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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul Hiltz Jan 19 to Aug 19</PersonNm>
        <TitleTxt>CEO Mercy Medical Center</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Stewart</PersonNm>
        <TitleTxt>CFO Mercy Medical Center</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Susanna Krey- See Note Schedule J</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Rusnaczyk</PersonNm>
        <TitleTxt>CFO St Vincent Charity Medical Center</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robin Stursa</PersonNm>
        <TitleTxt>Chief Information Officer</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shannon Jerse Esq</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Cotleur</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Janice Murphy</PersonNm>
        <TitleTxt>CEO St Vincent Charity Medical Center</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>268000</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Donald Saxton</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229511</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nick Bagnolo</PersonNm>
        <TitleTxt>VP Construction</TitleTxt>
        <BaseCompensationFilingOrgAmt>186687</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>18805</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223978</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Heather Stoll</PersonNm>
        <TitleTxt>VP External Affairs</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221414</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul Jones Jan 19 to July 19</PersonNm>
        <TitleTxt>Chief Technology Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>160690</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>202281</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joan Bumpus</PersonNm>
        <TitleTxt>VP of Mission and Ministry-Lifepoint Providence Hospital</TitleTxt>
        <BaseCompensationFilingOrgAmt>166792</BaseCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>192788</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rebecca Smith Gallant</PersonNm>
        <TitleTxt>VP Communications</TitleTxt>
        <BaseCompensationFilingOrgAmt>135053</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>165028</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Deborah Miller</PersonNm>
        <TitleTxt>Senior Director of Human Resources</TitleTxt>
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        <TotalCompensationFilingOrgAmt>153782</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>A severance payout is included in the compensation for David Perse, Joseph Lipinski, Paul Hiltz and Thomas Cecconi. The following staff received Supplemental Executive Retirement Plan (SERP) payment in the amount of $19,000: Melissa Rogers, Susanna Krey and Thomas Strauss.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The President/CEO has a written employment contract. This contract was prepared using an independent compensation consultant with legal review. In 2019 Melissa Rogers, Susanna Krey and Paul Jones received a discretionary bonus.. Susanna Krey holds a dual role as the SVP of Marketing for the SCHS and the President of the Sisters of Charity of Cleveland (CLF). Her salary is allocated 60% to SCHS and 40% to the CLF. The CLF board awarded Ms. Krey a bonus based on the achievement of performance goals.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Clevleand-Cuyahoga County Port Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>341029691</BondIssuerEIN>
        <BondIssuedDt>2016-05-18</BondIssuedDt>
        <IssuePriceAmt>25000000</IssuePriceAmt>
        <PurposeDesc>Refinancing affiliate Series 2000 bonds</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>0</TotalProceedsAmt>
        <InReserveFundAmt>25000000</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>25000000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <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>
        <PrivateBusUseByOthersPct>0.0427</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0427</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>1</Form8038TFiledInd>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="R000009" softwareId="19009572" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>The mission of SCHS is to extend the healing ministry of Jesus by providing quality health care services to the individuals, families and communities they serve. SCHS is the sole member of two licensed acute care hospitals: St. Vincent Charity Medical Center in Cleveland, Ohio and Mercy Medical Center in Canton, Ohio. In 2019 SCHS hospitals collectively provided 100,900 days of inpatient care and responded to 93,600 emergency room visits and 602,000 outpatient visits. SCHS is the sole member of two elder care facilities: Regina Health Center (RHC) and Light of Hearts Villa (LOHV). RHC is a skilled nursing and assisted living facility primarily serving aging vowed religious men and women in the Diocese of Cleveland and Youngstown. In 2019 RHC provided 48,800 days of care to residents. LOHV is an assisted/independent living facility which also provides respite and memory care. SCHS is the sole member of three grant making foundations in Ohio and South Carolina. Each foundation endeavors to understand the root cause of poverty, nurture the growth of healthy communities, emphasize youth and family, and measure the outcomes of these efforts. Based on the needs of the communities they serve, the foundations' strategic initiatives focus on low income housing, early childhood education fatherhood in the family, homelessness and religious communities. Collectively, the foundations awarded over 176 grants, totaling over $7.77 million in 2019. Other health and human services and education-related organizations within SCHS include: Joseph's Home, a residential care center providing medical respite to homeless men in Cleveland; Early Childhood Resource Center, which provides resources and training for people working within childcare in Canton, Ohio; Healthy Learners, a state-wide organization providing health care resources for children in low income families across South Carolina; and South Carolina Center for Fathers and Families, a state-wide organization supporting initiative to reengage fathers in the lives of their children. Overall, in 2019 inspired by a devotion to healing and a steadfast and deep commitment to our communities, SCHS and its family of ministries provided over $55 in community benefit. This number includes $40 million in charity care and unpaid costs of Medicaid and $15 million in other community health services, including health professional education, community building activates and outreach to medically disadvantaged members of the community(based of the Catholic Health Association model).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CSA Health System Ministries is the Member of SCHS. Reserve powers of the Member include the power and authority to borrow or lend money, the purchase and sale of certain property, the appointment and renewal of SCHS Chairperson and President, the amendment of the Code of Regulations and Articles of Incorporation, the election of Directors and the determination of corporate philosophy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>See explanation for Line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>See explanation for Line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>Minutes are taken at all Board and committee meetings and are included in the Board packets</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHS's Form 990 was prepared by management. A draft copy of the return was made available to all Board members prior to the filing date.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflicts of interest are addressed via annual questionnaires to all Directors, Officers and key employees. These are reviewed by the Deputy General Counsel/Chief Compliance Officer of SCHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The SCHS Executive Committee functions as a compensation committee of the Board which reviews compensation for the President and CEO, Officers, and Key Employees. Information provided to the committee includes salary, bonus and incentive compensation, deferred compensation and other benefits. SCHS also utilizes an outside consultant which provides market data for similar positions at other organizations. Hospital, Foundation and ministry leadership compensation is the responsibility of the entity Board. All entity Board actions are subject to review by the Member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The SCHS Form 990 is available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHS makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer between affiliated entity = $9,850,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sisters of Charity of St Augustine</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SCPH Legacy Corp(PHLC)</BusinessNameLine1Txt>
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          <AddressLine1Txt>2475 E 22nd St</AddressLine1Txt>
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          <BusinessNameLine1Txt>Regina Health Center</BusinessNameLine1Txt>
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          <ZIPCd>44286</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Mercy Medical Center (MMC)</BusinessNameLine1Txt>
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          <AddressLine1Txt>1320 Mercy Dr NW</AddressLine1Txt>
          <CityNm>Canton</CityNm>
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          <ZIPCd>44708</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Sisters of Charity Foundation of Canton (CAF)</BusinessNameLine1Txt>
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          <AddressLine1Txt>400 Market Ave</AddressLine1Txt>
          <AddressLine2Txt>Suite 300</AddressLine2Txt>
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          <CityNm>Canton</CityNm>
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          <CityNm>Columbia</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Joseph's Home</BusinessNameLine1Txt>
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          <AddressLine1Txt>2412 Community College Avenue</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sisters of Charity Foundation of Cleveland</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2475 E 22nd St</AddressLine1Txt>
          <AddressLine2Txt>Fourth Floor</AddressLine2Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sisters of Charity Foundation of South Carolina (SCF)</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2711 Middleburg Drive</AddressLine1Txt>
          <AddressLine2Txt>Suite 115</AddressLine2Txt>
          <CityNm>Columbia</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29204</ZIPCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Early Childhood Resource Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>1718 Cleveland Avenue NW</AddressLine1Txt>
          <CityNm>Canton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44703</ZIPCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>South Carolina Center for Fathers &amp; Families</BusinessNameLine1Txt>
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          <AddressLine1Txt>2475 E 22nd St</AddressLine1Txt>
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          <BusinessNameLine1Txt>Mercy Professional Care Corp</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Canton</CityNm>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>St Vincent Medical Group</BusinessNameLine1Txt>
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          <AddressLine1Txt>2351 E 22nd St</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <RelatedOrganizationName>
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          <AddressLine2Txt>Grand Cayman KY1 1203</AddressLine2Txt>
          <CityNm>Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
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        <EIN>980679825</EIN>
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          <BusinessNameLine1Txt>SCHS</BusinessNameLine1Txt>
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