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        <Total>0</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>263438</Total>
        <ProgramServices>263438</ProgramServices>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>2167</Total>
        <ManagementAndGeneral>2167</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>14228</Total>
        <ManagementAndGeneral>14228</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>410701</Total>
        <ProgramServices>410701</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>862</Total>
        <ManagementAndGeneral>862</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
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        <ProgramServices>1603</ProgramServices>
        <ManagementAndGeneral>2439</ManagementAndGeneral>
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      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
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        <Total>68792</Total>
        <ProgramServices>36814</ProgramServices>
        <ManagementAndGeneral>31978</ManagementAndGeneral>
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        <ManagementAndGeneral>34928</ManagementAndGeneral>
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        <Description>SUPPLIES</Description>
        <Total>1510140</Total>
        <ProgramServices>1496415</ProgramServices>
        <ManagementAndGeneral>13725</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>LEASED EMPLOYEES</Description>
        <Total>1342276</Total>
        <ProgramServices>1332046</ProgramServices>
        <ManagementAndGeneral>10230</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>COMPUTER</Description>
        <Total>103697</Total>
        <ManagementAndGeneral>103697</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL DIRECTOR</Description>
        <Total>72000</Total>
        <ManagementAndGeneral>72000</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>70836</Total>
        <ProgramServices>70836</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>148851</Total>
        <ProgramServices>92651</ProgramServices>
        <ManagementAndGeneral>56200</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4046958</Total>
        <ProgramServices>3704504</ProgramServices>
        <ManagementAndGeneral>342454</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>211203</EOY>
      </CashNonInterestBearing>
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        <EOY>700259</EOY>
      </AccountsReceivable>
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        <EOY>22813</EOY>
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      <LandBuildingsEquipmentBasis>1491061</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1110226</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>396784</BOY>
        <EOY>380835</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>1308428</BOY>
        <EOY>1364847</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>200509</BOY>
        <EOY>151269</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>200509</BOY>
        <EOY>151269</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1107919</BOY>
        <EOY>1213578</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1107919</BOY>
        <EOY>1213578</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1308428</BOY>
        <EOY>1364847</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>105659</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>180909</OtherCostOrOtherBasis>
        <Depreciation>42036</Depreciation>
        <BookValue>138873</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1310152</OtherCostOrOtherBasis>
        <Depreciation>1068190</Depreciation>
        <BookValue>241962</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>380835</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <TotalOfAmounts>0</TotalOfAmounts>
      <TotalRevenue>4152617</TotalRevenue>
      <TotalExpenses>4046958</TotalExpenses>
      <ExcessOrDeficitForYear>105659</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>105659</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>4152617</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>4152617</RevenueSubtotal>
      <TotalRevenuePerForm990>4152617</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4046958</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>4046958</ExpensesSubtotal>
      <TotalExpensesPerForm990>4046958</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE,</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE CENTER ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF "ACCOUNTING 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 CENTER'S 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. THE ADOPTION IN 2009 DID NOT HAVE A MATERIAL IMPACT ON THE CENTER'S FINANCIAL STATEMENTS. THERE WERE NO UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2010 AND 2009. AS OF DECEMBER 31, 2010, THE CENTER'S INCOME TAX YEARS FROM 2007 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, AS WELL AS VARIOUS STATE AND LOCAL TAXING AUTHORITIES.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DIANE WISH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>298995</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>18536</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>18448</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>7933</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14117</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>358029</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PATRICK PATTON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>164676</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>1748</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21563</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>187987</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN,</Identifier>
        <ReturnReference>PART I, LINE 4A:</ReturnReference>
        <Explanation>DIANE WISH PARTICIPATES IN A NONQUALIFIED SECTION 457(B) DEFERRED COMPENSATION PLAN SPONSORED BY A RELATED ORGANIZATION. DURING 2010, SHE CONTRIBUTED $16,500 TO THE PLAN.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DELEGATION OF CERTAIN MANAGEMENT DUTIES,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 3:</ReturnReference>
        <Explanation>COMMUNITY DIALYSIS CENTER - WESTSIDE ("CDCW") DELEGATED CERTAIN DUTIES TO THE CENTERS FOR DIALYSIS CARE, INC., A WHOLLY-OWNED SUBSIDIARY OF CDCW'S SOLE MEMBER, COMMUNITY DIALYSIS CENTER. THE CENTERS FOR DIALYSIS CARE, INC. PROVIDES THE STAFFING, FINANCIAL RECORD KEEPING, AND OPERATIONAL SUPPORT TO CDCW. THE CHARGES FOR THESE SERVICES ARE BELOW MARKET VALUE.</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 COMMUNITY DIALYSIS CENTER, 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, COMMUNITY DIALYSIS CENTER HAS THE POWER TO APPOINT ALL BOARD MEMBERS OF COMMUNITY DIALYSIS CENTER - WESTSIDE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISION APPROVAL BY THE MEMBER,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 7B:</ReturnReference>
        <Explanation>AS THE SOLE MEMBER, COMMUNITY DIALYSIS CENTER 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 BY THE CEO AND CFO. IT IS THEN REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.</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. 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 CENTER'S FINANCIAL STATEMENTS, CONFLICT POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW AND APPROVAL,</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15:</ReturnReference>
        <Explanation>ALTHOUGH NOT COMPENSATED BY COMMUNITY DIALYSIS CENTER - WESTSIDE ("CDCW"), THE EXECUTIVE STAFF OF COMMUNITY DIALYSIS CENTER ("CDC"), THE SOLE MEMBER OF CDCW, HAS THEIR COMPENSATION REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF CDC. PERIODICALLY, CDC'S COMPENSATION COMMITTEE REVIEWS COMPARABLE COMPENSATION DATA FROM OUTSIDE SOURCES, AND THE DATA IS USED IN DETERMINING THE COMPENSATION OF THE EXECUTIVE STAFF. THE MEMBERS OF CDC'S COMPENSATION COMMITTEE ARE INDEPENDENT OF THE EXECUTIVE STAFF.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPLETION OF SCHEDULE H,</Identifier>
        <ReturnReference>SCHEDULE H:</ReturnReference>
        <Explanation>ALTHOUGH THIS ORGANIZATION UTILIZES THE PROVISIONS 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DIANE WISH TITLE:PRESIDENT &amp; CEO 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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY DIALYSIS CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </AddressUS>
        <EIN>341140468</EIN>
        <PrimaryActivities>Dialysis SVCS</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEOCROSENBERG RENAL RSCHFDN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </AddressUS>
        <EIN>341695168</EIN>
        <PrimaryActivities>GRANT MAKER</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MINORGAN&amp;TISSUE TRANSEDUCPROGRAM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </AddressUS>
        <EIN>341900839</EIN>
        <PrimaryActivities>EDUC.SVCS.</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </AddressUS>
        <EIN>341898396</EIN>
        <PrimaryActivities>Title HOLDING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CDC PHYSICIANS ORGANIZATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </AddressUS>
        <EIN>341961936</EIN>
        <PrimaryActivities>MED.SVCS.</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTERS FOR DIALYSIS CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </AddressUS>
        <EIN>341846647</EIN>
        <PrimaryActivity>MGMT.SVCS.</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHAGRIN REALTY INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>306852</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>