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        <ExplanationTxt>THE AUDIT AND CORPORATE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY BY THE FIRELANDS REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL FORM 990S FOR ALL COMPANIES IN THE SYSTEM. THE FINAL VERSION OF THE RESPECTIVE FORM 990 IS MADE AVAILABLE TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO THE FORM 990 BEING SUBMITTED TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PROVIDED IN THE CODE OF REGULATIONS FOR FIRELANDS REGIONAL HEALTH SYSTEM, FIRELANDS REGIONAL MEDICAL CENTER, AND THE FOUNDATION FOR FIRELANDS (COLLECTIVELY KNOWN AS "FIRELANDS"), ANNUALLY, CONFLICT OF INTEREST QUESTIONNAIRES ARE PREPARED AND PROVIDED TO THE DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF FIRELANDS. DURING THE ANNUAL MEETINGS OF THE HEALTH SYSTEM, MEDICAL CENTER AND FOUNDATION, THE GENERAL COUNSEL / CORPORATE COMPLIANCE OFFICER PRESENTS A SUMMARY TO THE DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF FIRELANDS' CONFLICT OF INTEREST PROGRAM. PART OF THAT SUMMARY IS A REMINDER TO THOSE DIRECTORS, OFFICERS AND COMMITTEE MEMBERS THAT THEY HAVE A DUTY DURING THE YEAR TO REPORT TO THE CHAIR, VICE CHAIR, PRESIDENT/CEO, OR THE GENERAL COUNSEL / CORPORATE COMPLIANCE OFFICER OF A POTENTIAL CONFLICT OF INTEREST. ALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS ARE REQUIRED TO RETURN THEIR ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE TO THE FIRELANDS LEGAL DEPARTMENT. IF A POTENTIAL CONFLICT OF INTEREST DOES ARISE, THEN THE BOARD POLICY ON RESOLVING CONFLICT, ADMINISTRATIVE POLICY 100.17, IS UTILIZED. THE CONFLICT OF INTEREST QUESTIONNAIRES ARE ON FILE WITH THE FIRELANDS LEGAL DEPARTMENT AND ARE RETAINED FOR A MINIMUM OF TEN (10) YEARS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE FOUNDATION FOR FIRELANDS HAS NO EMPLOYEES AND DOES NOT COMPENSATE ANY MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. ANNUAL INFORMATION RETURNS AND APPLICATION FOR EXEMPTION ARE AVAILABLE FOR PUBLIC INSPECTION PER IRS GUIDELINES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>FINANCIAL STATEMENTS FOR THE FOUNDATION FOR FIRELANDS ARE AUDITED BY PLANTE MORAN, PLLC AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM.</ExplanationTxt>
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          <AddressLine1Txt>1111 HAYES AVE</AddressLine1Txt>
          <CityNm>SANDUSKY</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTH COAST PROFESSIONAL CO LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1111 HAYES AVE</AddressLine1Txt>
          <CityNm>SANDUSKY</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44870</ZIPCd>
        </USAddress>
        <EIN>341608091</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR FIRELANDS</BusinessNameLine1Txt>
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        <EntityTypeTxt>C</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>9457915</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FIRELANDS REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>13159167</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH COAST PROFESSIONAL COMPANY LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>12438000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>