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        <ReportableCompFromOrgAmt>128580</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>676697</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>76721</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTERS FOR DIALYSIS CARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18720 CHAGRIN BLVD</AddressLine1Txt>
            <CityNm>SHAKER HEIGHTS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MGMT&amp;PERSONNEL SVCS</ServicesDesc>
        <CompensationAmt>14108337</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>27019205</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27019205</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FACILITY LEASE REVENUE</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>1571572</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1571572</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>457840</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>457840</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29048617</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>175473</TotalRevenueColumnAmt>
        <ExclusionAmt>175473</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>11066742</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>11051176</SecuritiesAmt>
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        <SecuritiesAmt>15566</SecuritiesAmt>
        <OtherAmt>202960</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>218526</TotalRevenueColumnAmt>
        <ExclusionAmt>218526</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>JOINT VENTURE INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>36819</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36819</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>36819</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>29479435</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29085436</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>393999</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>186400</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>14539</TotalAmt>
        <ProgramServicesAmt>13085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1454</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>59892</TotalAmt>
        <ProgramServicesAmt>53903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5989</ManagementAndGeneralAmt>
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        <TotalAmt>41824</TotalAmt>
        <ProgramServicesAmt>37642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4182</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>56391</TotalAmt>
        <ProgramServicesAmt>28353</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28038</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>131915</TotalAmt>
        <ProgramServicesAmt>67780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64135</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>965312</TotalAmt>
        <ProgramServicesAmt>868781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96531</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>925519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102711</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>40747</TotalAmt>
        <ProgramServicesAmt>31629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9118</ManagementAndGeneralAmt>
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        <TotalAmt>1265366</TotalAmt>
        <ProgramServicesAmt>693416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>571950</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>2017746</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193752</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>252866</TotalAmt>
        <ProgramServicesAmt>227579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25287</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LEASED EMPLOYEE EXPENSE</Desc>
        <TotalAmt>10853027</TotalAmt>
        <ProgramServicesAmt>9944263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>908764</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>8382147</TotalAmt>
        <ProgramServicesAmt>8347721</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34426</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE</Desc>
        <TotalAmt>927767</TotalAmt>
        <ProgramServicesAmt>808904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118863</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REAL ESTATE TAXES</Desc>
        <TotalAmt>224811</TotalAmt>
        <ProgramServicesAmt>224811</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>179682</TotalAmt>
        <ProgramServicesAmt>138600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41082</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>29257479</TotalAmt>
        <ProgramServicesAmt>26566494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2690985</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2176705</BOYAmt>
        <EOYAmt>1757094</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>6188438</BOYAmt>
        <EOYAmt>5729772</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>2421906</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>850732</BOYAmt>
        <EOYAmt>686809</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>842941</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>49782714</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7676731</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>35917283</BOYAmt>
        <EOYAmt>42105983</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>9636737</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>27999046</BOYAmt>
        <EOYAmt>19242014</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>85830886</BOYAmt>
        <EOYAmt>80001350</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>8367855</BOYAmt>
        <EOYAmt>4715457</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>17680929</BOYAmt>
        <EOYAmt>17670518</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5341053</BOYAmt>
        <EOYAmt>4943485</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>1465768</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>31389837</BOYAmt>
        <EOYAmt>28795228</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>54441049</BOYAmt>
        <EOYAmt>51206122</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>54441049</BOYAmt>
        <EOYAmt>51206122</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>85830886</BOYAmt>
        <EOYAmt>80001350</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>221956</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>277206</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-3734089</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4816308</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4816308</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>36740874</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3309877</DepreciationAmt>
        <BookValueAmt>33430997</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8225532</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4366854</DepreciationAmt>
        <BookValueAmt>3858678</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>42105983</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN AFFILIATES</Desc>
        <BookValueAmt>6473221</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>GOODWILL</Desc>
        <BookValueAmt>6144296</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NOTES RECEIVABLE-AFFILIATES</Desc>
        <BookValueAmt>100000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED - BOND PROJECT FUNDS</Desc>
        <BookValueAmt>5004741</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>1519756</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>19242014</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>1465768</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1465768</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>29756641</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>277206</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>277206</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29479435</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>29479435</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>29257479</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>29257479</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>29257479</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 FOOTNOTE: THE FOLLOWING FOOTNOTE IS INCLUDED IN THE COMBINED FINANCIAL STATEMENTS AND REFERS TO ALL ENTITIES INCLUDED IN THAT COMBINED REPORT: INCOME TAXES - THE CENTERS ACCOUNT FOR INCOME TAXES UNDER ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA WHICH CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE CENTERS' FINANCIAL STATEMENTS. THE PROVISIONS PRESCRIBE CERTAIN CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THESE PROVISIONS ALSO PROVIDE GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THERE WERE NO UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2019 AND 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CDC PHYSICIANS ORGANIZATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>18720 CHAGRIN BLVD</AddressLine1Txt>
          <CityNm>SHAKER HEIGHTS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44122</ZIPCd>
        </USAddress>
        <RecipientEIN>341961936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>186400</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL USE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING USE OF GRANT FUNDS - BECAUSE THE RECIPIENT IS A RELATED ORGANIZATION TO THE CENTER, THE CENTER IS ASSURED THAT THE FUNDS ARE USED FOR THE INTENDED PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>DAVID OPPENLANDER</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4434</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>670</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7532</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>30177</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>256713</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY ROBINSON</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>305630</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16241</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7242</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9491</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29521</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>368125</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE WISH</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>5228</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>123352</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>128580</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CLEVELAND-CUYAHOGA COUNTY PORT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>341029691</BondIssuerEIN>
        <CUSIPNum>18610TAF7</CUSIPNum>
        <BondIssuedDt>2017-12-20</BondIssuedDt>
        <IssuePriceAmt>18107537</IssuePriceAmt>
        <PurposeDesc>FACILITIES CONSTRUCTION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>18107537</TotalProceedsAmt>
        <InReserveFundAmt>1117915</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>400721</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>16588901</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <ExceptionToRebateInd>0</ExceptionToRebateInd>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATION OF CERTAIN MANAGEMENT DUTIES - COMMUNITY DIALYSIS CENTER DELEGATED CERTAIN DUTIES TO THE CENTERS FOR DIALYSIS CARE, INC., A 100% OWNED SUBSIDIARY. THE CENTERS FOR DIALYSIS CARE, INC. PROVIDES THE STAFFING, FINANCIAL RECORD KEEPING, AND OPERATIONAL SUPPORT TO COMMUNITY DIALYSIS CENTER. THE CHARGES FOR THESE SERVICES ARE BELOW MARKET VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 - FORM 990 IS REVIEWED BY THE CEO AND CFO. IT IS THEN REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF CONFLICT POLICY - THE MONITORING AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY IS OVERSEEN BY THE GOVERNANCE COMMITTEE OF THE BOARD. WHEN A CONFLICT ARISES, THE INDIVIDUAL IS NOT PERMITTED TO VOTE OR PARTICIPATE IN THE DISCUSSION OF THE TRANSACTION. PERSONS THAT ARE INDEPENDENT OF THE INDIVIDUAL WITH THE CONFLICT MAKE THE DECISION ABOUT THE TRANSACTION. THE DELIBERATIONS AND DECISION ARE DOCUMENTED IN THE MINUTES OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL - THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES ALL SALARIES FOR THE EXECUTIVE STAFF AS WELL AS THE GENERAL COMPENSATION INCREASES FOR THE ENTIRE ORGANIZATION. PERIODICALLY, COMPARABLE COMPENSATION DATA FROM OUTSIDE SOURCES IS REVIEWED, AND THE DATA IS USED IN DETERMINING THE COMPENSATION OF THE EXECUTIVE STAFF. THE MEMBERS OF THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE EXECUTIVE STAFF AND OTHER EMPLOYEES OF COMMUNITY DIALYSIS CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS - THE CENTER'S FINANCIAL STATEMENTS, CONFLICT POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO CENTERS FOR DIALYSIS CARE, INC., A RELATED CORPORATION -1,865,000. TRANSFER TO NORTHEAST OHIO RENAL ALLIANCE, A RELATED LLC -823,106. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -1,045,983.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPLETION OF SCHEDULE H:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALTHOUGH THIS ORGANIZATION UTILIZES THE PROVISION OF SECTION 170(B)(1)(A)(III) FOR ITS PUBLIC CHARITY STATUS, IT IS NOT LICENSED IN THE STATE OF OHIO AS A "HOSPITAL". THEREFORE, WE HAVE NOT COMPLETED SCHEDULE H, IN ACCORDANCE WITH THE INSTRUCTIONS FOR THAT SCHEDULE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>18720 CHAGRIN BLVD</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>NEPHROLOGY ASSOCOF CLEVELAND LTD</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>CENTERS FOR DIALYSIS CARE INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>