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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES G DALE</PersonNm>
        <TitleTxt>PRES MED STAFF</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>348387</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41114</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS KLUGE</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>321922</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64747</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NELSON T CLARK</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>323268</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42106</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS X DENNEHY</PersonNm>
        <TitleTxt>DIR RESIDENCY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>304797</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40955</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW TOOMEY</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>291444</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44148</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MADHUR SOLANKI</PersonNm>
        <TitleTxt>ACIMO</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>320844</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>11977</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA DALLMANN</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>278216</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40859</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK BAKER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>261892</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43284</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE LOWMAN</PersonNm>
        <TitleTxt>Controller</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>279151</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12186</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER GOODITIS</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>247896</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39763</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE PITT</PersonNm>
        <TitleTxt>DIR PHARMACY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>234722</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24993</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONIA SUBER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>163278</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19292</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH F SILEK JR</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>13172</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD DANSIE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>9415</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BETH PRICE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS GILPIN</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRY S SMITH</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN CLUSS</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELODY K EATON</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM LONG</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE JOHNSON</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLIFTON L RUTHERFORD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY A SKILES</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS B KEIM MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERIF KAISER</PersonNm>
        <TitleTxt>QMAC CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>8956663</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>4414029</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1188863</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>205</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INOVA HEALTHCARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8110 GATEHOUSE ROAD SUITE 400W</AddressLine1Txt>
            <CityNm>FALLS CHURCH</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE FEE</ServicesDesc>
        <CompensationAmt>6231610</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>POWER WELLNESS MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2055 W ARMY TRAIL ROAD SUITE 124</AddressLine1Txt>
            <CityNm>ADDISON</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE AND MGMT FEE</ServicesDesc>
        <CompensationAmt>1405170</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FRONT ROYAL FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>140 W 11TH STREET</AddressLine1Txt>
            <CityNm>FRONT ROYAL</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22630</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACADEMIC AFFILIATION</ServicesDesc>
        <CompensationAmt>1162820</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARAMARK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12483 COLLECTIONS CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606731248</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICES</ServicesDesc>
        <CompensationAmt>901905</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PREMIER HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13034 BALLANTYNE CORP PLACE</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28277</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>1169647</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>38</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>31220</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>3208220</GovernmentGrantsAmt>
      <TotalContributionsAmt>3239440</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLINICAL RESEARCH REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>259487</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>259487</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CORPORATE MANAGEMENT FEES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>114219966</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>114219966</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REIMBURSED COSTS</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>21250818</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21250818</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WELLNESS FEE REVENUE</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>1917764</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1917764</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>137648035</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>13038539</TotalRevenueColumnAmt>
        <ExclusionAmt>13038539</ExclusionAmt>
      </InvestmentIncomeGrp>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1535</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <OtherAmt>1535</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1535</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1535</RelatedOrExemptFuncIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <CostOfGoodsSoldAmt>174479</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-68941</TotalRevenueColumnAmt>
        <ExclusionAmt>-68941</ExclusionAmt>
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        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3183235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4361044</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-1177809</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3183235</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>157041843</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>142010614</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-1177809</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>12969598</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1414521</TotalAmt>
        <ProgramServicesAmt>1414521</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>7910514</TotalAmt>
        <ProgramServicesAmt>6723937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1186577</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>65396301</TotalAmt>
        <ProgramServicesAmt>55233622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9747110</ManagementAndGeneralAmt>
        <FundraisingAmt>415569</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
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        <RetainedByContractorAmt>14477</RetainedByContractorAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Capital Dev ServicesInc</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>915 W 4th Street S 100</AddressLine1Txt>
          <CityNm>Winston Salem</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27101</ZIPCd>
        </USAddress>
        <ActivityTxt>CAPITAL CAMPAIGN DEVELOP.</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <RetainedByContractorAmt>14000</RetainedByContractorAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
      </FundraiserActivityInfoGrp>
      <TotalRetainedByContractorsAmt>28477</TotalRetainedByContractorsAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2b - Fundraiser Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Provided Fundraising Counsel for Capital Campaign</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="20011551" softwareVersionNum="2020v4.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AIDS RESPONSE EFFORT INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>124 W PICADILLY STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541585248</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1833 PLAZA DRIVE</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLUE RIDGE COMMUNITY COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 80</AddressLine1Txt>
          <CityNm>Weyers Cave</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24486</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONCERN HOTLINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2032</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22604</ZIPCd>
        </USAddress>
        <RecipientEIN>541097847</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DENTAL CLINIC OF NSV</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 N Cameron Street Ste 200</AddressLine1Txt>
          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>450573607</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAITH IN ACTION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>329 N CAMERON ST SUITE 200</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>262937544</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>14250</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOOD SAMARITAN FREE CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2353</AddressLine1Txt>
          <CityNm>MARTINSBURG</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25402</ZIPCd>
        </USAddress>
        <RecipientEIN>050602031</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LORD FAIRFAX COMMUNITY COLLEG</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>173 Skirmisher Lane</AddressLine1Txt>
          <CityNm>Middletown</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22645</ZIPCd>
        </USAddress>
        <RecipientEIN>510247624</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE SCHOLARSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LORD FAIRFAX EMS COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>180 PROSPERITY DRIVE</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541901169</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNICATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW LIFE CENTER EDGEHILL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>315 E CORK STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541760843</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MORTGAGE ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NSV SUBSTANCE ABUSE COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 N CAMERON STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>473755186</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUR HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>329 N CAMERON STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541972659</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>170487</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVER OUR HEALTH EXPENSES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAGE ALLIANCE FOR COMMUNITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 723</AddressLine1Txt>
          <CityNm>LURAY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22835</ZIPCd>
        </USAddress>
        <RecipientEIN>541913216</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>13080</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAGE COUNTY FREE MEDICAL C</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 45</AddressLine1Txt>
          <CityNm>LURAY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22835</ZIPCd>
        </USAddress>
        <RecipientEIN>271421176</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>23440</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH APPLE BLOSSOM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>135 N Cameron St</AddressLine1Txt>
          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>540377058</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH CO FREE CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>124 VALLEY VISTA DRIVE</AddressLine1Txt>
          <CityNm>WOODSTOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22824</ZIPCd>
        </USAddress>
        <RecipientEIN>542032008</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>41000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>124 VISTA DRIVE</AddressLine1Txt>
          <CityNm>WOODSTOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22664</ZIPCd>
        </USAddress>
        <RecipientEIN>542032008</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>46000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1460 UNIVERSITY DRIVE</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>540525605</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>175000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE SCHOLARSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SINCLAIR HEALTH CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 N CAMERON STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541373296</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>390800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST LUKE COMMUNITY CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>FRONT ROYAL</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22630</ZIPCd>
        </USAddress>
        <RecipientEIN>541801220</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>74121</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>135 N LOUDOUN STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541262535</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>21333</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE MORGAN COUNTY PARTNERSHIP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26 Chapman St</AddressLine1Txt>
          <CityNm>Berkeley Spring</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25411</ZIPCd>
        </USAddress>
        <RecipientEIN>264467473</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>65000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>22</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>VIRTUALLY ALL OF THE ORGANIZATIONS PROVIDED WITH GRANT FUNDS ARE LOCAL, AND CLOSELY MONITORED BY VALLEY HEALTH'S MANAGEMENT AND BOARD. PERIODIC REPORTS ARE OBTAINED AS WELL FROM THESE GRANTEES WHICH DISCUSS OPERATIONS AND BENEFITS RENDERED TO THE COMMUNITIES SERVED. BEFORE FUNDING IS GRANTED, CONSISTENCY OF MISSION IS EVALUATED IN ORDER TO ASSURE LIKE DIRECTION WITH VALLEY HEALTH INITIATIVES. GRANTS PAID TO ORGANIZATIONS BENEFIT THE SUPPORTING ORGANIZATIONS MISSION ALSO. THE GRANTS ARE THE SAME CHARITABLE CLASS OF GRANTS THAT THE SUPPORTING ORGANIZATIONS ADMINISTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <DiscretionarySpendingAcctInd>X</DiscretionarySpendingAcctInd>
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>true</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>true</InitialContractExceptionInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BONNIE PITT</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS RUCKER</PersonNm>
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        <TotalCompensationRltdOrgsAmt>494392</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>16212</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE LOWMAN</PersonNm>
        <TitleTxt>Controller</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>7928</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4258</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>291337</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER GOODITIS</PersonNm>
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        <BonusFilingOrganizationAmount>10721</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1137</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7789</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31974</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>287659</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH SAVAGE</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>356724</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>54962</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>109203</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11772</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13977</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>546638</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>40669</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FLOYD R HEATER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>296482</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>44081</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>76432</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9784</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33155</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>459934</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>36738</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCIS X DENNEHY</PersonNm>
        <TitleTxt>DIR RESIDENCY</TitleTxt>
        <BaseCompensationFilingOrgAmt>289051</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13248</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2498</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9539</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31416</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>345752</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRADY W PHILIPS III</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>509630</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>72275</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>148972</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>16818</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39597</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>787292</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>53676</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IYAD SABBAGH</PersonNm>
        <TitleTxt>CHIEF PHYS EXEC</TitleTxt>
        <BaseCompensationFilingOrgAmt>446558</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>72587</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>78534</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14736</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32277</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>644692</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES BURTON</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>398455</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>61392</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>71851</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>64928</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33368</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>629994</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES G DALE</PersonNm>
        <TitleTxt>PRES MED STAFF</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>276825</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>18354</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>53208</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9135</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31979</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>389501</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES SHERWOOD</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>299376</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>36796</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>37505</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9879</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>35543</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>419099</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES WIEDOWER MD</PersonNm>
        <TitleTxt>DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>432719</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>29815</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14280</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29075</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>506389</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY FEIT</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>380044</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>48157</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>47292</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12541</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39560</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>527594</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MADHUR SOLANKI</PersonNm>
        <TitleTxt>ACIMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>319226</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>850</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>768</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10534</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1443</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>332821</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK BAKER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>225192</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>19162</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>17538</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7431</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35853</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305176</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK H MERRILL</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>1122707</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>172579</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>570395</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>37049</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24281</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1927011</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK NANTZ</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>548088</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>150000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>184690</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18087</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14978</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>915843</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW TOOMEY</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>250007</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21627</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19810</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35898</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335592</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NELSON T CLARK</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>240636</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>35128</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>47504</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7941</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34165</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>365374</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>17507</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLAS RESTREPO</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>409552</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>50338</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>84897</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>13515</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>47545</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>605847</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>27221</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK D IRELAND MD</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>403973</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>403973</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER GALLAGHER</PersonNm>
        <TitleTxt>SR VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>532699</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>82074</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>167017</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17579</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33424</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>832793</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT AMOS</PersonNm>
        <TitleTxt>VP/ WMC CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>374371</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46866</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>78577</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12354</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>36562</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>548730</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>26522</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS KLUGE</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>248812</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>40473</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>32637</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>30981</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33766</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>386669</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONIA SUBER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>142317</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10961</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4696</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14596</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>182570</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on an employment agreement Mark Merrill received an allowance for discretionary spending during 2020. These amounts were included in taxable wages.Based on a change in the life insurance policies for executives, the board approved gross up payments to cover the cost and tax effects of the policies for Mark Merrill and Pete Gallagher.Mark Nantz received a short term housing allowance as part of his relocation package. These payments were grossed up for tax purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs</FormAndLineReferenceDesc>
        <ExplanationTxt>Iyad Sabbagh is paid according to a contract subject to the initial contract exception during the 2019 year.Mark Nantz and Tonia Suber are paid according to a contract subject to the initial contract exception during the 2020 year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="20011551" softwareVersionNum="2020v4.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE TWO CLASSES OF MEMBERS: REGULAR AND HONORARY. THE NUMBER OF REGULAR MEMBERS SHALL NOT EXCEED 100. IN ADDITION, THERE MAY BE AN UNLIMITED NUMBER OF HONORARY MEMBERS. QUALIFICATIONS FOR BOTH CLASSES OF MEMBERSHIP SHALL BE ESTABLISHED IN THE BYLAWS OF THE CORPORATION. HONORARY MEMBERS HAVE NO VOTING OR ANY OTHER RIGHTS WHATSOEVER. REGULAR MEMBERS SHALL HAVE VOTING RIGHTS SOLELY WITH RESPECT TO THE ELECTION OF REGULAR MEMBERS, HONORARY MEMBERS AND TRUSTEES, AS ESTABLISHED IN THE BYLAWS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by internal staff and reviewed by an outside accounting firm, who is the paid preparer. The return then undergoes several levels of review including the CFO and CEO. Further, the board reviews the 990 during one of its recurring monthly meetings prior to filing where any issues of concern or question are addressed by Senior Management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members sign a conflict of interest policy annually and upon appointment to the board. All employees that are managers, including officers, have purchasing rights with defined limits, or may enter into a contract on behalf of the organization are required to sign a conflict of interest attestation upon employment and annually. All employees can report breaches in Valley Health System policy. Valley Health System has an employee integrity hotline and a compliance officer. The audit committee is advised of compliance activity on a quarterly basis in addition to monthly follow up by the CEO on any immediate issues. Any infractions can result in disciplinary action or dismissal.Any trustee, officer or employee that discloses a conflict of interest will leave a board meeting on a transaction or arrangement that would be related to the potential conflict. With conflicts of interest the chair of the board will appoint a person or committee (if appropriate) to investigate alternatives to the proposed arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the CEO. A fair market value executive compensation review was completed in 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the Officers, and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes all records available as required by law.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss from Partnership Investments = $1177809</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO AFFILIATES = -$11552568</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FUNDRAISING</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization pays for fundraising costs and the fundraising proceeds are recorded on the group return. The organization spent $772,660 in fundraising in 2020 and the related organization reported $75,275,409 in total of both contributions and grants under EIN 80-0584319.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="20011551" softwareVersionNum="2020v4.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SHENANDOAH MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>759 SOUTH MAIN STREET</AddressLine1Txt>
          <CityNm>WOODSTOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22664</ZIPCd>
        </USAddress>
        <EIN>540490687</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SURGI CENTER OF WINCHESTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1860 AMHERST STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <EIN>541279131</EIN>
        <PrimaryActivitiesTxt>ASC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WARREN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 SHENANDOAH DRIVE</AddressLine1Txt>
          <CityNm>FRONT ROYAL</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22630</ZIPCd>
        </USAddress>
        <EIN>540488103</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WINCHESTER MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1840 AMHERST ST</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <EIN>540505979</EIN>
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        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>170506</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VALLEY PARTNERS LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>400650</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EAST MOUNTAIN HEALTH ADVANTAGE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>9670141</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WINCHESTER ENDOSCOPY SERVICES LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>1792650</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL CIRCLE LLC ta VALLEY OPEN MRI</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>1011840</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Valley Regional Enterprises Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>48760</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
