MORE THAN HALF OF THE PATIENTS SERVED RESIDE IN SCIOTO COUNTY. SOMC RECEIVES PATIENTS FROM SEVEN SURROUNDING COUNTIES INCLUDING PIKE, JACKSON, ADAMS, LAWRENCE, BOYD, GREENUP AND LEWIS. THESE COUNTIES MAKE UP THE SECONDARY SERVICE AREA. SOUTHERN OHIO MEDICAL CENTER (SOMC) IS A NON-PROFIT HOSPITAL LOCATED IN PORTSMOUTH, OHIO. SOMC HAS 436 LICENSED BEDS, 248 STAFFED BEDS, AND 20 OPERATING ROOMS. SOMC IS COMPRISED OF THREE CAMPUSES IN PORTSMOUTH, AS WELL AS MULTIPLE SATELLITE FACILITIES THROUGHOUT THE COMMUNITIES OF LUCASVILLE, MINFORD, PORTSMOUTH, SOUTH WEBSTER, WAVERLY, WEST PORTSMOUTH, WEST UNION AND WHEELERSBURG IN OHIO, AND SOUTH SHORE, RUSSELL AND VANCEBURG IN KENTUCKY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHERN OHIO MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES AND IS INVOLVED IN VARIOUS PROGRAMS AND ACTIVITIES THROUGHOUT THE AREA. COMMUNITY IS WHAT DRIVES SOMC TO ACHIEVE EXCELLENCE IN HEALTHCARE AND TO MAKE A DIFFERENCE IN THE LIVES OF THOSE AROUND US. THE ECONOMIC, EDUCATIONAL, RECREATIONAL AND CULTURAL ACTIVITIES OF THE LOCAL AREA SHOW THE WIDE SWEEP OF SOMC'S COMMUNITY INVOLVEMENT AND THEIR EFFORTS TO BUILD AND MAINTAIN STRONG RELATIONSHIPS. IT'S THROUGH THESE RELATIONSHIPS THAT SOMC HAS BEEN RECOGNIZED FOR MANY OUTSTANDING ACCOMPLISHMENTS, RECEIVING SUCH NOTABLE HONORS AS ANCC'S MAGNET RECOGNITION, OSHA'S VPP STAR STATUS, PRESS GANEY'S DISTINCTIVE WORKPLACE AWARD, AS WELL AS BEING NAMED ONE OF FORTUNE'S 100 BEST COMPANIES TO WORK FOR. KEY DECISIONS MADE AT SOMC ARE GUIDED BY FIVE STRATEGIC VALUES: SAFETY, QUALITY, SERVICE, TEAMWORK AND FINANCE. RELATIONSHIPS SHAPE MANY FACETS OF CUSTOMER SERVICE AND THE CARE THAT IS PROVIDED WITHIN THE HOSPITAL. IT IS THE HOSPITAL'S GOAL TO LISTEN AND PARTNER WITH CUSTOMERS TO MAKE A DIFFERENCE TO THOSE WE SERVE. ADDITIONAL FEEDBACK IS ALSO GATHERED THROUGH FOCUS GROUPS CONDUCTED BY THE SOMC COMMUNITY RELATIONS DEPARTMENT, AS WELL AS THE SOMC EXECUTIVE TEAM'S "OPEN DOOR POLICY," WHICH BOTH PROVIDE THE OPPORTUNITY TO GATHER INFORMATION AND SUGGESTIONS TO IMPROVE HOSPITAL SERVICES AND UNDERSTAND TECHNOLOGICAL NEEDS. SOMC PARTNERS WITH THE NATIONAL RESEARCH CORPORATION (NRC) TO PROVIDE TRANSITIONAL CARE SUPPORT FOLLOWING ACUTE AND AMBULATORY ENCOUNTERS. NRC'S CONNECT CARE TRANSITIONS PLATFORM PERFORMS POST-DISCHARGE CALL-BACKS, LEVERAGING AUTOMATED OUTREACH TO CONTACT PATIENTS IN THE CRITICAL TIMEFRAME OF 24-72 HOURS AFTER LEAVING OUR FACILITY. THE NATURAL VOICE RECOGNITION FOLLOW-UP CALL SEEKS OUT OPPORTUNITIES TO IMPROVE THE PATIENT EXPERIENCE THROUGH ADDRESSING ANY REMAINING SERVICE CONCERNS OR CLINICAL QUESTIONS AFTER DISCHARGE. ANY CONCERNS IDENTIFIED TRIGGER AN ALERT FROM THE CARE TRANSITIONS SOLUTION TO AN RN MEMBER OF OUR CLINICAL CASE MANGER TEAM WHO PERSONALLY RETURNS A CALL FOR RESOLUTION OR TRIAGING. CALL PROMPTS ADDRESS KEY ISSUES AFTER DISCHARGE SUCH AS PRESCRIPTIONS, FOLLOW-UP APPOINTMENTS, DISCHARGE INSTRUCTIONS, WORSENING HEALTH STATUS, SERVICE CONCERNS, POST-PROCEDURAL PAIN, ETC. THE CONNECT PROGRAM IMPACTS SOMC'S STRATEGIC VALUES BY REDUCING READMISSIONS, IMPROVING PATIENT EXPERIENCE AND PERCEPTIONS OF CARE, AND IMPROVING QUALITY AND SAFETY OUTCOMES. AS A FUNCTION OF THE CLINICAL CASE MANAGEMENT DEPARTMENT, CONNECT SERVES TO IMPROVE CLINICAL INTEGRATION BY BRIDGING THE GAPS BETWEEN ACUTE, EMERGENT, AND PROCEDURAL SETTINGS AND THE PATIENT'S HOME ENVIRONMENT.SOMC ESTABLISHES WORKING RELATIONSHIPS WITH ORGANIZATIONS THROUGHOUT THE TRI-STATE AREA TO FOCUS ON THE HEALTH AND WELLNESS OF THE COMMUNITY. SOMC AND ITS EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY-BASED ORGANIZATIONS INCLUDING THE PORTSMOUTH AREA CHAMBER OF COMMERCE, ROTARY CLUB, SOUTHERN OHIO PERFORMING ARTS ASSOCIATION, THE PORTSMOUTH AREA ARTS COUNCIL, LITERACY PROGRAMS, SCHOOL BOARDS, COMMITTEES AND CHURCHES. OTHER PARTICIPATORY PROGRAMS INCLUDE LOCAL LITTLE LEAGUE GROUPS, LEADERSHIP PORTSMOUTH, TASK FORCE ON DOMESTIC VIOLENCE, PORTSMOUTH KIWANIS SERVICE CLUB, SCIOTO RESIDENTIAL SERVICES BOARD, PARAMEDIC ADVISORY BOARD, SALVATION ARMY, HABITAT FOR HUMANITY AND CHOICE HOUSING FOR THE DEVELOPMENTALLY DISABLED. SOMC ALSO MAINTAINS CLOSE RELATIONSHIPS WITH SOUTHERN OHIO CORRECTIONAL FACILITY MINISTRIES, ARTHRITIS FOUNDATION, MEDICAL RESERVE CORP, PARISH NURSE NETWORK, SOUTHERN OHIO DIABETES COALITION, PORTSMOUTH BICENTENNIAL BOARD, THE SHAWNEE STATE UNIVERSITY BOARD AND THE SOUTHERN OHIO CORRECTIONAL FACILITY COMMUNITY ADVISORY BOARD. MANY BENEFITS ARE CREATED THROUGH THESE PARTNERSHIPS INCLUDING SPONSORSHIPS FOR CULTURAL AFFAIRS, COMMUNITY HEALTH AND WELLNESS PROGRAMS, HEALTH SCREENINGS, EDUCATION, CHILDREN'S PROGRAMS AND YOUTH ACTIVITIES. ONE SUCH COLLABORATIVE EFFORT ALLOWS SOMC TO PROVIDE ADULT IMMUNIZATIONS FOR INFLUENZA, PNEUMONIA AND HEPATITIS B TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. THE HOSPITAL OFTEN DONATES USED EQUIPMENT TO LOCAL SCHOOLS. NURSES AND PHYSICIANS VOLUNTEER THEIR TIME AND EFFORT TO TRAVEL AROUND THE SOMC REGION TO PROVIDE SERVICES FREE OF CHARGE OR AT A REDUCED RATE TO POPULATIONS WHO GREATLY BENEFIT FROM THEIR ANNUAL VISITS. STATEMENT IS CONTINUED IN A LATER SECTION OF PART VI SUPPLEMENTAL INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHERN OHIO MEDICAL CENTER IS A SINGLE ACUTE CARE PROVIDER OF HEALTH SERVICES AT TWO FACILITIES IN THE PORTSMOUTH, OHIO AREA. SOMC IS THE PARENT ORGANIZATION OF SOMC DEVELOPMENT FOUNDATION, SOMC MEDICAL CARE FOUNDATION, INC., AND SOMC TITLE HOLDING COMPANY.SOMC DEVELOPMENT FOUNDATION RENDERS SERVICES TO SOUTHERN OHIO MEDICAL CENTER OF PORTSMOUTH, OHIO AND ITS PATIENTS AND ASSISTS THE HOSPITAL IN PROMOTING HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH THE OBJECTIVES ESTABLISHED BY THE GOVERNING BOARD OF TRUSTEES OF SOUTHERN OHIO MEDICAL CENTER. IN ADDITION, SOMC DEVELOPMENT FOUNDATION CREATES, RECEIVES AND MAINTAINS A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY OR BOTH, TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THEREFROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR THE USE AND BENEFIT OF SOUTHERN OHIO MEDICAL CENTER.SOMC MEDICAL CARE FOUNDATION IS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES FOR THE BENEFIT OF SOMC, AN OHIO NON-PROFIT CORPORATION INCLUDING (A) PROVIDING MEDICAL, SURGICAL AND OTHER HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED, REGARDLESS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, HANDICAP, SEX, OR THE ABILITY TO PAY FOR SERVICES; (B) CONDUCTING EDUCATIONAL ACTIVITIES RELATED TO HEALTHCARE AND TREATMENT OF THE SICK, DISABLED, INJURED AND TO PROMOTE AND CARRY ON MEDICAL, SCIENTIFIC AND CLINICAL RESEARCH RELATED TO HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED; AND (C) ENGAGING IN ANY LAWFUL ACTIVITIES FOR WHICH CORPORATIONS MAY BE FORMED UNDER CHAPTER 1785 OF THE OHIO REVISED CODE THAT ARE NOT CONSISTENT WITH THE FOREGOING.SOMC TITLE HOLDING COMPANY OWNS AND MANAGES REAL ESTATE ON BEHALF OF SOUTHERN OHIO MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOMC PROVIDED FREE PULSE OXIMETER UNITS TO PATIENTS WITH COVID PRESENTING TO THE EMERGENCY DEPARTMENT, AND PARTNERED WITH THE LOCAL MENTAL HEALTH BOARD TO DEVELOP COMMUNITY RESPONSE TEAMS IF THE NEED ARISES. AS IN MANY COMMUNITIES, SCHOOL SPORTS ARE VERY IMPORTANT IN OHIO AND KENTUCKY COMMUNITIES. SOMC CREATED CONTENT TO HELP FAMILIES UNDERSTAND THE CONNECTION BETWEEN HIGH SCHOOL ATHLETICS. OUR CR STAFF TEAMED UP WITH THE SPORTS MOTION PROGRAM, WHICH IS COMPRISED OF ATHLETIC PROFESSIONALS WHO WORK WITH THE LOCAL SCHOOLS. THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT ALSO ACTIVELY SEEKS GRANTS THAT CAN BE USED TOWARD SPECIFIC COMMUNITY-WIDE PROGRAMS. THE SUSAN G. KOMEN GRANT FOR THE HANDS OF HOPE PROGRAM PROVIDES FREE OR REDUCED FEE EDUCATION, SCREENINGS AND MAMMOGRAMS TO PROMOTE EARLY DETECTION OF BREAST DISEASE. IT LINKS BREAST CANCER PATIENTS TO RESOURCES AFTER BREAST CANCER TREATMENT. SOMC IS DEDICATED TO EDUCATING ITS APPALACHIAN COMMUNITY ON SELF-BREAST EXAMS PROVIDING CLINICAL BREAST SERVICES AND DIAGNOSTIC TESTING, WITH A FOCUS ON YEARLY MAMMOGRAMS. FOR EXAMPLE, OCTOBER IS ANNUALLY KNOWN AS BREAST CANCER AWARENESS MONTH AND OFTEN FEATURES MANY PROGRAMS, SCREENINGS, COMMERCIALS, FLYERS AND ACTIVITIES THAT FOCUS SPECIFICALLY ON THAT TOPIC AND ITS EDUCATION. SOMC EMPLOYEES, PHYSICIANS AND MEDICAL STUDENTS GIVE BACK TO THE COMMUNITY THROUGH INTERNAL DONATION CAMPAIGNS, SUCH AS THE "MAKE A DIFFERENCE" CAMPAIGN. EMPLOYEES CAN ALSO GIVE BACK THROUGH SOMC'S "PAY IT FORWARD" PROGRAM, WHERE SOCIAL WORKERS IDENTIFY PATIENT NEEDS AND EMPLOYEES CAN DIRECTLY DONATE ITEMS TO PROVIDE ASSISTANCE. MANY MEMBERS OF THE COMMUNITY ALSO VOLUNTEER AT SOMC, SERVING AS COMMUNITY AMBASSADORS. VOLUNTEERS OFFER A FRIENDLY SMILE AND COMFORTING WORDS TO PATIENTS AND FAMILY MEMBERS, WHILE ALSO ASSISTING WITHIN MANY AREAS OF THE HOSPITAL. SOMC'S TEAM OF VOLUNTEERS MAKES A DIFFERENCE NOT ONLY IN THE UNPAID HOURS THEY PROVIDE, BUT ALSO IN THEIR EFFORTS TO RAISE FUNDS TO PURCHASE MEDICAL EQUIPMENT, ASSIST WITH PATIENT NEEDS AND PROVIDE VARIOUS COMMUNITY SERVICES TO AID IN MAKING A DIFFERENCE. WITH THE COMMUNITIES AND SOMC WORKING SO CLOSELY TOGETHER, SOMC CAN PROUDLY SAY IT IS ABLE TO OBTAIN ITS GOAL OF "MAKING A DIFFERENCE."</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRIENDS OF PORTSMOUTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 132</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>830734246</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MUSIC &amp; MOTION (BONEYFIDDLE PROJ)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>222 MICKLETHWAITE RD</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>311115810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY ACTION OF SCIOTO COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1525</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45682</ZIPCd>
        </USAddress>
        <RecipientEIN>310718622</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP OF RIVER DAYS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHAWNEE STATE DEVELOPMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>940 SECOND STREET</AddressLine1Txt>
          <CityNm>LUCASVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45648</ZIPCd>
        </USAddress>
        <RecipientEIN>311115810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN RED CROSS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>431 18TH ST NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <RecipientEIN>530196605</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>YEARLY PLEDGE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CIRQUE D'ART THEATRE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>825 GALLIA STREET</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>310914613</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7900</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSOR PRODUCTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PORTSMOUTH AREA CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>311378689</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCIOTO COUNTY FAIR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 109</AddressLine1Txt>
          <CityNm>LUCASVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45648</ZIPCd>
        </USAddress>
        <RecipientEIN>313401779</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH CENTRAL ESC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>522 GLENWOOD AVE</AddressLine1Txt>
          <CityNm>NEW BOSTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>311076836</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MUSEUM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>825 GALLIA STREET</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>310914613</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSOR PRODUCTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STEVEN HUNTER HOPE FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 802</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <RecipientEIN>262211905</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>11</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHERN OHIO MEDICAL CENTER MAY MAKE CONTRIBUTIONS IN SUPPORT OF ORGANIZATIONS IN THE COMMUNITY. THE FOLLOWING PROCEDURES ARE IN PLACE TO MONITOR THESE FUNDS: ORGANIZATIONS ARE REQUIRED TO FILL OUT A REQUEST FOR DONATION AND ATTACH ADDITIONAL DOCUMENTATION EXPLAINING WHAT THE FUNDS WILL BE USED FOR. DEPENDING ON THE REQUEST, SOMC WILL FOLLOW UP DIRECTLY WITH GRANTEE TO VERIFY THE FUNDS WERE USED FOR ITS INTENDED PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMIAH MARTIN MD</PersonNm>
        <TitleTxt>DIRECTOR-CHIEF OF STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>846809</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>187554</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>20510</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19957</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14209</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1089039</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENJAMIN GILL</PersonNm>
        <TitleTxt>DIRECTOR-PRESIDENT &amp; CEO-SOMC</TitleTxt>
        <BaseCompensationFilingOrgAmt>558114</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>113202</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21490</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>170224</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28915</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>891945</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH HERRMAN DO</PersonNm>
        <TitleTxt>DIRECTOR-CHIEF OF STAFF ELECT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>515257</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>229752</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>25645</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>24284</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>41703</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>836641</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENDALL L STEWART MD</PersonNm>
        <TitleTxt>VP OF MEDICAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>535785</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>89893</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25900</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>49967</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33516</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>735061</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>108887</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIE SAAB MD</PersonNm>
        <TitleTxt>DIRECTOR-CRITICAL CARE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>537991</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>107905</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>25299</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>22090</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32305</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>725590</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>6903</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLAUDIA BURCHETT</PersonNm>
        <TitleTxt>VP OF PATIENT SERVICES/CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>367648</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>61235</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4529</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>40750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33646</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>507808</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>72652</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEAN WRAY</PersonNm>
        <TitleTxt>TEMP VP CONSULTANT - PART YEAR</TitleTxt>
        <BaseCompensationFilingOrgAmt>442499</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24818</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6100</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33856</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>507273</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARA PLUMMER</PersonNm>
        <TitleTxt>VP OF FINANCE &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>283202</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>54972</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17797</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>69921</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35814</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>461706</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKI NOEL</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES/ORG DEVLOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>258707</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>55425</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9488</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>84587</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>45077</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>453284</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEGHAN MAULT</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>336886</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>648</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13725</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351263</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RORY PHILLIPS</PersonNm>
        <TitleTxt>ADM DIR OF COMMUNITY RELATIONS AND D</TitleTxt>
        <BaseCompensationFilingOrgAmt>217601</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42316</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>714</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24039</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32305</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>316975</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HARLEY EBLIN JR</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>260810</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3546</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30010</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>310266</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALERIE DECAMP</PersonNm>
        <TitleTxt>VP OF CLINICAL INTEGRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>219424</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37152</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3829</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23172</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16493</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>300070</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>34067</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON DONAHOE</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>241640</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>848</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253488</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL FOIT</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>232693</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1652</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>318</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14061</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248724</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS LISTED ON PAGE 7 OF FORM 990: BENJAMIN GILL: $148,874 VICKI NOEL: $60,187 KARA PLUMMER: $54,671 KENDALL STEWART: $22,517 CLAUDIA BURCHETT: $13,300 VALERIE DECAMP: $202 THE SERP PLAN IS AVAILABLE ONLY TO INDIVIDUALS WHO HAVE HELD AN EXECUTIVE POSITION FOR ONE YEAR. THE SERP WILL VEST UPON THE OCCURRENCE OF THE FOLLOWING EVENTS: - THE DATE OF THE EXECUTIVE'S DEATH - THE DATE THE EXECUTIVE BECOMES TOTALLY DISABLED - THE DATE A CHANGE OF CONTROL OCCURS - THE EXECUTIVE REACHING THE AGE OF 60 YEARS IF AN EXECUTIVE SEVERS EMPLOYMENT OR IS TERMINATED, A NONCOMPETE AGREEMENT IS IN PLACE FOR 2 YEARS. THE EXECUTIVE FORFEITS ANY SERP PAYMENTS IF HE/SHE DOES NOT CONFORM TO THE NONCOMPETE AGREEMENT. THE EXECUTIVE MUST HAVE FIVE YEARS OF SERP SERVICE BEFORE ENDING THE EMPLOYMENT IN ORDER TO VEST. THE SERP CONTRIBUTIONS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. THE FOLLOWING INDIVIDUALS LISTED ON PAGE 7 OF FORM 990 RECEIVED A VESTED SERP PAYMENT DURING THE CALENDAR YEAR: KENDALL STEWART: $108,887 CLAUDIA BURCHETT: $72,652 VALERIE DECAMP: $34,067 THE PAY OUT IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN F. SOMC MEDICAL CARE FOUNDATION, INC, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A CERP (COMMUNITY EMERGENCY RESPONSE PLAN). THE CERP PROGRAM IS AN INCENTIVE PROGRAM FOR PHYSICIANS TO BE AVAILABLE ON CALL IN THE EVENT OF AN EMERGENCY. THE PHYSICIAN WILL VEST IN THE PLAN IF ANY OF THE FOLLOWING THREE CONDITIONS ARE MET: - PARTICIPATE IN THE CERP PROGRAM FOR 10 YEARS, IF ENTERED THE PLAN AFTER 2007 - REACH THE AGE OF 60 YEARS AFTER COMPLETING 20 YEARS OF SERVICE - REACH THE AGE OF 65 YEARS THE ORGANIZATION MADE CONTRIBUTIONS TO A CERP FOR THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII: JOSEPH HERRMANN: $12,084 ELIE SAAB: $6,840 JEREMIAH MARTIN: $6,232 THE AMOUNT LISTED ABOVE IS INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN C. THE FOLLOWING INDIVIDUALS LISTED ON PAGE 7 OF FORM 990 RECEIVED A VESTED CERP PAYMENT DURING THE CALENDAR YEAR: ELIE SAAB: $6,903 THE VESTED PAYMENT AMOUNTS LISTED ABOVE ARE REPORTED ON SCHEDULE J, PART II, COLUMN B(III) AND COLUMN F.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF SCIOTO OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400086</BondIssuerEIN>
        <CUSIPNum>808878HB1</CUSIPNum>
        <BondIssuedDt>2016-05-10</BondIssuedDt>
        <IssuePriceAmt>136738259</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF SCIOTO OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400086</BondIssuerEIN>
        <CUSIPNum>808878HD7</CUSIPNum>
        <BondIssuedDt>2019-06-25</BondIssuedDt>
        <IssuePriceAmt>24900212</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>26285000</RetiredAmt>
        <TotalProceedsAmt>138630277</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1297411</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>137332866</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>7375000</RetiredAmt>
        <TotalProceedsAmt>25151254</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>195190</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>24956064</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE A, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) ADVANCE REFUND A PORTION OF THE OUTSTANDING COUNTY OF SCIOTO, OHIO $154,655,000 OHIO HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2008 (SOUTHERN OHIO MEDICAL CENTER) (THE "SERIES 2008 BONDS") AND (2) PAY CERTAIN COSTS INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE B, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) FINANCE "HOSPITAL FACILITIES" AS DEFINED IN SECTION 140.01 OF THE OHIO REVISED CODE AND (2) PAY CERTAIN COSTS INCURRED IN CONNECTION WITH THE ISSUANCE OF THE ISSUANCE OF THE SERIES 2019 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, COLUMN A:</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF THE ISSUE RESULT FROM: (1) SERIES 2016 BONDS ISSUE PRICE OF $136,738,258.75 AND (2) $1,892,018.33 OF INVESTMENT EARNINGS, AS OF JUNE 30, 2018, ON SALE PROCEEDS OF THE SERIES 2016 BONDS DEPOSITED INTO THE COUNTY OF SCIOTO, OHIO HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2008 (SOUTHERN OHIO MEDICAL CENTER) ESCROW FUND (THE "ESCROW FUND") PURSUANT TO THE ESCROW DEPOSIT AGREEMENT, MADE AS OF MAY 1, 2016, BY AND AMONG THE COUNTY OF SCIOTO, OHIO, SOUTHERN OHIO MEDICAL CENTER AND U.S. BANK NATIONAL ASSOCIATION, AS ESCROW DEPOSIT TRUSTEE. PURSUANT TO THE ESCROW VERIFICATION REPORT, DATED MAY 10, 2016, BY CAUSEY DEMGEN &amp; MOORE P.C. (THE "ESCROW VERIFICATION REPORT"), TOTAL INVESTMENT EARNINGS ON THE ESCROW FUND (WHICH INCLUDES AMOUNTS FROM THE 2008 DSRF) THROUGH FEBRUARY 15, 2018, THE DATE ON WHICH THE ESCROW FUND WAS USED TO REDEEM THE SERIES 2008 BONDS, WERE $2,044,563.15.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF THE ISSUE RESULT FROM: (1) SERIES 2019 BONDS ISSUE PRICE OF $24,900,211.80 AND (2) $249,765.71 OF NVESTMENT EARNINGS ON SALE PROCEEDS OF THE SERIES 2019 BONDS DEPOSITED INTO THE 2019 PROJECT ACCOUNT WITHIN THE PROJECT FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 7, COLUMN A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ISSUANCE COST IS COMPRISED OF UNDERWRITER'S DISCOUNT OF $651,601.88 AND OTHER COSTS OF ISSUANCE OF $645,809.60. THE SERIES 2016 BOND PROCEEDS USED TO PAY THESE AMOUNTS WERE DEPOSITED INTO THE 2016 EXPENSE FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, 3A, COLUMNS A AND B:</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY, ALL MANAGEMENT OR SERVICE CONTRACTS COMPLY WITH THE MANAGEMENT CONTRACT SAFE HARBORS SET FORTH BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, 2C, COLUMN A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCEEDS OF THE SERIES 2016 BONDS USED TO PAY ISSUANCE COSTS WERE EXPENDED WITHIN SIX MONTHS FROM THE ISSUE DATE OF THE SERIES 2016 BONDS. THE ESCROW VERIFICATION REPORT INDICATED THAT THE YIELD ON THE ESCROW FUND DID NOT EXCEED THE YIELD ON THE SERIES 2016 BONDS. GIVEN THE FOREGOING, NO REBATE WILL BE DUE ON THE SERIES 2016 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BANNON HOWLAND &amp; DEVER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD CHAIR ROBERT DEVER IS SENIOR PARTNER OF BANNON, HOWLAND, &amp; DEVER</RelationshipDescriptionTxt>
        <TransactionAmt>335115</TransactionAmt>
        <TransactionDesc>$20,000 PER MONTH RETAINER AS GENERAL COUNSEL TO SOUTHERN OHIO MEDICAL CENTER AND ITS RELATED ENTITIES. ADDITIONAL AMOUNT IS RELATED TO ADDITIONAL LEGAL SERVICES PROVIDED TO SOUTHERN OHIO MEDICAL CENTER THROUGHOUT THE YEAR.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, LINE C:</FormAndLineReferenceDesc>
        <ExplanationTxt>DOING BUSINESS AS: SOMC CANCER CENTER, SOMC HOME HEALTH SERVICES, SOMC L.I.F.E. CENTER, SOMC FAMILY HEALTH CENTER, SOMC HOSPICE CENTER, SOMC WOUND HEALING CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A CONTINUATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOMC EMPLOYEES, PHYSICIANS AND MEDICAL STUDENTS GIVE BACK TO THE COMMUNITY THROUGH INTERNAL DONATION CAMPAIGNS, SUCH AS THE "MAKE A DIFFERENCE" CAMPAIGN. EMPLOYEES CAN ALSO GIVE BACK THROUGH SOMC'S "PAY IT FORWARD" PROGRAM, WHERE SOCIAL WORKERS IDENTIFY PATIENT NEEDS AND EMPLOYEES CAN DIRECTLY DONATE ITEMS TO PROVIDE ASSISTANCE. MANY MEMBERS OF THE COMMUNITY ALSO VOLUNTEER AT SOMC, SERVING AS COMMUNITY AMBASSADORS. VOLUNTEERS OFFER A FRIENDLY SMILE AND COMFORTING WORDS TO PATIENTS AND FAMILY MEMBERS, WHILE ALSO ASSISTING WITHIN MANY AREAS OF THE HOSPITAL. SOMC'S TEAM OF VOLUNTEERS MAKES A DIFFERENCE NOT ONLY IN THE UNPAID HOURS THEY PROVIDE, BUT ALSO IN THEIR EFFORTS TO RAISE FUNDS TO PURCHASE MEDICAL EQUIPMENT, ASSIST WITH PATIENT NEEDS AND PROVIDE VARIOUS COMMUNITY SERVICES TO AID IN MAKING A DIFFERENCE. WITH THE COMMUNITIES AND SOMC WORKING SO CLOSELY TOGETHER, SOMC CAN PROUDLY SAY IT IS ABLE TO OBTAIN ITS GOAL OF "MAKING A DIFFERENCE."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 INFORMATION IS COMPILED IN THE ACCOUNTING DEPARTMENT THEN SENT TO THE INDEPENDENT TAX ACCOUNTANTS TO ANALYZE THE INFORMATION AND COMPLETE THE TAX RETURN. THE FINAL FORM IS THEN REVIEWED BY FINANCIAL STAFF, TIED OUT TO THE TRIAL BALANCE, AND E-MAILED TO THE BOARD. IN ADDITION, THE CFO PRESENTS FORM 990 TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE FILLED OUT ANNUALLY IN JANUARY FOR OFFICERS AND FOR NEW AND RETURNING BOARD MEMBERS. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE AUDIT &amp; COMPLIANCE COMMITTEE. ANY CONFLICTS ARE DOCUMENTED IN THE MINUTES AND ADDRESSED. CONFLICTS OF INTEREST ARE RAISED BY OFFICERS OR BOARD MEMBERS ONCE THEY ARE KNOWN BY THE INDIVIDUAL. BOARD MEMBERS ABSTAIN FROM VOTING IF A CONFLICT IS IDENTIFIED THAT THE BOARD MEMBER IS INVOLVED WITH DURING THE FISCAL YEAR. WE MONITOR COMPLIANCE THROUGH THE ANNUAL CONFLICT OF INTEREST SURVEY PROCESS. IT MAKES THE CONFLICT KNOWN SO SOMC CAN ENSURE THE CONFLICT IS NOT A COMPLIANCE PROBLEM. WHEN CONFLICTS ARISE WE USE THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS TO ADDRESS THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT, GALLAGHER/INTEGRATED HEALTHCARE STRATEGIES (IHS), PROVIDES THE BOARD COMPENSATION COMMITTEE WITH COMPARABLE DATA AND OTHER FACTS WHICH ARE USED BY THE COMMITTEE TO DETERMINE EXECUTIVE PAY PHILOSOPHY. THE INDEPENDENT CONSULTANT USES BOTH NATIONAL AND REGIONAL EXECUTIVE COMPENSATION SURVEYS FOR COMPARABLE DATA TO DETERMINE EXECUTIVE COMPENSATION RECOMMENDATIONS. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND DELIBERATES THE INDEPENDENT CONSULTANT'S RECOMMENDATIONS AND THROUGH CONTEMPORANEOUS SUBSTANTIATION, REACHES A DECISION THAT IS BOTH MARKET COMPETITIVE AND REASONABLE. THE DECISIONS FOR CEO AND EXECUTIVES COMPENSATION ARE DOCUMENTED IN THE BOARD COMPENSATION COMMITTEE MINUTES, AS WELL AS THE BOARD MEETING MINUTES. THIS COMMITTEE DETERMINES THE CEO'S PAY AND SETS PAY RANGES FOR THE OTHER EXECUTIVES. THE PROCESS WAS LAST UNDERTAKEN DURING 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHERN OHIO MEDICAL CENTER PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC THROUGH THE FILING OF ITS FORM 990 AS WELL AS ITS BOND DISCLOSURE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC ON SOUTHERN OHIO MEDICAL CENTER'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ACTUARIAL VALUE OF PENSION 65,567. CHANGE IN ACTUARIAL COST -907,900. INTERCOMPANY TRANSFERS -64,343,273.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOMC DEVELOPMENT FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1805 27TH STREET</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <EIN>310677520</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1248 KINNEYS LANE</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <EIN>311374523</EIN>
        <PrimaryActivitiesTxt>MEDICINE AND SURGERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1805 27TH STREET</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <EIN>314293042</EIN>
        <PrimaryActivitiesTxt>MANAGE REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHERN OHIO MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>55748845</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>4287845</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST PER CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>145751</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST PER CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>86877816</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION OF COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>114480784</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION OF COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC MEDICAL CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>79209719</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION OF COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC TITLE HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>1376660</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>RENTAL CHARGES PER CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC TITLE HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>4673152</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>RENTAL CHARGES PER CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC TITLE HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>10680012</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION OF COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC TITLE HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>668845</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION OF COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC TITLE HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>8602674</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FORGIVENESS OF EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC DEVELOPMENT FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>93149</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOMC DEVELOPMENT FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>145659</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
