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        <BOYAmt>2128727</BOYAmt>
        <EOYAmt>2463864</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>226302</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>108835</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9715</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5740</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3048</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12161</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7449</CurrentTaxYearAmt>
        <TotalAmt>38113</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>9715</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5740</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3048</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12161</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7449</CurrentTaxYearAmt>
        <TotalAmt>38113</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>38113</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>57717</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>36502</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>44103</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56900</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>88159</CurrentTaxYearAmt>
        <TotalAmt>283381</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>321494</TotalSupportAmt>
      <PublicSupportCY170Pct>0.11850</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.15640</PublicSupportPY170Pct>
      <TenPctFactsCrcmstncsTestCYInd>X</TenPctFactsCrcmstncsTestCYInd>
      <FactsAndCircumstancesTestTxt>THE BRITTINGHAM MEMORIAL LIBRARY MEETS THE FACTS AND CIRCUMSTANCE DUE TO THE FOLLOWING REASONS: 1. THE LIBRARY "NORMALLY" RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM THE GENERAL PUBLIC. 2. THE LIBRARY IS OPERATED TO ATTRACT THE PUBLIC ON A CONTINUING BASIS. 3. THE LIBRARY HAS A PROGRAM FOR SOLICITING FUNDS FROM THE GENERAL PUBLIC AND THE GENERAL MEDICAL COMMUNITY. 4. THE LIBRARY REPRESENTS THE BROAD INTEREST OF THE PUBLIC RATHER THAN THE PRIVATE INTEREST OF LIMITED NUMBER OF DONORS.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 17A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BRITTINGHAM MEMORIAL LIBRARY MEETS THE FACTS AND CIRCUMSTANCE DUE TO THE FOLLOWING REASONS: 1. THE LIBRARY "NORMALLY" RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM THE GENERAL PUBLIC. 2. THE LIBRARY IS OPERATED TO ATTRACT THE PUBLIC ON A CONTINUING BASIS. 3. THE LIBRARY HAS A PROGRAM FOR SOLICITING FUNDS FROM THE GENERAL PUBLIC AND THE GENERAL MEDICAL COMMUNITY. 4. THE LIBRARY REPRESENTS THE BROAD INTEREST OF THE PUBLIC RATHER THAN THE PRIVATE INTEREST OF LIMITED NUMBER OF DONORS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <SolicitedAssetsSaleInd>false</SolicitedAssetsSaleInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2128120</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>373368</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>33413</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>4211</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2463864</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1874970</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>253150</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>19122</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>7760</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2128120</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1662600</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>212370</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>16204</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>8429</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1874970</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1933394</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-385967</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>7084</OtherExpendituresAmt>
        <EndYearBalanceAmt>1662600</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1709040</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>227997</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>915</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>2728</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1933394</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO PROVIDE HEALTHCARE INFORMATION AND LIBRARY SERVICES TO SUPPORT PATIENT CARE, TEACHING, RESEARCH AND MANAGEMENT NEEDS OF THE METROHEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH COMMITTE DOES NOT TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDED TO EACH MEMBER OF THE BOARD FOR REVIEW. UPON NOTIFICATION TO THE PREPARER THAT THE FULL BOARD HAS BEEN PROVIDED THE RETURN, THE FORM 990 IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LIBRARY'S FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG OR UPON REQUEST BY WRITING TO THE HAROLD H. BRITTINGHAM MEMORIAL LIBRARY AT 2500 METROHEALTH DRIVE CLEVELAND, OHIO 44109.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc4">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE METROHEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 METROHEALTH DRIVE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441091998</ZIPCd>
        </USAddress>
        <EIN>346004382</EIN>
        <PrimaryActivitiesTxt>MEDICAL RE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</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>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>