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      <Desc>WHILE MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY, THE ONGOING EFFECTS OF COVID CONTINUE TO IMPACT HOW WE ARE ABLE TO REACH THE COMMUNITY THROUGH SCREENINGS AND EDUCATION EVENTS. WE CONTINUE TO UTILIZE NEW WAYS OF REACHING OUT TO THE COMMUNITIES THROUGH DIGITAL AND SOCIAL MEDIA VENUES. -WE INCREASED THE TESTS WE OFFER AT OUR MONTHLY COMMUNITY LAB SCREENING IN JULY OF 2022. WE REACHED A TOTAL OF 302 INDIVIDUALS BETWEEN APRIL AND DECEMBER 2022.-WE CONTINUE TO OFFER FLU VACCINE FOR THE PUBLIC WITH NO APPOINTMENT DURING BUSINESS HOURS 7 DAYS A WEEK AT THE PHARMACY. -WE ADMINISTERED 194 FLU SHOTS AT BUSINESSES, AND SCHOOLS FOR EMPLOYEES IN 2022. THIS NUMBER CONTINUES TO GO DOWN DUE TO THE INCREASED AVAILABILITY OF OBTAINING A FLU SHOT AT MANY DIFFERENT LOCATIONS. -WE HELD OUR ANNUAL MEDICARE EDUCATION &amp; COMPARISON EVENT AND HAD 28 ATTENDEES. WE ALSO PROVIDED ONE-ON-ONE COMPARISONS FOR 51 INDIVIDUALS. WE ALSO PRESENTED A MEDICARE OVERVIEW TO TWO GROUPS (36 INDIVIDUALS) IN THE COUNTY. -WE OFFERED A FREE SKIN CANCER SCREENING OPEN TO THE PUBLIC AND HAD 28 PARTICIPANTS. -MAGRUDER SPONSORED 7 BLOOD DRIVES IN 2022, ONE OF WHICH WAS JUST FOR MAGRUDER STAFF. FOR THESE BLOOD DRIVES, WE NOT ONLY PROVIDE FREE SPACE AND PROMOTION OF THE EVENT, BUT WE ALSO ALLOW EMPLOYEES TO DONATE ON WORK TIME. -WE PROVIDED $115 OF FREE TRANSPORTATION FOR PATIENTS WHO HAD NO OTHER WAY HOME. -WE PROVIDED HEALTH EDUCATION PROGRAMS FOR 204 PARTICIPANTS. ALTHOUGH WE STILL WERE UNABLE TO DO GROUP EDUCATION PROGRAMS AT THE HOSPITAL, WE PROVIDE HEALTH EDUCATION BLOGS ON OUR WEBSITE AND SOCIAL MEDIA, WE OFFER HEALTH TIPS IN OUR MONTHLY WELLNESS CALENDAR, AND WE RECORD A HEALTH &amp; WELLNESS TV SHOW AT A LOCAL HIGH SCHOOL AND SHARE THE VIDEO WITH THE PUBLIC. TOPICS INCLUDED: DIABETES PREVENTION, GARDENING, CANCER SCREENINGS, SUBSTANCE ABUSE PREVENTION, PNEUMONIA AND SHINGLES VACCINES, DEPRESSION, SENIOR DIRECTORY, MASSAGE, CAREGIVER STRESS, CHRONIC PAIN AND CHILDHOOD VACCINES. -ALTHOUGH MANY EVENTS AND INITIATIVES WERE CANCELLED OR POSTPONED, MAGRUDER HOSPITAL STILL SPONSORED OR PARTICIPATED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -JOYFUL CONNECTIONS - 4H -OVERDOSE AWARENESS -ELDER ABUSE AWARENESS -SUMMER LUNCH PROGRAM -SALVATION ARMYTHESE COMMUNITY BUILDING ACTIVITIES SUPPORT ORGANIZATIONS THAT ASSIST COMMUNITY MEMBERS IN OBTAINING THE RESOURCES AND SERVICES THEY NEED, WHETHER IT'S ADVOCACY, EXERCISE, SAFE AND AFFORDABLE HOUSING, SHELTER, NUTRITION, MEDICAL EQUIPMENT OR SAFE ACTIVITIES FOR TEENS.-MAGRUDER CONTINUED ITS STAFF COMMUNITY INVOLVEMENT PROGRAM WHERE THE HOSPITAL PAYS EMPLOYEES TO VOLUNTEER 4 HOURS IN THE COMMUNITY. IN 2022 MAGRUDER PAID EMPLOYEES TO VOLUNTEER 820 HOURS IN THE COMMUNITY. -MAGRUDER'S LEADERSHIP TEAM ALSO CONTINUES TO PARTICIPATE IN A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS: 3 AREA CHAMBERS OF COMMERCE, OTTAWA COUNTY COUNCIL OF HEALTH &amp; SOCIAL CONCERNS, OTTAWA COUNTY TASK FORCE ON AGING, PREVENTION COALITION, OSU EXTENSION, OTTAWA COUNTY IMPROVEMENT CORPORATION, OTTAWA COUNTY BUSINESS ADVISORY COUNCIL AND OTTAWA COUNTY SAFETY COUNCIL. -MAGRUDER CONTINUES TO PROVIDE FREE MEALS TO PATIENTS DISCHARGING FROM SURGERY, ONCOLOGY AND MED/SURG. THE HOSPITAL PROVIDED 1,045 OF THESE MEALS IN 2022. COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGIES FOR 2022REGARDING THE TOPIC OF CHRONIC DISEASE IN OUR LATEST COMMUNITY HEALTH NEEDS ASSESSMENT &amp; IMPLEMENTATION STRATEGY:MAGRUDER CONTINUED TO ASSIST THE FAMILY ADVOCACY CENTER AND ALSO HELPED PORT CLINTON CITY SCHOOLS IN MAINTAINING THEIR COMMUNITY GARDENS (WATERING AND WEEDING MOSTLY). THE PRODUCE FROM THESE GARDENS WERE USED FOR FAC CLIENTS AND STUDENTS IN PC CITY SCHOOLS. MAGRUDER CONTINUED TO ADMINISTER THE KNOW YOUR NUMBERS PROGRAM WHERE A NURSE FOLLOWS UP WITH INDIVIDUALS WHO HAVE THEIR LAB WORK COMPLETED THROUGH THE MONTHLY COMMUNITY LAB SCREEN. SHE CALLS THOSE WHO WISH TO BE CALLED AND REVIEWS THEIR NUMBERS, PROVIDES SUGGESTIONS FOR ANY AREAS OF IMPROVEMENT AND CONNECTS THEM WITH RESOURCES (BLOOD PRESSURE CUFFS, FINDING A DOCTOR ETC.).</Desc>
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        <PersonNm>ALLISON FALLS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RON 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>MARK HABLITZEL DDS</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>MARIA SUE CROSSER</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>MIKE LIBBEN</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>MARK SPRENGER</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>CHRIS SINGERLING</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>NICHOLAS MARSICO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>43.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>268664</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30430</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE GEORGOFF</PersonNm>
        <TitleTxt>VP FINANCE &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>43.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>181978</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16876</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY SCHREINER</PersonNm>
        <TitleTxt>VP NURSING &amp; CNO</TitleTxt>
        <AverageHoursPerWeekRt>44.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>154462</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37153</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND FULLER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>490721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43796</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL CADIGAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>345388</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43033</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID BODIE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>289502</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN KLAEGE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>254868</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41736</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN CALLAHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>229501</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29130</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2215084</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>284978</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>28</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PORT CLINTON EMERGENCY PHYSICIANS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3914 MEMORIAL SHOREWAY</AddressLine1Txt>
            <CityNm>LAKESIDEMARBLEHEAD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43440</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY PHYSICIANS</ServicesDesc>
        <CompensationAmt>2807711</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NOMS-ADVANCED HEALTH LTD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2500 W STRUB RD STE 150</AddressLine1Txt>
            <CityNm>SANDUSKY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44870</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICAL THERAPY</ServicesDesc>
        <CompensationAmt>1302352</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RURAL PHYSICIANS GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5575 DTC PKWY 225</AddressLine1Txt>
            <CityNm>GREENWOOD VILLAGE</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80111</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITALIST GROUP</ServicesDesc>
        <CompensationAmt>1044811</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PREMIER ANESTHESIA OF SANDUSKY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6125 S BROADWAY WEST</AddressLine1Txt>
            <CityNm>LORAIN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45053</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIOLOGISTS</ServicesDesc>
        <CompensationAmt>1000000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERNER CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2800 ROCKCREEK PARKWAY</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64117</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SOFTWARE SVCS</ServicesDesc>
        <CompensationAmt>761300</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>24</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>106045</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>11120</AllOtherContributionsAmt>
      <TotalContributionsAmt>117165</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTHCARE SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>56685373</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56685373</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN OFFICE RENTAL</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>364361</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>364361</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>57049734</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>333919</TotalRevenueColumnAmt>
        <ExclusionAmt>333919</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>23077</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>23077</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>23077</TotalRevenueColumnAmt>
        <ExclusionAmt>23077</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2935484</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3174915</SecuritiesAmt>
        <OtherAmt>6596</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-239431</SecuritiesAmt>
        <OtherAmt>-6596</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-246027</TotalRevenueColumnAmt>
        <ExclusionAmt>-246027</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>RETAIL PHARMACY</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>1749722</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>865055</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>884667</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MOBILE MEALS/FOOD SERVICE</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>286549</TotalRevenueColumnAmt>
        <ExclusionAmt>286549</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PAIN MANAGEMENT CLINIC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>248442</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>248442</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>114308</TotalRevenueColumnAmt>
        <ExclusionAmt>114308</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>2399021</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>59676889</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57298176</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>865055</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1396493</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>10100</TotalAmt>
        <ProgramServicesAmt>10100</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>689563</TotalAmt>
        <ManagementAndGeneralAmt>689563</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19237373</TotalAmt>
        <ProgramServicesAmt>17001806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2233723</ManagementAndGeneralAmt>
        <FundraisingAmt>1844</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1065671</TotalAmt>
        <ProgramServicesAmt>961376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102441</ManagementAndGeneralAmt>
        <FundraisingAmt>1854</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4730418</TotalAmt>
        <ProgramServicesAmt>4300540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>418947</ManagementAndGeneralAmt>
        <FundraisingAmt>10931</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1909982</TotalAmt>
        <ProgramServicesAmt>1674668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232068</ManagementAndGeneralAmt>
        <FundraisingAmt>3246</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>29747</TotalAmt>
        <ManagementAndGeneralAmt>29747</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>100559</TotalAmt>
        <ManagementAndGeneralAmt>100559</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>15755627</TotalAmt>
        <ProgramServicesAmt>14557399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1197632</ManagementAndGeneralAmt>
        <FundraisingAmt>596</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>233001</TotalAmt>
        <ProgramServicesAmt>233001</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>571955</TotalAmt>
        <ProgramServicesAmt>424664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147142</ManagementAndGeneralAmt>
        <FundraisingAmt>149</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1162805</TotalAmt>
        <ProgramServicesAmt>973943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186632</ManagementAndGeneralAmt>
        <FundraisingAmt>2230</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2774730</TotalAmt>
        <ProgramServicesAmt>2472222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>300787</ManagementAndGeneralAmt>
        <FundraisingAmt>1721</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>24497</TotalAmt>
        <ProgramServicesAmt>19828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4664</ManagementAndGeneralAmt>
        <FundraisingAmt>5</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>4962</TotalAmt>
        <ManagementAndGeneralAmt>4962</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3108800</TotalAmt>
        <ProgramServicesAmt>1932432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1173642</ManagementAndGeneralAmt>
        <FundraisingAmt>2726</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>363479</TotalAmt>
        <ProgramServicesAmt>100710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>262769</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>10489688</TotalAmt>
        <ProgramServicesAmt>10489688</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FRANCHISE FEES</Desc>
        <TotalAmt>1297794</TotalAmt>
        <ManagementAndGeneralAmt>1297794</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>1281812</TotalAmt>
        <ProgramServicesAmt>1281812</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>295253</TotalAmt>
        <ProgramServicesAmt>290046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5207</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>352374</TotalAmt>
        <ProgramServicesAmt>40084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312287</ManagementAndGeneralAmt>
        <FundraisingAmt>3</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>65490190</TotalAmt>
        <ProgramServicesAmt>56764319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8700566</ManagementAndGeneralAmt>
        <FundraisingAmt>25305</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3728323</BOYAmt>
        <EOYAmt>975790</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16715205</BOYAmt>
        <EOYAmt>10629911</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6663171</BOYAmt>
        <EOYAmt>5882382</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>183990</BOYAmt>
        <EOYAmt>434539</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>934790</BOYAmt>
        <EOYAmt>826841</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1111268</BOYAmt>
        <EOYAmt>569231</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>88564678</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>60099094</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>25715569</BOYAmt>
        <EOYAmt>28465584</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>6433259</BOYAmt>
        <EOYAmt>5450906</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>137153</EOYAmt>
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        <FormAndLineReferenceDesc>HB MAGRUDER MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: BELOW IS A SUMMARY OF THE POSITION AND STRATEGIES H B MAGRUDER MEMORIAL HOSPITAL CONTINUES TO ADDRESS SURROUNDING THE HEALTH NEEDS OF THE COMMUNITY. MAGRUDER HOSPITAL CONTINUED TO PARTNER WITH THE OTTAWA COUNTY HEALTH DEPARTMENT (OCHD) AND THE MENTAL HEALTH &amp; RECOVERY SERVICES BOARD OF SENECA, OTTAWA, SANDUSKY AND WYANDOT COUNTIES (MH BOARD) ON THE IMPLEMENTATION STRATEGY THAT WAS RELEASED 11/1/20. WHILE AN UPDATED SECONDARY DATA HEALTH ASSESSMENT WAS DONE IN 2020, THE PRIMARY DATA GATHERED IN 2017 FORMED THE BASIS OF THE LATEST IMPLEMENTATION STRATEGY. A FULL ASSESSMENT WITH PRIMARY DATA WILL LIKELY BE CARRIED OUT IN 2023 AT WHICH TIME WE WILL BE BETTER ABLE TO SEE THE IMPACT OF OUR EFFORTS, ALONG WITH THE IMPACT OF COVID, ON THE HEALTH INDICATORS.THE 2017 CHNA FINDINGS SHOWED THE FOLLOWING GENERAL HEALTH AREAS HAVING A DOCUMENTED IMPROVEMENT REALIZED IN 2017 AS IT RELATES TO PREVIOUS CHNA REPORTING.MAGRUDER HOSPITAL CONTINUES TO FOCUS ON MENTAL HEALTH AS A COMMUNITY CONCERN:THERE WAS NO CHANGE IN THE NUMBER OF AVERAGE DAYS THAT "MENTAL HEALTH WAS NOT GOOD IN THE PAST MONTH". ADULTS THAT FELT SAD OR HOPELESS FOR TWO OR MORE WEEKS IN A ROW DECREASED SLIGHTLY ADULTS CONSIDERING ATTEMPTED SUICIDE IN THE PAST YEAR DECREASE SLIGHTLY ADULTS WHO MISUSED PRESCRIPTION DRUGS IN THE PAST YEAR DECREASED SLIGHTLY.CHRONIC DISEASE:ADULT TOBACCO USE DECREASED BY 6% OVER THE PREVIOUS CHNA. THE PERCENTAGE OF PATIENTS THAT TRIED TO QUIT SMOKING INCREASED BY 15%. YOUTH REPORTED INCREASED AMOUNTS OF FRUITS AND VEGETABLES EATEN AS WELL AS INCREASED PHYSICAL ACTIVITY LEVELS 5 DAYS/WEEK.GENERAL HEALTH:ADULTS THAT HAD A FLU VACCINE IN THE PAST YEAR INCREASED BY 5%. ADULTS THAT HAD A PNEUMONIA VACCINE INCREASED BY 10%.HEALTHCARE ACCESS:THE PERCENTAGE OF UNINSURED PATIENTS DECLINED FROM 12% TO 7% IN YEARS 2012 AND 2017 RESPECTIVELY. THE CURRENT 7% OF PATIENTS UNINSURED IS NOW LOWER THAN THE STATE AVERAGE. MH CONDUCTS EDUCATIONAL SESSIONS AND SUPPORT FOR THE COMMUNITY AS IT RELATES TO INSURANCE MARKETPLACE AND MEDICARE OPTIONS.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 6B: OTTAWA COUNTY HEALTH DEPARTMENT</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 11: H B MAGRUDER MEMORIAL HOSPITAL'S ACTION PLAN:MAGRUDER HOSPITAL REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS DEVELOPED A HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGY. IN KEEPING WITH OUR MISSION OF IMPROVING LIVES TOGETHER, MAGRUDER HAS DETERMINED THAT MENTAL HEALTH (ADDICTION &amp; DEPRESSION) AND CHRONIC DISEASE (HYPERTENSION &amp; DIABETES) ARE THE TWO AREAS OF GREATEST NEED.UPON COMPLETION OF THE 2017 PRIMARY DATA COMMUNITY HEALTH NEEDS ASSESSMENT, MAGRUDER REVIEWED THE REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND DEVELOPED A HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGY. THE TWO AREAS OF FOCUS ARE MENTAL HEALTH (ADDICTION &amp; DEPRESSION) AND CHRONIC DISEASE (HYPERTENSION &amp; DIABETES). BECAUSE THE IMPLEMENTATION STRATEGY IS AN ACTIVE DOCUMENT, THERE HAVE BEEN CHANGES DURING THE THREE YEAR PROCESS DUE TO COVID, AS WELL AS INCREASED PARTICIPATION FROM OUR COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY HEALTH PARTNERS. MENTAL HEALTHSTRATEGY 1: MENTAL HEALTH EDUCATIONACTION STEPS FOR EACH YEAR HAVE BEEN TO OBTAIN DATA ON THE NUMBER OF MENTAL HEALTH TRAININGS AND EDUCATION AVAILABLE, IDENTIFY GAPS IN EXISTING PROGRAMS AND DETERMINE TRAINING NEEDS. PARTNER WITH COMMUNITY AGENCIES, SUCH AS THE MENTAL HEALTH BOARD TO ASSIST WITH TRAINING OPPORTUNITIES. INCREASE THE NUMBER OF TRAININGS AND MARKET TO STAFF.MAY 2022: DUE TO THE EFFECTS OF THE PANDEMIC OVER THE COURSE OF THE LAST TWO YEARS, IT HAS BECOME INCREASINGLY APPARENT THAT MENTAL HEALTH EDUCATION IS NECESSARY WITHIN THE COMMUNITY. THE NEXT STEP IN ASSESSING THE BASELINE INFORMATION WILL BE TO BROADEN THE SURVEY OF ALL COMMUNITY STAKEHOLDERS AS OPPOSED TO JUST MAGRUDER HOSPITAL SERVICES. THIS WILL BE A GOAL FOR REPORTING IN 2022 IN ORDER TO ESTABLISH A BETTER BASELINE. MAGRUDER HOSPITAL OFFERED A MENTAL HEALTH TRAINING FOR STAFF IN MARCH 2022, AND OUR NURSING STAFF HAS COORDINATED TRAINING WITH THE OTTAWA COUNTY SHERIFF OFFICE DRUG TASK FORCE WHERE THEY OFFER TWO TRAININGS TO OUR STAFF REGARDING DRUG ACTIVITY AND RESOURCES IN THE COUNTY. THE OTTAWA COUNTY HEALTH DEPARTMENT HAS GONE THROUGH GRIEF THERAPY TRAINING AND MENTAL HEALTH AWARENESS TRAINING IN MARCH AND APRIL 2022. OCTOBER 2022: QPR, CIT, AND MENTAL HEALTH FIRST AID ARE PROVIDED TO A NUMBER OF SOCIAL SERVICE AGENCIES THROUGHOUT THE COUNTY. LUNCH-N-LEARN TYPES OF TRAININGS ARE CURRENTLY BEING PROVIDED FOR OTTAWA COUNTY EMPLOYEES FOR PERSONAL APPLICATION.STRATEGY 2: INCREASE SAFE DISPOSAL OF PRESCRIPTION DRUGSACTION STEPS FOR EACH YEAR HAVE BEEN TO GATHER DATA ON THE NUMBER OF LOCAL PRACTITIONERS AND PHARMACIES PROVIDING INFORMATION ON PRESCRIPTION DRUG ABUSE AND COLLECTION LOCATIONS. INCREASE THE NUMBER OF LOCAL PRACTITIONERS AND PHARMACIES PROVIDING INFORMATION ON PRESCRIPTION DRUG ABUSE AND COLLECTION LOCATIONS. PROMOTE THE USE OF DISSOLVABLE PRESCRIPTION BAGS (I.E., DETERRA) AND PROVIDE EDUCATION REGARDING SAFE DISPOSAL OF MEDICATIONS. MAY 2022: HEALTH DEPARTMENT IS LOOKING TO PURCHASE ADDITIONAL DETERRA BAGS AND DISTRIBUTE THROUGH THE NEWLY FORMED OTTAWA COUNTY PREVENTION COALITION. A PRESS RELEASE REGARDING DRUG TAKE BACK DAY (APRIL 30, 2022) WAS SENT TO THE MEDIA PROMOTING THESE ACTIVITIES TO INCREASE THE AWARENESS OF DRUG COLLECTION AND PROPER DISPOSAL. THE OTTAWA COUNTY HEALTH DEPARTMENT IS IN THE PROCESS OF ESTABLISHING THE DRUG OVERDOSE AND SUICIDE FATALITY REVIEW BOARD ACCORDING TO THE RECENTLY PASSED LAW IN SEPTEMBER 2021 AND IS LOOKING TO MEET BY THE END OF YEAR. CURRENTLY, MAGRUDER RETAIL PHARMACY HAS 46 DETERRA BAGS. WE PROVIDE THEM TO THE PUBLIC, PHARMACIES AND PHYSICIAN OFFICES AND WE ALSO CONTINUE TO PROMOTE THE 24/7 DROP OFF LOCATIONS AVAILABLE IN OTTAWA COUNTY. OCTOBER 2022: A PROMOTIONAL VIDEO WAS CREATED ALONG WITH A PRESS RELEASE FOR DRUG TAKE BACK DAY (OCTOBER 29, 2022). MAGRUDER RETAIL PHARMACY HAS 29 DETERRA BAGS LEFT. ON DRUG OVERDOSE AWARENESS DAY, AN ADDITIONAL 250 BAGS WERE PURCHASED FOR FUTURE DISTRIBUTION THROUGHOUT THE COUNTY. THE OTTAWA COUNTY HEALTH DEPARTMENT HAS PARTNERED WITH THE CORONER'S OFFICE TO DISTRIBUTE DETERRA BAGS TO THE FAMILIES OF RECENTLY DECEASED INDIVIDUALS FOR PROPER DISPOSAL OF MEDICATION. ADDITIONAL DISTRIBUTION WILL TAKE PLACE DURING FUTURE PUBLIC EVENTS. STRATEGY 3: SUPPORT &amp; ENHANCE MENTORING &amp; SOCIALIZATION PROGRAMS WITHIN OTTAWA COUNTYACTION STEPS FOR EACH YEAR INCLUDED WORKING WITH LOCAL ORGANIZATIONS TO DETERMINE WHAT MENTORING AND SOCIALIZATION PROGRAMS EXIST AND WHAT THE NEED OR INTEREST IS FOR MORE AND TO SUPPORT AND/OR ENHANCE CURRENT OR ADDITIONAL PROGRAMMING NEEDS. MAY 2022: RECENTLY A NEW 4H COORDINATOR WAS HIRED BY THE OSU EXTENSION OFFICE. GAPS ARE GOING TO CONTINUE TO BE ASSESSED IN EARLY 2022 TO DETERMINE FURTHER INITIATIVES THAT MIGHT BE NEEDED. MAGRUDER CONTINUES TO PROVIDE PAID TIME FOR EMPLOYEES TO VOLUNTEER IN THE COMMUNITY AND SHARES WITH ALL STAFF OPPORTUNITIES THAT ARE AVAILABLE. WE ALSO PROVIDE EDUCATION AND ACTIVITIES FOR ORGANIZATIONS THAT WORK WITH YOUTH IN THE COUNTY.OCTOBER 2022: 4H IS IN ALMOST EVERY SCHOOL DISTRICT AND REACHED 517 STUDENTS THIS FALL. IN ADDITION, 4H WORKS WITH AFTER-SCHOOL PROGRAMS AND OFFERED SCIENCE SATURDAYS AT LOCAL LIBRARIES. SNAP-ED HAS BEEN DOING EDUCATION PROGRAMS AT NORTH POINT EDUCATION SERVICE CENTER AND BATAAN. FAMILY ADVOCACY CENTER BEGAN THEIR KONNECTIONS PROGRAM TO PAIR SENIORS WITH SOMEONE TO CHECK IN ON THEM AND HELP THEM CONNECT WITH RESOURCES. CHRONIC DISEASESTRATEGY 1: IMPLEMENT HEALTHY FOOD INITIATIVESACTION STEPS FOR EACH YEAR WERE TO OBTAIN DATA ABOUT WHERE COMMUNITY GARDENS AND/OR FARMERS MARKETS AND WHICH LOCAL FOOD PANTRIES HAVE FRESH PRODUCE AVAILABLE. CREATE AND DISTRIBUTE A MAP OF ALL AVAILABLE FARMERS MARKETS, COMMUNITY GARDENS, AND FOOD PANTRIES IN OTTAWA COUNTY. ASSIST ADDITIONAL ORGANIZATIONS IN APPLYING FOR GRANTS TO OBTAIN FUNDING FOR A COMMUNITY GARDEN OR FARMERS MARKET. WORK WITH LOCAL ORGANIZATIONS TO ENSURE FOOD PANTRIES OFFER FRESH PRODUCE. MAY 2022: FAC COMMUNITY GARDENS ARE CONTINUING TO OPERATE. PORT CLINTON CITY SCHOOLS HAVE CREATED A COMMUNITY GARDEN IN EARLY 2022. MAGRUDER CONTINUED TO ASSIST THE FAMILY ADVOCACY CENTER AND ALSO HELPED PORT CLINTON CITY SCHOOLS IN MAINTAINING THEIR COMMUNITY GARDENS (WATERING AND WEEDING MOSTLY). THE PRODUCE FROM THESE GARDENS WERE USED FOR FAC CLIENTS AND STUDENTS IN PC CITY SCHOOLS. THE OSU EXTENSION CONTINUED THEIR HEALTHY EATING EDUCATION PROGRAMS THROUGHOUT THE COUNTY FOR ALL AGES. IN RESEARCHING THE NECESSARY REQUIREMENTS FOR SNAP/EBT AT FARMER'S MARKETS, IT HAS BEEN DETERMINED FOR OTTAWA COUNTY THAT IT IS NOT FEASIBLE FOR IMPLEMENTATION AT THIS TIME. OCTOBER 2022: BOTH PORT CLINTON CITY SCHOOLS AND FAMILY ADVOCACY'S COMMUNITY GARDENS CONTINUE TO OPERATE AT THIS TIME. STRATEGY 2: INCREASE PRE-DIABETES SCREENING AND REFERRAL FOR TREATMENTACTIONS STEPS FOR EACH YEAR WERE TO RAISE AWARENESS OF PRE-DIABETES SCREENING, IDENTIFICATION AND REFERRAL TO APPROPRIATE PROGRAMMING THROUGH DISSEMINATION OF EVIDENCE BASED PRE-DIABETES SCREENING USING A RISK ASSESSMENT TOOL. MAY 2022: HEALTH DEPARTMENT OFFERS SEVEN 60+ CLINICS IN 6 LOCATIONS WHICH INCLUDES BLOOD SUGAR TESTING. MANY EMPLOYERS IN OUR AREA OFFER INCENTIVIZED PRACTICES OF BLOOD SCREENING FOR INSURANCE PURPOSES. OCTOBER 2022: MAGRUDER HAS COMPLETED A TRIAL ROUND OF A DPP BUT DID NOT HAVE ENOUGH DATA TO SUBMIT FOR THE ACCREDITATION PROCESS AND HAS NOT PURSUED ANY ADDITIONAL GROUPS AT THIS TIME. STRATEGY 3: HYPERTENSION SCREENING &amp; FOLLOW UPACTIONS STEPS INCLUDE OFFERING HYPERTENSION SCREENING AT HOSPITAL AND COMMUNITY HEALTH EVENTS, AND PROMOTE AND MARKET FREE/REDUCED COST SCREENING EVENTS WITHIN THE COUNTY. WE WERE ALSO TO DEVELOP A CAMPAIGN TO ENCOURAGE SCREENING PARTICIPANTS AND MMG PATIENTS TO 'KNOW YOUR NUMBERS AND THE SIGNS AND SYMPTOMS OF HEART DISEASE. MAY 2022: HEALTH DEPARTMENT OFFERS 60+ CLINICS TO MONITOR BLOOD PRESSURES AND BLOOD SUGAR OF ALL THOSE WHO ATTEND. MAGRUDER ADMINISTERED THE KNOW YOUR NUMBERS PROGRAM WHERE A NURSE FOLLOWS UP WITH INDIVIDUALS WHO HAVE THEIR LAB WORK COMPLETED THROUGH THE MONTHLY COMMUNITY LAB SCREEN. SHE CALLS THOSE WHO WISH TO BE CALLED AND REVIEWS THEIR NUMBERS, PROVIDES SUGGESTIONS FOR ANY AREAS OF IMPROVEMENT AND CONNECTS THEM WITH RESOURCES (BLOOD PRESSURE CUFFS, FINDING A DOCTOR ETC.).OCTOBER 2022: THE HEALTH DEPARTMENT CONTINUES TO OFFER SEVEN "60+ CLINICS" IN 6 DIFFERENT LOCATIONS. FROM JANUARY TO SEPTEMBER 2022, THERE WERE 42 INDIVIDUALS WHO WERE EDUCATED ON THEIR LAB RESULTS IN THE "KNOW YOUR NUMBERS" PROGRAM. STRATEGY 4: COMMUNITY WIDE WELLNESS CAMPAIGNTHE ACTION STEP FOR THIS WAS TO COLLABORATE WITH LOCAL ORGANIZATIONS TO CREATE A COMMUNITY-WIDE WELLNESS CAMPAIGN, ESTABLISH A CAMPAIGN AND IDENTIFY STRATEGIES TO IMPLEMENT UNIFIED WELLNESS INITIATIVES AND MESSAGING WITHIN THE COUNTY, DETERMINE CAMPAIGN GOALS, OBJECTIVES AND STRATEGIES. CONTINUED ON NEXT PAGE...</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 (CONTINUED):</FormAndLineReferenceDesc>
        <ExplanationTxt>JOINING FORCES WITH OSU EXTENSION ON A COMMUNITY WIDE WELLNESS CAMPAIGN DID NOT HAPPEN. BUT WE CONTINUE TO PROMOTE THEIR WELLNESS CHALLENGES THAT THEY OFFER FREE TO THE COMMUNITY MULTIPLE TIMES A YEAR. BY IMPLEMENTING THESE STRATEGIES, WE HOPE TO MAKE THE BEST USE OF THE RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITIES WE SERVE, AS WELL AS TO WORK COLLABORATIVELY TO BUILD NEW HEALTHY OPPORTUNITIES FOR THOSE WHO VISIT, WORK, AND LIVE IN OTTAWA COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>9</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>611 E 6TH STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>621 FULTON STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - PHYSICAL THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7725 W STATE ROUTE 163</AddressLine1Txt>
            <CityNm>OAK HARBOR</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43449</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11697 W STATE ROUTE 163</AddressLine1Txt>
            <CityNm>OAK HARBOR</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43449</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - PHYSICAL THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4058 E HARBOR RD</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1297 W MAIN STREET</AddressLine1Txt>
            <CityNm>LAKESIDE MARBLEHEAD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43440</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2861 EAST HARBOR ROAD</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1250 FULTON STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO CHARITY CARE WAS CALCULATED USING A COST-TO-CHARGE RATIO. TOTAL COMMUNITY BENEFIT RELATED TO MEDICAID WAS CALCULATED FROM THE MEDICAID COST REPORT. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.</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 $ 1,281,812.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BUILDING ACTIVITIES THAT MAGRUDER HOSPITAL SUPPORTS ENCOURAGE EXERCISE (AREA SCHOOL ATHLETIC BOOSTERS), EDUCATION (AREA SCHOOLS HONOR BANQUETS), SAFETY (OFFICER PHIL), AND OTHER HEALTH-RELATED ORGANIZATIONS (EMS, EASTER SEALS, HOSPICE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE 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 HOSPITAL'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. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE AMOUNT OF BAD DEBT EXPENSE REPORTED IN PART III, LINES 2 AND 3 IS BASED DIRECTLY ON THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS, WITH LINE 3 BEING ESTIMATED AS 5% OF THE TOTAL BAD DEBT EXPENSE REPORTED IN LINE 2. THE ENTIRE BAD DEBT EXPENSE RELATES SOLELY TO PATIENT ACCOUNTS, WHICH BENEFIT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE SURPLUS/SHORTFALL CALCULATION IS BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER THE MEDICARE RULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAGRUDER HOSPITAL FOLLOWS THE SAME COLLECTION PRACTICES NO MATTER THE TYPE OF PATIENT. ALL PATIENTS ARE TREATED EQUALLY. COLLECTION PRACTICES ARE NOT PURSUED FOR PATIENTS THAT THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE. ALL COLLECTION EFFORTS ARE PLACED ON HOLD UNTIL FINANCIAL ASSISTANCE IS PROCESSED. IF APPROVED, THE BALANCES ARE WRITTEN OFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT IS THE RESULT OF A STRONG COMMITMENT BY DEDICATED COMMUNITY PARTNERS TO WORK TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OTTAWA COUNTY. THE HEALTH ASSESSMENT GIVES US THE OPPORTUNITY TO GLANCE INTO OUR COMMUNITY, AS WELL AS OUR STATE AND NATION. THE DATA PRESENTED IN THIS REPORT WILL PROVIDE VALUABLE INFORMATION TO DEVELOP STRATEGIES THAT FOCUS ON WELLNESS, ACCESS TO CARE AND UNMET COMMUNITY NEEDS.IN ADDITION TO THE INFORMATION FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGRUDER PARTICIPATES IN THE OTTAWA COUNTY COUNCIL OF HEALTH &amp; SOCIAL CONCERNS WHERE SCHOOLS, GOVERNMENT, LAW ENFORCEMENT AND A WIDE VARIETY OF SOCIAL SERVICE AGENCIES MEET MONTHLY TO DISCUSS NEEDS AND TRENDS THAT THEY ARE SEEING. THE GROUP WORKS TO ENHANCE COLLABORATION AND TO MINIMIZE DUPLICATION OF SERVICES. MAGRUDER ALSO PARTICIPATES IN THE DRUG FREE COLLABORATIVE, PORT CLINTON CHAMBER OF COMMERCE, OTTAWA COUNTY IMPROVEMENT CORP, NORTHWEST OHIO HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOICATION WITH A GOAL OF BETTER UNDERSTANDING THE NEEDS OF OUR HEALTHCARE POPULATION.MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS BEGUN WORK ON CURRENT AS WELL AS FUTURE HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGIES. WE ARE COMMITTED TO CONTINUING THAT WORK AS A HOSPITAL AND AS A PARTNER IN THE COMMUNITIES WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS RECEIVE INFORMATION AT REGISTRATION, IN THEIR FIRST STATEMENT, AND OFFERED ON FOLLOW-UP PHONE CALLS. THERE ARE BROCHURES AT OUR PHYSICIAN OFFICES AND THROUGHOUT THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAGRUDER HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN PORT CLINTON, OHIO SERVING THE HEALTHCARE NEEDS OF OTTAWA COUNTY. OTTAWA COUNTY IS LOCATED ON LAKE ERIE ABOUT 15 MILES SOUTHEAST OF TOLEDO, OHIO AND IS MADE UP OF VARIOUS COMMUNITIES THAT INCLUDE SEVEN VILLAGES, TWELVE TOWNSHIPS AND THE ONLY CITY IN OTTAWA COUNTY, PORT CLINTON. THE POPULATION OF 40,000 HAS EASY ACCESS TO MAJOR STATE ARTERIES TO TOLEDO AND CLEVELAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAGRUDER HOSPITAL ACTIVELY RECRUITS PHYSICIANS WITH THE SPECIALTIES NEEDED WITHIN THE COMMUNITY, SO THE COMMUNITY CAN ACCESS THE HEALTHCARE IT NEEDS. EXCESS FUNDS ARE PUT INTO STATE OF THE ART TECHNOLOGY TO BETTER SERVE OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>10</RecipientCnt>
        <CashGrantAmt>10100</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PURSUING A HEALTH-RELATED DEGREE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL CADIGAN</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13395</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>332326</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>NICHOLAS MARSICO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13047</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17383</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>299094</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN KLAEGE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>217841</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>37027</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296604</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN CALLAHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>171555</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>57946</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11880</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17250</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>258631</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE GEORGOFF</PersonNm>
        <TitleTxt>VP FINANCE &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181903</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>75</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9091</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7785</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>198854</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLY SCHREINER</PersonNm>
        <TitleTxt>VP NURSING &amp; CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>154462</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7929</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29224</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191615</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO RECEIVES REIMBURSEMENT FOR SOCIAL CLUB DUES; REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE CEO. THE ORGANIZATION USES FACILITY FOR VARIOUS STAFF FUNCTIONS THROUGHOUT THE YEAR. THIS TRANSACTION IS ANNUALLY BOARD APPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES TO THE CEO AND OTHER MEMBERS OF THE LEADERSHIP TEAM ARE DETERMINED AND APPROVED AT THE DISCRETION OF THE BOARD OF DIRECTORS.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>TOLEDO-LUCAS COUNTY PORT AUTHORITY NORTHWEST OHIO BOND FUNC</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>346409686</BondIssuerEIN>
        <CUSIPNum>889251HR8</CUSIPNum>
        <BondIssuedDt>2021-11-30</BondIssuedDt>
        <IssuePriceAmt>8085000</IssuePriceAmt>
        <PurposeDesc>CAPITAL IMPROVEMENTS</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
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      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>8085000</TotalProceedsAmt>
        <CapitalizedInterestAmt>231548</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>303529</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>4840285</CapitalExpendituresAmt>
        <UnspentAmt>2689881</UnspentAmt>
        <SubstantialCompletionYr>2023</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</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>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DOUG FOCHT</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNER FOCHT CONSTRUCTION</RelationshipDescriptionTxt>
        <TransactionAmt>161488</TransactionAmt>
        <TransactionDesc>PAYMENT FOR WORK ON SURGERY UPGRADE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN ELECTRONICALLY DELIVERED TO EACH MEMBER OF THE BOARD WITH A DISCUSSION OF KEY POINTS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST ARE REQUESTED ANNUALLY FOR ALL BOARD MEMBERS. THE CEO REVIEWS ALL DISCLOSURES. THE CODE OF REGULATIONS ASKS FOR PROMPT DISCLOSURE IF SITUATIONS CHANGE DURING THE YEAR. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN VOTING ON MATTERS WHERE THERE IS A CONFLICT OR POTENTIAL CONFLICT. DOUG FOCHT, DIRECTOR, IS RESTRICTED FROM PARTICIPATING IN DECISIONS IN REGARD TO BUILDING CONSTRUCTION TRANSACTIONS (SEE SCHEDULE L, PART VI DISCLOSURE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE OHA SALARY SURVEY FOR COMPARISON. RECOMMENDATIONS TO THE FULL BOARD ARE MADE BASED ON SALARY SURVEY FINDINGS, MARKET FINDINGS, AND PERFORMANCE REVIEW FOR EXECUTIVES; ALL OTHER NON-EXECUTIVE EMPLOYEES' SALARIES ARE DETERMINED IN A SIMILAR FASHION EXCLUDING BOARD APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING IS COMPLETED WITH RESPECT TO THIS PROCESS. THIS PROCESS WAS LAST PERFORMED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,956,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,956,913. PURCHASED SERVICES (MEDICAL, HUMAN RESOURCES, ADMINSTRATIVE): PROGRAM SERVICE EXPENSES 3,820,937. MANAGEMENT AND GENERAL EXPENSES 1,197,632. FUNDRAISING EXPENSES 596. TOTAL EXPENSES 5,019,165. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,779,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,779,549.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST RATE SWAP -12,720. PAIN MANAGEMENT BOOK TO TAX DIFFERENCE 295,178. PAIN MANAGEMENT EQUITY ADJUSTMENT -179,518.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE HOSPITAL'S BOARD OVERSEE THE AUDIT PROCESS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MAGRUDER MEDICAL GROUP LTD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>615 FULTON ST</AddressLine1Txt>
          <CityNm>PORT CLINTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43452</ZIPCd>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>3976770</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
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      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MAGRUDER HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>615 FULTON STREET</AddressLine1Txt>
          <CityNm>PORT CLINTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43452</ZIPCd>
        </USAddress>
        <EIN>463883346</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>H B MAGRUDER MEMORITAL HOSPITAL</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>MAGRUDER PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>615 FULTON ST</AddressLine1Txt>
          <CityNm>PORT CLINTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43452</ZIPCd>
        </USAddress>
        <EIN>275038026</EIN>
        <PrimaryActivitiesTxt>PAIN MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>H B MAGRUDER MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>248442</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>282516</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MAGRUDER PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>248442</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUED AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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</Return>
