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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <TotReportableCompRltdOrgAmt>9600</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FundraisingAmt>61378</FundraisingAmt>
      <AllOtherContributionsAmt>151857</AllOtherContributionsAmt>
      <TotalContributionsAmt>213235</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7923</TotalRevenueColumnAmt>
        <ExclusionAmt>7923</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1840</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1840</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1840</TotalRevenueColumnAmt>
        <ExclusionAmt>1840</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>31246</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>61378</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>31246</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>222998</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9763</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>14000</TotalAmt>
        <ProgramServicesAmt>14000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>72058</TotalAmt>
        <ProgramServicesAmt>36029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36029</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>49638</TotalAmt>
        <ProgramServicesAmt>49638</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2510</TotalAmt>
        <ManagementAndGeneralAmt>2510</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8900</TotalAmt>
        <ManagementAndGeneralAmt>8900</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4222</TotalAmt>
        <ProgramServicesAmt>1048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3174</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1533</TotalAmt>
        <ProgramServicesAmt>611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>922</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>160</TotalAmt>
        <ManagementAndGeneralAmt>160</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>880</TotalAmt>
        <ManagementAndGeneralAmt>880</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5452</TotalAmt>
        <ProgramServicesAmt>3829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1623</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSES</Desc>
        <TotalAmt>55521</TotalAmt>
        <ProgramServicesAmt>55521</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BUSINESS REGISTRATION FEES</Desc>
        <TotalAmt>200</TotalAmt>
        <ManagementAndGeneralAmt>200</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ADMIN FEES</Desc>
        <TotalAmt>2665</TotalAmt>
        <ProgramServicesAmt>2665</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bank Service Charges</Desc>
        <TotalAmt>9</TotalAmt>
        <ProgramServicesAmt>4</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>62</TotalAmt>
        <ManagementAndGeneralAmt>62</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>217810</TotalAmt>
        <ProgramServicesAmt>163345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54465</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>387080</BOYAmt>
        <EOYAmt>384463</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>253700</BOYAmt>
        <EOYAmt>261505</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <LandBldgEquipCostOrOtherBssAmt>1688000</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2671222</BOYAmt>
        <EOYAmt>1688000</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>400</BOYAmt>
        <EOYAmt>400</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3312402</BOYAmt>
        <EOYAmt>2334368</EOYAmt>
      </TotalAssetsGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3312402</BOYAmt>
        <EOYAmt>2334368</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3312402</BOYAmt>
        <EOYAmt>2334368</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3312402</BOYAmt>
        <EOYAmt>2334368</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>5188</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-983222</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>243108</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>246144</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>400487</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>184208</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>213233</CurrentTaxYearAmt>
        <TotalAmt>1287180</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>243108</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>246144</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>400487</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>184208</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>213233</CurrentTaxYearAmt>
        <TotalAmt>1287180</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>1287180</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>112</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>107</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7923</CurrentTaxYearAmt>
        <TotalAmt>8159</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3759</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearAmt>1840</CurrentTaxYearAmt>
        <TotalAmt>5599</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>1300938</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98940</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.91540</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1688000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1688000</BookValueAmt>
      </LandGrp>
      <TotalBookValueLandBuildingsAmt>1688000</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>92625</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>92625</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>7867</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>3641</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>12592</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>7146</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>92625</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>92625</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>7867</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>3641</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>12592</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>7146</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>31246</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>61379</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>COLLEGE SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>10</RecipientCnt>
        <CashGrantAmt>14000</CashGrantAmt>
        <ValuationMethodUsedDesc>CHECK</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT CPA FIRM INSIDE ACCOUNTANTS PREPARE THE 990 AND THE EXEC DIRECTOR AND BOARD CHAIR, RETURN SIGNER, REVIEW THE RETURN BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD ENFORCES COMPLIANCE BY REGULARLY DISCUSSING THE POLICY AT BOARD MEETINGS AND ENSURING THAT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST NEED TO BE DISCLOSED, AND MEMBERS TO ABSTAIN FROM VOTES IF THEY ARE RELATED IN ANY WAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCAL STATEMENTS ARE AVAILABLE UPON REASONABLE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4D IS TOTAL OF ALL OTHER PROGRAM EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADAMS COUNTY REGIONAL MEDICAL CTR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>230 MEDICAL CENTER DR</AddressLine1Txt>
          <CityNm>Seaman</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45679</ZIPCd>
        </USAddress>
        <EIN>812817266</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RURAL HEALTH COLLABORATIVE OF SO OH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 40</AddressLine1Txt>
          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45697</ZIPCd>
        </USAddress>
        <EIN>010603034</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SUPPORT ACTIVITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADAMS COUNTY MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>