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          <USAddress>
            <AddressLine1Txt>9016 STONYBROOK BLVD</AddressLine1Txt>
            <CityNm>SYLVANIA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43560</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>298156</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY OF TOLEDO PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3355 GLENDALE AVE</AddressLine1Txt>
            <CityNm>TOLEDO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>136800</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>119331</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 / IT SOLUTIONS</ServicesDesc>
        <CompensationAmt>118618</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>8X8 INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>675 CREEKSIDE WAY</AddressLine1Txt>
            <CityNm>CAMPBELL</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95008</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUSINESS PHONE SYSTEMS</ServicesDesc>
        <CompensationAmt>116034</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>53737</FundraisingAmt>
      <GovernmentGrantsAmt>568950</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>86585</AllOtherContributionsAmt>
      <TotalContributionsAmt>709272</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>13492361</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13492361</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>3064763</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3064763</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE &amp; COPAYS</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>1309687</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1309687</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17866811</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>18989</TotalRevenueColumnAmt>
        <ExclusionAmt>18989</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>128142</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>158740</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>-30598</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-30598</TotalRevenueColumnAmt>
        <ExclusionAmt>-30598</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>53737</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>12023</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-12023</TotalRevenueColumnAmt>
        <ExclusionAmt>-12023</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4510</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>4510</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18556961</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17871321</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-23632</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>315</TotalAmt>
        <ProgramServicesAmt>315</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>299906</TotalAmt>
        <ProgramServicesAmt>254920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41987</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>19910</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>220183</ProgramServicesAmt>
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        <FundraisingAmt>2590</FundraisingAmt>
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        <ManagementAndGeneralAmt>41363</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>155207</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>29963</ManagementAndGeneralAmt>
        <FundraisingAmt>2140</FundraisingAmt>
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        <ProgramServicesAmt>218827</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>184193</TotalAmt>
        <ManagementAndGeneralAmt>184193</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD EXPENSE</Desc>
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        <ProgramServicesAmt>113677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18506</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF DEVELOPMENT</Desc>
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        <ProgramServicesAmt>88740</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <OtherExpensesIncludedAmt>170763</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>170763</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>18475535</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>18475535</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 158,740. FUNDRAISING EVENT EXPENSES OFFSET AGAINST RELATED INCOME 12,023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES OFFSET AGAINST RELATED INCOME 158,740. FUNDRAISING EVENT EXPENSES OFFSET AGAINST RELATED INCOME 12,023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>KALEIDOSCOPE FUNDRAISING BREAKFAST</Event1Nm>
        <GrossReceiptsEvent1Amt>53737</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>53737</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>5589</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>4411</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2023</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>53737</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>53737</CharitableContributionsTotAmt>
        <RentFcltyCostsTotalEventsAmt>5589</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4411</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2023</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>12023</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-12023</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>178238</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1846</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14545</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194629</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>22810</TransactionAmt>
        <TransactionDesc>LEGAL FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>A RENEWED MIND (ARM) AND OHIOGUIDESTONE (OGS) ENTERED INTO A MEMBER SUBSTITUTION AGREEMENT ON JULY 1, 2018. ARM IS A 501(C)(3) ORGANIZATION. OGS IS A SEPARATE 501(C)(3) ORGANIZATION WITH A SEPARATE TAX IDENTIFICATION NUMBER. OGS IS THE SOLE MEMBER OF ARM. ARM IS MANAGED AND GOVERNED BY A BOARD OF DIRECTORS, WHICH IS SEPARATE AND DISTINCT FROM THE OGS BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOGUIDESTONE, AN OHIO NONPROFIT CORPORATION, BECAME SOLE MEMBER OF A RENEWED MIND EFFECTIVE JULY 1, 2018.</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 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL REVIEW OF POLICY AND DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION BELOW 375,292.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9, CHANGE IN NET ASSETS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOGUIDESTONE UTILIZED PURCHASE ACCOUNTING TO ACCOUNT FOR ITS SUBSTITUTION AS THE SOLE MEMBER OF THE ORGANIZATION. AS A RESULT OF THIS PURCHASE ACCOUNTING, THE VALUE OF THE PROPERTY AND EQUIPMENT OWNED BY THE ORGANIZATION WAS ADJUSTED TO ITS FAIR VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>