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        <PersonNm>ROBERT TAYENGCO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>450530</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14994</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL E SMITH</PersonNm>
        <TitleTxt>CHIEF ADMIN</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>429993</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5995</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULETTE WEHNER</PersonNm>
        <TitleTxt>FORMER SEC/T</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>179496</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>220504</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HADASSAH FRYE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>412374</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9900</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH HAMMERS</PersonNm>
        <TitleTxt>CEAO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>350000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19800</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN T ROBINSON</PersonNm>
        <TitleTxt>CHIEF HR OFF</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>364312</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK A MORGAN</PersonNm>
        <TitleTxt>VP PHYS SERV</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>363748</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA E LEASURE</PersonNm>
        <TitleTxt>SYSTEM VP &amp;</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>357297</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REGINA M CAMPBELL</PersonNm>
        <TitleTxt>CHIEF NURSIN</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>344566</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES BECKER</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>235000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>83055</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18483</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN FLESHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>259202</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>56875</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18965</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDUARDO PINO</PersonNm>
        <TitleTxt>SYSTEM CMIO</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>315512</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID GOZAL</PersonNm>
        <TitleTxt>VICE-CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>150568</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>144231</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17308</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH EVANS</PersonNm>
        <TitleTxt>FORMER VICE-</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>226956</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>53255</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16548</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FAREED AZIZ</PersonNm>
        <TitleTxt>VP REVENUE C</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>271127</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRADLEY BURCK</PersonNm>
        <TitleTxt>VP CORP FND</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>266016</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN M STRAUB</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>250000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON C BLEVINS</PersonNm>
        <TitleTxt>CHIEF PHARMA</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>264270</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON BROWNING</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>148180</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>100000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN WARD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>210000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCCARTHY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>95532</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>105327</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12037</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN K FIFE</PersonNm>
        <TitleTxt>VP SUPPLY CH</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>184167</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS A HEFNER</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>178914</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL CHIRICO</PersonNm>
        <TitleTxt>FORMER CSO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>160209</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9013</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA LAUFFER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>128198</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>25000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8772</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEANNA SPENCE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>100250</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>F LAYTON COTTRILL</PersonNm>
        <TitleTxt>FORMER MU DE</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>20808</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>13845407</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>10547999</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1016141</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>385</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PST SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742526</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303742526</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT ACCTNG</ServicesDesc>
        <CompensationAmt>3543881</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WEATHERBY LOCUMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972633</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972633</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>705361</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERIDIAN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772830</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606772830</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HR/PAYROLL</ServicesDesc>
        <CompensationAmt>493034</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECG MANAGEMENT CONSULTANTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 74008176</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606748176</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>478002</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRANT COOPER AND ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 N BRENTWOOD BLVD SUITE 950</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITING</ServicesDesc>
        <CompensationAmt>463114</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>22</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1121725</AllOtherContributionsAmt>
      <TotalContributionsAmt>1121725</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>247629789</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>247629789</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>247629789</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1754198</TotalRevenueColumnAmt>
        <ExclusionAmt>1754198</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>997923</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>997923</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>997923</TotalRevenueColumnAmt>
        <ExclusionAmt>997923</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>13318063</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>12487678</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>830385</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>830385</TotalRevenueColumnAmt>
        <ExclusionAmt>830385</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>INHERENT CONTRIBUTION</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>7673026</TotalRevenueColumnAmt>
        <ExclusionAmt>7673026</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FORFEITED RETIREMENT PREMIUMS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>732938</TotalRevenueColumnAmt>
        <ExclusionAmt>732938</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>8405964</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>260739984</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>247629789</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>11988470</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>162560</TotalAmt>
        <ProgramServicesAmt>162560</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3998130</TotalAmt>
        <ProgramServicesAmt>3798223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199907</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>173776365</TotalAmt>
        <ProgramServicesAmt>165087547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8688818</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>7106556</TotalAmt>
        <ProgramServicesAmt>6751228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>355328</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>15303412</TotalAmt>
        <ProgramServicesAmt>14538241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>765171</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>9586635</TotalAmt>
        <ProgramServicesAmt>9107303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479332</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>595354</TotalAmt>
        <ManagementAndGeneralAmt>595354</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>90300</TotalAmt>
        <ManagementAndGeneralAmt>90300</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>14443185</TotalAmt>
        <ProgramServicesAmt>13844376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>598809</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1124849</TotalAmt>
        <ProgramServicesAmt>1068607</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56242</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>5251763</TotalAmt>
        <ProgramServicesAmt>4989175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>262588</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1967469</TotalAmt>
        <ProgramServicesAmt>1869096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98373</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>329232</TotalAmt>
        <ProgramServicesAmt>312770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16462</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1810265</TotalAmt>
        <ProgramServicesAmt>1719752</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90513</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>924199</TotalAmt>
        <ManagementAndGeneralAmt>924199</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3396185</TotalAmt>
        <ProgramServicesAmt>3226376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169809</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1243141</TotalAmt>
        <ProgramServicesAmt>1180984</ProgramServicesAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID M WARD</PersonNm>
        <TitleTxt>SENIOR VP &amp; CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>561193</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>343513</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>14523</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10123</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14350</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>929352</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN W YINGLING</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>850000</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>18858</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28699</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>868858</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN LOCHOW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>833608</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>843508</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEHIAR EL-HAMDANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>515542</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>257790</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15467</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>535342</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>273257</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA LYCANS</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>747367</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>25000</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1500</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>767167</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>26500</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LARRY DIAL</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>544214</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>25000</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1500</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>564014</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>26500</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY ALBERICO</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>442754</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>67504</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16449</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4050</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>459203</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>71554</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOYT J BURDICK</PersonNm>
        <TitleTxt>VP CMO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>497549</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>7638</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5238</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>27695</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>510425</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOBBY MILLER</PersonNm>
        <TitleTxt>FORMER CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>306503</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>168497</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18390</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10110</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>324893</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>178607</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA C STUMP</PersonNm>
        <TitleTxt>SYSTEM VP &amp; CSO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>385818</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>105467</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2022</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28699</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>493307</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID JUDE</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>359527</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>100000</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>379327</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>106000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEWAYNE TACKETT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>469728</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>479628</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN PETRANY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>181736</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>262264</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7964</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15736</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189700</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>278000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT TAYENGCO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>450530</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>14994</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>465524</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL E SMITH</PersonNm>
        <TitleTxt>CHIEF ADMIN OFFICER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>422355</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>7638</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5995</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28699</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>435988</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULETTE WEHNER</PersonNm>
        <TitleTxt>FORMER SEC/TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>179496</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>220504</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10770</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13230</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190266</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>233734</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HADASSAH FRYE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>412374</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>422274</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETH HAMMERS</PersonNm>
        <TitleTxt>CEAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>350000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>369800</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN T ROBINSON</PersonNm>
        <TitleTxt>CHIEF HR OFFICER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>360748</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>3564</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>44627</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>364312</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK A MORGAN</PersonNm>
        <TitleTxt>VP PHYS SERV</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>355809</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>6697</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1242</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>44627</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>363748</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA E LEASURE</PersonNm>
        <TitleTxt>SYSTEM VP &amp; GEN COUN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>356019</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1278</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>44627</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>357297</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGINA M CAMPBELL</PersonNm>
        <TitleTxt>CHIEF NURSING</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>337708</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>6858</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>27695</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>344566</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES BECKER</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>235000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>83055</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4983</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248500</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>88038</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN FLESHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>259202</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>56875</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15552</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3413</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>274754</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>60288</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDUARDO PINO</PersonNm>
        <TitleTxt>SYSTEM CMIO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>308654</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>6858</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28699</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>315512</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID GOZAL</PersonNm>
        <TitleTxt>VICE-CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>150568</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>144231</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8654</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8654</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159222</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>152885</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH EVANS</PersonNm>
        <TitleTxt>FORMER VICE-CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>226956</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>53255</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13353</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3195</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240309</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>56450</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FAREED AZIZ</PersonNm>
        <TitleTxt>VP REVENUE CYCLE MGT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>270587</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>540</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>44627</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>271127</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRADLEY BURCK</PersonNm>
        <TitleTxt>VP CORP FND</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>224474</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>39624</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1918</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>38462</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>266016</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN M STRAUB</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>250000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15000</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>265000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AARON C BLEVINS</PersonNm>
        <TitleTxt>CHIEF PHARMACY</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>253596</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>9865</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>809</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>44627</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>264270</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANNON BROWNING</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>148180</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>100000</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155680</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>106000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN WARD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>210000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12600</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>222600</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MCCARTHY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>95532</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>105327</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5717</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6320</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>101249</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>111647</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN K FIFE</PersonNm>
        <TitleTxt>VP SUPPLY CHAIN OPS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>183295</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>872</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>38462</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>184167</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS A HEFNER</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>177691</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1223</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>27695</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>178914</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL CHIRICO</PersonNm>
        <TitleTxt>FORMER CSO</TitleTxt>
        <BaseCompensationFilingOrgAmt>160209</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9013</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>169222</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREA LAUFFER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>128198</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>25000</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7272</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1500</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>135470</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>26500</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>F LAYTON COTTRILL</PersonNm>
        <TitleTxt>FORMER MU DESIGNEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>20808</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>20808</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>VISHAL VERMA 0 382,467 0 CHAD LAVENDER 0 48,077 0</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 3: THE BOARD OF DIRECTORS OF A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. PART I, LINE 4B: EFFECTIVE JULY 1, 2019, THE CORPORATION ESTABLISHED A NON-QUALIFIED EXECUTIVE BENEFIT PLAN FOR KEY EMPLOYEES KNOWN AS THE MARSHALL HEALTH CAPITAL ACCUMULATION PROGRAM (MHCAP). THE MHCAP IS BEING FUNDED VIA LIFE INSURANCE POLICIES, AND SPLIT DOLLAR LOAN AGREEMENTS HAVE BEEN ENTERED INTO WITH THE PARTICIPANTS COVERED UNDER THE PLAN. AS PART OF THE SPLIT DOLLAR LOAN AGREEMENTS, THE PARTICIPANTS HAVE ASSIGNED THE POLICIES TO THE CORPORATION AS COLLATERAL. THIS ASSIGNMENT SECURES REPAYMENT OF ANY ADVANCES AND ACCRUED INTEREST FOR THE POLICY PREMIUMS. THE LOANS BEAR INTEREST AT THE APPLICABLE FEDERAL RATE UNDER INTERNAL REVENUE CODE SECTION 1274(D) IN EFFECT ON THE DATE OF THE LOAN. THE RATE IS BASED ON THE PARTICIPANTS' LIFE EXPECTANCY AND THE COMPOUNDING PERIOD AS PROVIDED IN TREASURY REGULATION SECTION 1.7872-15. REPAYMENT OF THE LOANS OCCURS AT THE TIME OF DEATH OF THE PARTICIPANTS. REFER TO SCHEDULE L FOR MORE INFORMATION. RELATED ORGANIZATION HAS A 457F PLAN FOR CERTAIN OFFICERS. THE FOLLOWING PAYMENTS WERE MADE DURING THE YEAR: KEVIN YINGLING, PRESIDENT &amp; CEO 129,300 HOYT BURDICK, VP &amp; CMO 77,768 REGINA CAMPBELL, CHIEF NURSING OFFICER 52,039 LARRY DIAL, CHIEF CLINICAL OFFICER 75,003</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1Txt>COUNTY COMMISSION OF CABELL COUNTY</BusinessNameLine1Txt>
        </IssuerName>
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        <CapitalExpendituresAmt>13340463</CapitalExpendituresAmt>
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        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COUNTY COMMISSION OF CABELL COUNTY SCHEDULE K, PART II, LINE 12: UNSPENT PROCEEDS BOND WAS A DRAW DOWN LOAN WITH 468,537 UNSPENT.</ExplanationTxt>
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        <BalanceDueAmt>19239</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>13424723</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JEFFREY BURDICK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>46439</TransactionAmt>
        <TransactionDesc>SEE PART V BELOW</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAUL SMITH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionDesc>SEE PART V BELOW</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DAVID M WARD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionDesc>SEE PART V BELOW</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>FAREED AZIZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>746777</TransactionAmt>
        <TransactionDesc>SEE PART V BELOW</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BRADLEY BURCK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER</RelationshipDescriptionTxt>
        <TransactionDesc>SEE PART V BELOW</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>DAVID DENNING FROM 100,000 525,478 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT NADIM BOU ZGHEIB FROM 102,692 523,175 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT SUZANNE HOLROYD FROM 41,904 516,746 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT MATTHEW BULLOCK FROM 50,000 321,707 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT CHAD LAVENDER FROM 50,000 261,361 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT CARLOS RUEDA RIOS FROM 45,000 232,870 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT GHASSAN SALIM ISSA BANDAK FROM 61,923 219,223 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT JOHN JASKO FROM 50,000 218,246 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT HYLA HARVEY FROM 35,385 202,650 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT MARC SUBIK FROM 42,308 200,097 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT CHRISTINE GILKERSON FROM 25,000 130,693 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT ELLEN THOMPSON FROM 25,000 128,511 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT JAMES GIGANTELLI, JR. FROM 25,000 113,045 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT VIKRAM SHIVKUMAR FROM 40,000 106,515 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT KATHLEEN O'HANLON FROM 50,000 104,829 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT JARED BROWNFIELD FROM 25,000 104,117 ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT KELLY MELVIN FROM 25,001 71,411 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT SEAN LOUDIN FROM 17,308 19,239 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: JEFFREY BURDICK (D) DESCRIPTION OF TRANSACTION: REPORTABLE COMPENSATION (A) NAME OF PERSON: PAUL SMITH (D) DESCRIPTION OF TRANSACTION: OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC (A) NAME OF PERSON: DAVID M. WARD (D) DESCRIPTION OF TRANSACTION: DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC (A) NAME OF PERSON: FAREED AZIZ (D) DESCRIPTION OF TRANSACTION: CHH USES FAREEDS BUSINESS, STEWARD CONSULTING, FOR CONTRACT STAFFING (A) NAME OF PERSON: BRADLEY BURCK (D) DESCRIPTION OF TRANSACTION: FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT &amp; ACCOUNTING WHICH IS OWNED BY BRADLEY BURCKS DAUGHTER. PART IV LINE (1): FAMILY MEMBER OF HOYT BURDICK, SR VP &amp; CMO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc10">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MARSHALL HEALTH NETWORK, INC IS A MANAGEMENT COMPANY FOR THE ORGANIZATION. MARSHALL HEALTH NETWORK PROVIDES SERVICES AND RESOURCES FOR THE BENEFIT OF OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS WERE CHANGED WHEN, EFFECTIVE OCTOBER 1, 2023, MARSHALL UNIVERSITY ON BEHALF OF THE ORGANIZATION ENTERED INTO A MASTER AFFILIATION AGREEMENT WHEREIN MOUNTAIN HEALTH NETWORK, INC. WAS RENAMED MARSHALL HEALTH NETWORK, INC., AND BECAME THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC., ST. MARY'S MEDICAL CENTER, INC., PLEASANT VALLEY HOSPITAL, INC. D/B/A RIVERS HEALTH AND UNIVERSITY PHYSICIANS &amp; SURGEONS, INC. D/B/A MARSHALL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL DEPARTMENT HEADS OF THE ORGANIZATION HAVE THE RIGHT TO DETERMINE TWO MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATIONS MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH YEAR, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT-OF-INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUALS DEPARTMENT AND GENERAL COUNSEL TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED BY THE DEAN OF MARSHALL UNIVERSITY'S SCHOOL OF MEDICINE IN HIS CAPACITY AS BOTH DEAN OF THE RELATED ORGANIZATION AND EX OFFICIO CHAIR OF THE ORGANIZATION'S BOARD OF DIRECTORS. COMPARATIVE SALARY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES' GROUP ON BUSINESS AFFAIRS AND GROUP ON FACULTY PRACTICE AS WELL AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION IS EXAMINED BY THE DEAN. SALARIES OF ALL MAJOR CLINICAL DEPARTMENT CHAIRS, EXECUTIVE MANAGEMENT TEAM MEMBERS AND DEPARTMENTAL ADMINISTRATORS ARE ALSO REVIEWED AND APPROVED UTILIZING A SIMILAR PROCESS. THE BOARD OF DIRECTORS OF A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED BY THE DEAN OF MARSHALL UNIVERSITY'S SCHOOL OF MEDICINE IN HIS CAPACITY AS BOTH DEAN OF THE RELATED ORGANIZATION AND EX OFFICIO CHAIR OF THE ORGANIZATION'S BOARD OF DIRECTORS. COMPARATIVE SALARY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES' GROUP ON BUSINESS AFFAIRS AND GROUP ON FACULTY PRACTICE AS WELL AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION IS EXAMINED BY THE DEAN. SALARIES OF ALL MAJOR CLINICAL DEPARTMENT CHAIRS, EXECUTIVE MANAGEMENT TEAM MEMBERS AND DEPARTMENTAL ADMINISTRATORS ARE ALSO REVIEWED AND APPROVED UTILIZING A SIMILAR PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS MAINTAINED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES AND IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSELS OFFICE. THE FINANCIAL STATEMENTS CAN BE ACCESSED BY LETTER, IN PERSON OR VIA WEB SEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARSHALL UNIVERSITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 JOHN MARSHALL DRIVE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>556000789</EIN>
        <PrimaryActivitiesTxt>HIGHER ED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1340 HAL GREER BOULEVARD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>550675666</EIN>
        <PrimaryActivitiesTxt>HEALTH SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PLEASANT VALLEY HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2520 VALLEY DRIVE</AddressLine1Txt>
          <CityNm>POINT PLEASANT</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25550</ZIPCd>
        </USAddress>
        <EIN>550440086</EIN>
        <PrimaryActivitiesTxt>HEALTH SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARY'S MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2900 1ST AVENUE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25702</ZIPCd>
        </USAddress>
        <EIN>550357050</EIN>
        <PrimaryActivitiesTxt>HEALTH SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNTAIN HEALTH NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 636</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25711</ZIPCd>
        </USAddress>
        <EIN>320573122</EIN>
        <PrimaryActivitiesTxt>MGT SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THREE GABLES SURGERY CENTER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5897 COUNTY ROAD 107</AddressLine1Txt>
          <CityNm>PROCTORVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45669</ZIPCd>
        </USAddress>
        <EIN>870648900</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-2190020</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>145099</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.41120</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MARSHALL PHARMACY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1600 MEDICAL CENTER DRIVE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>863545212</EIN>
        <PrimaryActivitiesTxt>PHARMACIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-576801</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2665521</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.45000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <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>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>90414382</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1652286</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ST MARY'S MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>11365564</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ST MARY'S MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>49040</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PLEASANT VALLEY HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>2566876</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARSHALL PHARMACY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>4696782</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARSHALL UNIVERSITY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>7553334</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARSHALL UNIVERSITY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>7456178</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <AveragingAttachment documentId="RetDoc2">
      <ExplanationTxt>THE ORGANIZATION MADE ITS FIRST SECTION 501(H) ELECTION IN ITS TAX YEAR ENDING JUNE 30, 2022. THE ELECTION HAS NOT BEEN REVOKED.</ExplanationTxt>
    </AveragingAttachment>
  </ReturnData>
</Return>