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      <FSAudited>true</FSAudited>
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        <Explanation>THE FOLLOWING FOOTNOTE IS INCLUDED IN THE COMBINED FINANCIAL STATEMENTS AND REFERS TO ALL ENTITIES INCLUDED IN THAT COMBINED REPORT AS "THE FOUNDATION": The Foundation is a charitable corporation engaged in various research and other projects. Community Dialysis Center ("CDC"), as sole member, established the Foundation in July 1991. The Foundation is tax exempt under Section 501(c)(3) of the Internal Revenue Code. The Foundation is sole member of MOTTEP, a charitable supporting organization engaged in educating the community on the benefits of organ donation. MOTTEP is tax exempt under Section 501(c)(3) of the Internal Revenue Code. The Foundation is also sole member of Chagrin, a real estate holding company organized to hold property on behalf of the Foundation. Chagrin is tax exempt under Section 501(c)(2) of the Internal Revenue Code. The Foundation does not have any significant unrecognized tax benefits as of December 31, 2011. The Foundation's income tax years from 2008 and thereafter remain subject to examination by the Internal Revenue Service.</Explanation>
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      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
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        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN,</Identifier>
        <ReturnReference>PART I, LINE 4B:</ReturnReference>
        <Explanation>DIANE WISH PARTICIPATES IN A NONQUALIFIED SECTION 457(B) DEFERRED COMPENSATION PLAN SPONSORED BY A RELATED ORGANIZATION. DURING 2011, SHE CONTRIBUTED $16,500 TO THE PLAN.</Explanation>
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        <ReturnReference>FORM 990, PART VI, LINE 3:</ReturnReference>
        <Explanation>CHAGRIN REALTY DELEGATED CERTAIN DUTIES TO THE CENTERS FOR DIALYSIS CARE, INC., A RELATED ORGANIZATION OF CHAGRIN REALTY'S SOLE MEMBER, THE LEONARD C. ROSENBERG RENAL RESEARCH FOUNDATION. THE CENTERS FOR DIALYSIS CARE, INC. PROVIDES FINANCIAL RECORD KEEPING SERVICES AS WELL AS THE PREPARATION OF FINANCIAL STATEMENTS FOR CHAGRIN REALTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER OF THE CORPORATION,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 6:</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE ORGANIZATION IS THE LEONARD C. ROSENBERG RENAL RESEARCH FOUNDATION, A SECTION 501(C)(3) ENTITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER'S POWER TO ELECT BOARD MEMBERS,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 7A:</ReturnReference>
        <Explanation>AS THE SOLE MEMBER, THE LEONARD C. ROSENBERG RENAL RESEARCH FOUNDATION HAS THE POWER TO APPOINT ALL BOARD MEMBERS OF CHAGRIN REALTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISION APPROVAL BY THE MEMBER,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 7B:</ReturnReference>
        <Explanation>AS THE SOLE MEMBER, THE LEONARD C. ROSENBERG RENAL RESEARCH FOUNDATION HAS THE RIGHT OF APPROVAL OVER CERTAIN MAJOR DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B:</ReturnReference>
        <Explanation>FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF THE SOLE MEMBER, THE LEONARD C. ROSENBERG RENAL RESEARCH FOUNDATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING AND ENFORCEMENT OF CONFLICT POLICY,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C:</ReturnReference>
        <Explanation>THE MONITORING AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY IS OVERSEEN BY THE GOVERNANCE COMMITTEE OF THE BOARD OF CHAGRIN REALTY'S SOLE MEMBER. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19:</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DIANE WISH TITLE:CHIEF EXEC.OFFICER &amp; CHAIR HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Patrick Patton TITLE:Chief Financial Officer HOURS:40</Explanation>
      </GeneralExplanation>
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      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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