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        <OtherCompensationAmt>7902</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE WILLIAMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>122488</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2927</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANYSE STOREY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>17.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>167088</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4265</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1087390</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>54606</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ZAYEM CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3352 RIVERWOOD CT</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>270506</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MY PSYCHIATRIC PARTNER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8483 TORWOODLEE COURT</AddressLine1Txt>
            <CityNm>DUBLIN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>161734</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENOA HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1832 ADAMS ST</AddressLine1Txt>
            <CityNm>TOLEDO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>141580</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BLUE TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5885 GRANT AVENUE</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY</ServicesDesc>
        <CompensationAmt>139771</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CISP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3035 MOFFAT RD</AddressLine1Txt>
            <CityNm>TOLEDO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43615</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERNET</ServicesDesc>
        <CompensationAmt>129870</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>65352</FundraisingAmt>
      <GovernmentGrantsAmt>3260486</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>107361</AllOtherContributionsAmt>
      <NoncashContributionsAmt>465</NoncashContributionsAmt>
      <TotalContributionsAmt>3433199</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID / MEDICARE PAYMENTS</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>11987891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11987891</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>3403879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3403879</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE &amp; COPAYS</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>1617364</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1617364</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17009134</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7970</TotalRevenueColumnAmt>
        <ExclusionAmt>7970</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>148163</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>153668</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-5505</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-5505</TotalRevenueColumnAmt>
        <ExclusionAmt>-5505</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>65352</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>5522</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-5522</TotalRevenueColumnAmt>
        <ExclusionAmt>-5522</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>REBATES AND OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>63960</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63960</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>63960</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20503236</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17073094</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-3057</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>349199</TotalAmt>
        <ProgramServicesAmt>296820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48887</ManagementAndGeneralAmt>
        <FundraisingAmt>3492</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12316846</TotalAmt>
        <ProgramServicesAmt>10663945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1610488</ManagementAndGeneralAmt>
        <FundraisingAmt>42413</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>358866</TotalAmt>
        <ProgramServicesAmt>305036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50242</ManagementAndGeneralAmt>
        <FundraisingAmt>3588</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1159380</TotalAmt>
        <ProgramServicesAmt>1000512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157186</ManagementAndGeneralAmt>
        <FundraisingAmt>1682</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>964711</TotalAmt>
        <ProgramServicesAmt>829361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131870</ManagementAndGeneralAmt>
        <FundraisingAmt>3480</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>13827</TotalAmt>
        <ManagementAndGeneralAmt>13827</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>41012</TotalAmt>
        <ManagementAndGeneralAmt>41012</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>729321</TotalAmt>
        <ProgramServicesAmt>672813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54943</ManagementAndGeneralAmt>
        <FundraisingAmt>1565</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>45850</TotalAmt>
        <ProgramServicesAmt>38972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6419</ManagementAndGeneralAmt>
        <FundraisingAmt>459</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>626841</TotalAmt>
        <ProgramServicesAmt>532956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88627</ManagementAndGeneralAmt>
        <FundraisingAmt>5258</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>285748</TotalAmt>
        <ProgramServicesAmt>242923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40005</ManagementAndGeneralAmt>
        <FundraisingAmt>2820</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>610433</TotalAmt>
        <ProgramServicesAmt>518868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85461</ManagementAndGeneralAmt>
        <FundraisingAmt>6104</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>308528</TotalAmt>
        <ProgramServicesAmt>262249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43194</ManagementAndGeneralAmt>
        <FundraisingAmt>3085</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>161208</TotalAmt>
        <ManagementAndGeneralAmt>161208</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>199337</TotalAmt>
        <ProgramServicesAmt>169171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27907</ManagementAndGeneralAmt>
        <FundraisingAmt>2259</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>173560</TotalAmt>
        <ProgramServicesAmt>147526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24298</ManagementAndGeneralAmt>
        <FundraisingAmt>1736</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>821828</TotalAmt>
        <ProgramServicesAmt>821828</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>216026</TotalAmt>
        <ProgramServicesAmt>216026</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD EXPENSE</Desc>
        <TotalAmt>130367</TotalAmt>
        <ProgramServicesAmt>112116</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18251</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF DEVELOPMENT</Desc>
        <TotalAmt>26551</TotalAmt>
        <ProgramServicesAmt>22568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3717</ManagementAndGeneralAmt>
        <FundraisingAmt>266</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>24456</TotalAmt>
        <ProgramServicesAmt>20846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3423</ManagementAndGeneralAmt>
        <FundraisingAmt>187</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>16874536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2610965</ManagementAndGeneralAmt>
        <FundraisingAmt>78394</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>769127</BOYAmt>
        <EOYAmt>3237766</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>24846</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1666117</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>96595</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5897433</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5544145</BOYAmt>
        <EOYAmt>5462759</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>174136</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>13194</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>9240454</BOYAmt>
        <EOYAmt>10675413</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1399853</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>420035</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2912698</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3427660</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8160246</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>2290968</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>219033</BOYAmt>
        <EOYAmt>224199</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>2515167</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>10675413</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>-514</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
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        <CurrentTaxYearMinus3YearsAmt>883256</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1958462</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>15109009</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17866811</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17009134</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>17067471</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18576083</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17706733</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>81067192</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>3001</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>18989</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7970</CurrentTaxYearAmt>
        <TotalAmt>30641</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>681</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18989</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7970</CurrentTaxYearAmt>
        <TotalAmt>30641</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>62585</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20800</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>63960</CurrentTaxYearAmt>
        <TotalAmt>164619</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>12903345</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14891910</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17088952</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18599582</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17778663</CurrentTaxYearAmt>
        <TotalAmt>81262452</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99760</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99760</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00040</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2015 AMOUNT: $ 12,764. 2016 AMOUNT: $ 62,585. 2017 AMOUNT: $ 20,800. 2018 AMOUNT: $ 4,510. 2019 AMOUNT: $ 0. REBATES AND OTHER - 2019 AMOUNT: $ 63,960.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>656000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>4709196</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>258646</DepreciationAmt>
        <BookValueAmt>4450550</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>9931</DepreciationAmt>
        <BookValueAmt>43543</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>455809</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>165488</DepreciationAmt>
        <BookValueAmt>290321</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>22954</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>609</DepreciationAmt>
        <BookValueAmt>22345</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5462759</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FORGIVABLE LOAN PAYABLE</Desc>
        <Amt>357777</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ADVANCES FROM MANAGED CARE PAYERS</Desc>
        <Amt>1932613</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE TO OGS</Desc>
        <Amt>100000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCOUNTS PAYABLE TO OGS</Desc>
        <Amt>1037270</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3427660</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20661912</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-514</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>159190</OtherRevenueAmt>
      <RevenueNotReportedAmt>158676</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20503236</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20503236</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19723085</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>159190</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>159190</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19563895</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19563895</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE ORGANIZATION IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES OFFSET AGAINST RELATED INCOME 153,668. FUNDRAISING EVENT EXPENSES OFFSET AGAINST RELATED INCOME 5,522.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES OFFSET AGAINST RELATED INCOME 153,668. FUNDRAISING EVENT EXPENSES OFFSET AGAINST RELATED INCOME 5,522.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>KALEIDOSCOPE FUNDRAISING BREAKFAST</Event1Nm>
        <GrossReceiptsEvent1Amt>65352</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>65352</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>3244</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>206</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2072</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>65352</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>65352</CharitableContributionsTotAmt>
        <RentFcltyCostsTotalEventsAmt>3244</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>206</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2072</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>5522</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-5522</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATT RIZZO</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>215247</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14394</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>233591</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL LAU</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>156934</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5900</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162834</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANYEL PARKER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>156913</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7902</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164815</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANYSE STOREY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>167088</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4265</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171353</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FROM TIME TO TIME PROVIDES MERIT BASED BONUSES TO INDIVIDUALS EMPLOYED DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>NIEHAUS WISE &amp; KALAS LTD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OWNED BY CHARLES NIEHAUS, BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>7733</TransactionAmt>
        <TransactionDesc>LEGAL FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOGUIDESTONE, AN OHIO NONPROFIT CORPORATION, IS SOLE MEMBER OF A RENEWED MIND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOGUIDESTONE HAS AUTHORITY TO ELECT A LIMITED, NON-MAJORITY, NUMBER OF NO MORE THAN THREE DIRECTORS TO SERVE ON THE GOVERNING BODY PER TERMS OF THE MEMBER SUBSTITUTION AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>OGS IS THE SOLE MEMBER OF ARM BUT DOES NOT HAVE EXCLUSIVE GOVERNING AUTHORITY OF ARM. FURTHER, THE ARM CODE OF REGULATIONS LIMITS THE ULTIMATE AUTHORITY OF OGS DURING THE TWO YEARS FOLLOWING THE MEMBER SUBSTITUTION (UNTIL JULY 1, 2020), AND EXPRESSLY PROHIBITS OGS FROM REMOVING OR REVISING THE GOVERNING RIGHTS OF THE ARM DIRECTORS WITHOUT APPROVAL OF THE ARM BOARD DURING THAT PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED FOR COMPLETENESS BY SELECT ORGANIZATION PERSONNEL IN ADDITION TO RELYING ON INDEPENDENT ACCOUNTANT FOR ACCURACY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL REVIEW OF POLICY AND DISCLOSURES IS TYPICALLY PERFORMED, BUT IN FY20 WAS NOT PERFORMED FOR ALL BOARD MEMBERS FORMALLY DUE TO PENDING ORGANIZATIONAL CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL PERFORMANCE REVIEW BY BOARD OF DIRECTORS AND APPROVAL OF ANNUAL SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>