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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Regional One Health. The development of the Community Health Needs Assessment (CHNA) included both quantitative and qualitative research components. To obtain broad input from the community, the CHNA development process included data gathering utilizing an online community survey, key information surveys and community representation on the steering committee and in the CHNA development prioritization session. Approximately, 121 online community surveys were completed by individuals from various demographic and socio-economic backgrounds. Individuals completing the key informant surveys were identified as individuals as most likely aware of and/or involved in addressing community health needs. These individuals included representation from social service agencies, religious and faith-based organizations, public and healthcare organizations, elected officials, educational institutions or systems and other community leaders. Community members participating in the prioritization session included representation from Regional One Health senior leadership, Regional One Health Board of Directors and health system's foundation board.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Regional One Health. In the most recently completed Community Health Needs Assessment (CHNA), four (4) community health needs were identified and prioritized in a prioritization session, which included 20 representatives from Regional One Health senior leadership, Regional One Health Board of Directors and the health system's foundation board. Following the prioritization session, and in advance of submitting the recommended Implementation Plan to the Board for approval, the organization identified which prioritized needs would be addressed. The criteria used to determine the needs to address included the ability to: 1. Sustain and leverage existing efforts aligned with the CHNA, current and most recent and prioritized needs; 2. develop and/or support additional partnerships, programs, and initiatives to address the needs; and 3. account for the health system's resources and expertise, mission and strategic goals. The chosen community health needs to be addressed will be addressed based on these criteria. In addition, addressing these needs will include continuation of current programs and efforts, collaborative work with other community partners and support of new and existing community wide efforts. As outlined in the approved Implementation Plan, Regional One Health will not address the following community needs: drug abuse, mental health, TB or poverty. Regional One Health does not possess the subject matter expertise to address these needs. In addition, the unaddressed needs are beyond the health system's ability to have a direct impact (i.e. poverty). There are numerous community, government and social service organizations, as well as specialty healthcare providers more capable and experienced in addressing these needs.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Regional One Health. Other additional method added to determining Financial Assistance is the accepted use of PARD (payment Assistance Rank Order) by scoring patients based on various socio-economic factors available.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Regional One Health. Use of Payment Assistance Rank Order (PARD) scoring is used in additional to other available patient data.</ExplanationTxt>
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            <CityNm>Memphis</CityNm>
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          <FacilityTxt>20-bed skilled nursing facility unit in the hospital, Effective Dec 16, 2015</FacilityTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts Reported were calculated using a cost-to-charge ratio and following the examples of Worksheets 1-5 in the published 990 instructions.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Concentrated on population health management to promote health education awareness in the community.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense (cost) was estimated using a cost-to-charge ratio.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of Medicare services based on cost to charge ratio.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization contracts with an agency to assist patients with completing applications for eligibility under federal and state government programs and provide charity care applications.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Regional One Health: Line 16a URL: https://www.regionalonehealth.org/financial-assistance-policy/;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Regional One Health: Line 16b URL: https://www.regionalonehealth.org/financial-assistance-policy/;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Regional One Health: Line 16c URL: https://www.regionalonehealth.org/financial-assistance-policy/;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Regional One Health undertook a comprehensive CHNA to evaluate the health needs of individuals living in Shelby County, in Tennessee. The aim of the assessment is to reinforce Regional One Health's commitment to the health of residents and align its health delivery efforts with the community's greatest needs. The assessment examined a variety of health indicators including risk health behaviors, chronic health conditions, access to health care, and social determinants of health. The completion of the CHNA enables Regional One Health to take an in-depth look at the health of its greater community. The findings from the assessment can be utilized to prioritize public health issues and develop a community health implementation plan focused on meeting community needs.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Regional One Health considers the community it serves to include not only the neighborhoods surrounding the campus on Memphis' downtown corridor, but also extends to the tristate area of West Tennessee, Arkansas, Mississippi, and beyond. Shelby County is located in the southwestern corner of Tennessee along the Mississippi River. Overtime, the county has continued to expand and change from a rural to an urban center. The city of Memphis in Shelby County is also located along the Mississippi River in the western portion of the county and is the second most populous city in Tennessee.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>Regional One Health partnered with and/or supported numerous organizations and initiatives aimed at Memphis Medical District, Memphis Area Chamber of Commerce, Downtown Memphis Commission, Common Table Alliance. Regional One Health's affiliations with these or other groups are varied and include being paid members/sponsors as well as in-kind support. Members of Regional One Health staff serve as volunteer board members or in leadership capacities with several community organizations. The aforementioned organizations and other have a primary focus on improving the quality of life in the community through health improvement initiatives, environmental issues, and economic development. Community building activities are planned as necessary partnerships formed to improve the quality of life and health in our community, based on the needs identified by our staff, through our planning process, community requests and our resource capacity. Our community building activities are also planned based on needs identified and reported by other organizations. In addition to the previously mentioned affiliation, Regional One Health supports and partners with American Heart Association, local colleges and universities, Facing History and Ourselves, and a myriad of other organizations to respond to identified community health improvement needs.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Martin Croce</PersonNm>
        <TitleTxt>Sr. VP. Chief Medical Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leticia Towns</PersonNm>
        <TitleTxt>Chief Administrative Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>34553</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Imad Abdullah</PersonNm>
        <TitleTxt>Sr. VP. Chief Legal Counsel</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Manoucheka Thermitus</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>William Kim</PersonNm>
        <TitleTxt>Sr. VP. Chief Information Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>333403</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48292</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>47548</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>A number of individuals listed in Schedule J participated in a SERP plan during the year and received SERP benefits as follows: Reginald Coopwood received $172,536; Martin Croce received $59,351; Leticia Towns received $58,738; Imad Abdullah received $47,802; Jim Proctor received $52,620; Manoucheka Thermitus received $44,071; and William Kim received $41,224.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the organization's Board of Directors were given access to a draft copy of the form 990 through a secured internet portal.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Legal and Compliance conducts an ongoing annual request for submission of conflict of interest forms. Process is monitored by Corporate Compliance to ensure that all forms are completed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the executive management team was approved by the Human Resource Committee and was deemed to be competitive based on business circumstances and prevailing market conditions. The organization purchases compensation/salary information annually from three national consulting groups and the state hospital association and has a compensation consultant provide periodic reviews. The information is used as a reference in determining levels for internal and external equity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the executive management team was approved by the Human Resource Committee and was deemed to be competitive based on business circumstances and prevailing market conditions. The organization purchases compensation/salary information annually from three national consulting groups and the state hospital association and has a compensation consultant provide periodic reviews. The information is used as a reference in determining levels for internal and external equity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflicts of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 2106534, Related or Exempt Function Revenue: 2106534, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Medical and Professional Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Decrease in net assets due to Shelby County Health Care Properties dissolution - -38966534; Intercompany transfers of equity - -9584577;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>The process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Regional Med Extended Care Hospital LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>890 Madison Avenue 4th Floor</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
        </USAddress>
        <EIN>208930584</EIN>
        <PrimaryActivitiesTxt>Long term acute care hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>13775954</TotalIncomeAmt>
        <EndOfYearAssetsAmt>12447559</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Shelby County Health Care Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REGIONAL ONE HEALTH RESEARCH Institute LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>877 Jefferson Ave Suite 110</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
        </USAddress>
        <EIN>843106301</EIN>
        <PrimaryActivitiesTxt>Research</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>440541</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Shelby County Health Care Corporation</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Regional Medical Center at Memphis Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>877 Jefferson Avenue</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
        </USAddress>
        <EIN>581737037</EIN>
        <PrimaryActivitiesTxt>Foundation raises funds to support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MEMPHIS MEDICAL CENTER AIR AMBULANCE Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1080 EASTMORELAND AVENUE</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38104</ZIPCd>
        </USAddress>
        <EIN>621280261</EIN>
        <PrimaryActivitiesTxt>Operates air ambulance service</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ROH Investments Co Inc</BusinessNameLine1Txt>
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          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
        </USAddress>
        <EIN>873506718</EIN>
        <PrimaryActivitiesTxt>supporting organization for SCHCC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
        </USAddress>
        <EIN>471157530</EIN>
        <PrimaryActivitiesTxt>physician services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <AddressLine1Txt>877 Jefferson Avenue</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
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        <EIN>464971777</EIN>
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        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Shelby County Health Care Corporation</BusinessNameLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38103</ZIPCd>
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        <PrimaryActivitiesTxt>Marketing and Investing</PrimaryActivitiesTxt>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>The Regional Medical Center at Memphis Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>3581713</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book Value</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Regional Medical Center at Memphis Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>517598</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book Value</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Regional Medical Center at Memphis Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>862287</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
