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        <PersonNm>COLIN WINDHAM MD</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>343292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19429</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBYN HARTVICKSON MD</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>7500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALLERIE L GLEASON</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>367045</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17514</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD R KASITZ</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>203976</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD TANGEMAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>166116</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21027</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER PORTER</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>173933</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7809</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES PIGG MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>966832</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11400</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MCEACHERN MD</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>677771</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24335</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT DILLARD MD</PersonNm>
        <TitleTxt>FAMILY PRACTICE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>366135</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22187</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES NUNN MD</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>349810</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEREK MOORE MD</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>339671</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13988</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3962081</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>174571</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>51</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EBY CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2525 E 36TH CIR N</AddressLine1Txt>
            <CityNm>WICHITA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67219</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1565712</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SURFACE PROTECTION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2012 W 6TH</AddressLine1Txt>
            <CityNm>ELDORADO</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PARKING LOT PAVING</ServicesDesc>
        <CompensationAmt>643411</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REHABCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 502096</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>631502096</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>568746</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MIDLAND PROFESSIONAL SVCS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3471</AddressLine1Txt>
            <CityNm>WICHITA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>672013471</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT AR OUTSOURCE AGENCY</ServicesDesc>
        <CompensationAmt>367828</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EAGLE TELEMED</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>280 INTERSTATE NORTH CIRCLE SE STE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30339</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TELE-HOSPITALIST 7P-7A</ServicesDesc>
        <CompensationAmt>335030</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>250000</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>81959</AllOtherContributionsAmt>
      <TotalContributionsAmt>331959</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>60250934</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60250934</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PMTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>23124142</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23124142</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DIETARY SERVICES</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>547470</TotalRevenueColumnAmt>
        <ExclusionAmt>547470</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NON-PATIENT SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>226478</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>226478</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NON-PATIENT LAB SERVICES</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>36657</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>36657</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>84185681</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>860540</TotalRevenueColumnAmt>
        <ExclusionAmt>860540</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>11555640</SecuritiesAmt>
        <OtherAmt>750</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>11329126</SecuritiesAmt>
        <OtherAmt>54653</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>226514</SecuritiesAmt>
        <OtherAmt>-53903</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>172611</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>172611</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>RENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>907080</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>907080</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMB &amp; MISC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>603258</TotalRevenueColumnAmt>
        <ExclusionAmt>603258</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>304629</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>304629</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>3589</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3589</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1818556</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>87369347</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>84989463</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>36657</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2011268</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>2930</TotalAmt>
        <ProgramServicesAmt>2930</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1319208</TotalAmt>
        <ProgramServicesAmt>529438</ProgramServicesAmt>
        <ManagementAndGeneralAmt>789770</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>40397003</TotalAmt>
        <ProgramServicesAmt>35345331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5051672</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1021025</TotalAmt>
        <ProgramServicesAmt>878053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142972</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>3619755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>589400</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2760661</TotalAmt>
        <ProgramServicesAmt>2374091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>386570</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>198380</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>43215</TotalAmt>
        <ManagementAndGeneralAmt>43215</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>112255</TotalAmt>
        <ManagementAndGeneralAmt>112255</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>6539196</TotalAmt>
        <ProgramServicesAmt>4550151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1989045</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>46331</TotalAmt>
        <ProgramServicesAmt>1048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45283</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>826098</TotalAmt>
        <ProgramServicesAmt>651876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174222</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1770594</TotalAmt>
        <ProgramServicesAmt>306323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1464271</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>942689</TotalAmt>
        <ProgramServicesAmt>680648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>262041</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>34912</TotalAmt>
        <ProgramServicesAmt>29009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5903</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>58899</TotalAmt>
        <ProgramServicesAmt>46201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12698</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>264350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121917</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>3057082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1587258</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>637394</TotalAmt>
        <ProgramServicesAmt>276440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360954</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>13398675</TotalAmt>
        <ProgramServicesAmt>13295343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103332</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS/MAINTENANCE</Desc>
        <TotalAmt>1601325</TotalAmt>
        <ProgramServicesAmt>1295002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306323</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>469885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>672388</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
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        <ProgramServicesAmt>603036</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>149168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>580559</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>68425160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15000428</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>14631662</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>9571386</EOYAmt>
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        <EOYAmt>362670</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2017485</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>2578381</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>38730033</EOYAmt>
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        <EOYAmt>34447390</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>149677</BOYAmt>
        <EOYAmt>137810</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>88833841</BOYAmt>
        <EOYAmt>102476817</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>8432763</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>9471643</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>517121</BOYAmt>
        <EOYAmt>7748947</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>16642813</BOYAmt>
        <EOYAmt>25653353</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>72075975</BOYAmt>
        <EOYAmt>76707371</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>115053</BOYAmt>
        <EOYAmt>116093</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>72191028</BOYAmt>
        <EOYAmt>76823464</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>88833841</BOYAmt>
        <EOYAmt>102476817</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3943759</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>673581</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>15096</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <ExplanationTxt>PART V, SECTION B, LINE 5: TWO PHASES OF DATA COLLECTION WERE USED WITHIN THE CHNA: SECONDARY AND PRIMARY DATA ANALYSIS. PRIMARY DATA IS QUALITATIVE DATA THAT HAS BEEN COLLECTED BY A RESEARCHER USING FIRST-HAND, PRIMARY SOURCES. SOURCES INCLUDE SURVEYS AND FOCUS GROUPS. SECONDARY DATA IS QUANTITATIVE DATA THAT HAS BEEN COLLECTED FROM OTHER INDIVIDUALS AND INSTITUTIONS. SOURCES INCLUDE OBJECTIVE STUDIES OR SURVEYS. THE FINAL STEP IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IS ESTABLISHING A TEAM WITH DIVERSE BACKGROUNDS AND EXPERTISE TO MAKE EVIDENCE-BASED DECISIONS IN SELECTING APPROPRIATE HEALTH PRIORITIES, USING ABOVE DATA, THAT WILL DRIVE FORWARD THE HEALTH PRIORITY EFFORTS OF THE COMMUNITY, THUS CREATING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).TO UNDERSTAND THE UNIQUE CHARACTERISTICS AND NEEDS OF A COMMUNITY, ALL POPULATIONS MUST BE RECOGNIZED AND REPRESENTED. THESE POPULATIONS MAY INCLUDE THOSE OF A PARTICULAR AGE, ETHNICITY, RACE, THOSE WITHOUT HEALTH INSURANCE COVERAGE AND MANY MORE. EVERY POPULATION ADDS TO THE TRUE DIVERSITY OF THE COMMUNITY IN WHICH THEY LIVE AND WORK. BY ADDRESSING THE POPULATIONS WITHIN HARVEY COUNTY, ALL BACKGROUNDS ARE REPRESENTED AND HEARD IN ORDER TO PORTRAY A MORE ACCURATE REPORT.THE HEALTHY PEOPLE 2030 ACTION MODEL WAS ADOPTED BY THE CORE TEAM AS A COMPREHENSIVE MODEL FOR OUR ASSESSMENT. CULTIVATING HEALTHIER ENVIRONMENTS, INCREASING KNOWLEDGE AND ACTION, AND CLOSING GAPS WILL LEAD TO IMPROVED HEALTH AND WELL-BEING ACROSS THE LIFESPANS. ACTIONABLE DATA (AS IN THIS REPORT), EVIDENCE-BASED INTERVENTIONS, AND STRATEGIC RESOURCES MUST BE GARNERED, IDENTIFIED, AND APPROPRIATELY EMPLOYED TO MELD THE ELEMENTS FOR INCLUSIVITY AND SUCCESS.AS A PRODUCT OF THE 2020 HARVEY COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, CONDUCTED BY THE CORE TEAM IN COLLABORATION WITH LOCAL STAKEHOLDERS, COMMUNITY LEADERS, AND OTHER COUNTY RESIDENTS, THREE HEALTH PRIORITIES WERE IDENTIFIED AS THE FOCUS FOR HARVEY COUNTY'S HEALTH INITIATIVES FOR THE TIMEFRAME JULY 2020- JUNE 2023. THE DATA COLLECTED IN THIS REPORT, ALONG WITH THE HEALTH PRIORITIES, WILL BE USED FOR SELECTING SMART (SPECIFIC, MEASURABLE, ACHIEVABLE, RELEVANT, AND TIME-BOUND) GOALS. THESE GOALS WILL DRIVE THE HARVEY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DEVELOPMENT. TO ADDRESS THESE COMMUNITY HEALTH PRIORITIES, THE STAKEHOLDERS WILL IDENTIFY LEAD AGENCIES TO GUIDE THE PLANNING AND IMPLEMENTATION OF EVIDENCE-BASED POLICY, SYSTEMS, PROGRAMS, AND ENVIRONMENTAL CHANGES DESIGNED TO PRODUCE SUCCESSFUL HEALTH-CHANGING OUTCOMES WITHIN THREE YEARS.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 6A: PRAIRIE VIEW, INC.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NEWTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: NEWTON FIRE/EMSHARVEY COUNTY HEALTH DEPARTMENTHEALTH MINISTRIES CLINIC, INC.HEALTHY HARVEY COALITIONHARVEY COUNTYMIRROR, INC.</ExplanationTxt>
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        <FormAndLineReferenceDesc>NEWTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY NEWTON HEALTHCARE CORPORATION ARE BEING PROVIDED BY PRAIRIE VIEW, THE LOCAL COUNTY HEALTH DEPARTMENT AND HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES AND EDUCATION, AND ECONOMIC STABILITY INCLUDING EMPLOYMENT AND HOUSING.</ExplanationTxt>
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            <CityNm>NEWTON</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
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            <BusinessNameLine1Txt>3 - MID KANSAS FAMILY PRACTICE</BusinessNameLine1Txt>
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            <CityNm>HESSTON</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67062</ZIPCd>
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          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
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            <CityNm>VALLEY CENTER</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
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          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
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            <CityNm>WICHITA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
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            <CityNm>NEWTON</CityNm>
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            <BusinessNameLine1Txt>7 - CONVENIENT CARE</BusinessNameLine1Txt>
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            <AddressLine1Txt>118 E 12TH ST</AddressLine1Txt>
            <CityNm>NEWTON</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67114</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - DIABETES &amp; ENDOCRINOLOGY SPECIALISTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 MEDICAL CENTER DR 2ND FLOOR</AddressLine1Txt>
            <CityNm>NEWTON</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67114</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - MIDWEST OCCUPATIONAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3343 W CENTRAL</AddressLine1Txt>
            <CityNm>WICHITA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67203</ZIPCd>
          </USAddress>
          <FacilityTxt>OCCUPATIONAL MEDICINE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - MEDICAL PLAZA OF PARK CITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1755 E 61ST ST N</AddressLine1Txt>
            <CityNm>PARK CITY</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67219</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>USED THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS REPORTED ON LINE 2, WAS CALCULATED USING WORKSHEET A. ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 STARTING ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARG RATIO. THE SHORTFALL AS REPORTED ON PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE SHORTFALL, OR SUBSIDY, REDUCES THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO DO NOT HAVE INSURANCE OR DO NOT QUALIFY FOR MEDICAID MAY APPLY FOR FINANCIAL ASSISTANCE THROUGH THE HEALTHCARE ASSISTANCE PROGRAM. PATIENTS WITH OUTSTANDING BILLS AFTER ALL INSURANCE PAYMENTS HAVE BEEN RECEIVED MAY APPLY FOR ASSISTANCE FOR THE REMAINING BALANCE ON THEIR ACCOUNT THROUGH THIS PROGRAM, WITHIN 240 DAYS OF THE DATE OF THEIR FIRST BILL. PATIENTS ARE NOTIFIED OF THE PROGRAM THROUGH THE BROCHURE "PAYING FOR YOUR CARE", AS WELL AS VERBAL NOTIFICATION EACH TIME THEY ARE CONTACTED REGARDING THEIR BILL. ON THE BACK OF EACH STATEMENT IS THE ONE PAGE "PLAIN LANGUAGE SUMMARY" WHICH IS ALSO AVAILABLE ON THE ORGANIZATION WEBSITE. THIS IS PROVIDED IN ENGLISH AND SPANISH. ALL PATIENTS/ GUARANTORS QUALIFYING FOR PARTIAL WRITE-OFF OF THE BILL MUST AGREE TO A MINIMUM PAYMENT PLAN AS SET UP BY THE FINANCIAL COUNSELOR. ACCOUNTS TURNED TO COLLECTION CAN APPLY FOR THE HEALTHCARE ASSISTANCE PROGRAM IF DONE SO WITHIN 240 DAYS OF THE FIRST STATEMENT DATE, IN COMPLIANCE WITH 501(R) REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLIN WINDHAM MD</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <BaseCompensationFilingOrgAmt>343292</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9022</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>362721</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALLERIE L GLEASON</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>367045</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10396</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>384559</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD R KASITZ</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>203976</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8644</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13988</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226608</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD TANGEMAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>166116</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7039</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13988</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187143</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER PORTER</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>173933</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7003</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>806</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181742</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES PIGG MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>966832</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>978232</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN MCEACHERN MD</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>677771</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10347</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13988</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>702106</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT DILLARD MD</PersonNm>
        <TitleTxt>FAMILY PRACTICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>366135</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8199</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13988</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>388322</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES NUNN MD</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>349810</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7310</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6940</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>364060</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEREK MOORE MD</PersonNm>
        <TitleTxt>ER PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13988</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353659</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVES AND EMPLOYED PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE ORGANIZATION'S 457(B) PLAN WHICH IS FUNDED THROUGH ELECTIVE DEFERRALS ONLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>VARIOUS PHYSICIANS ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON THE DIFFERENCE IN THEIR ANNUAL SALARY AND A COMBINATION OF WORKED RVU'S AND NET COLLECTIONS OF THEIR PRACTICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>486004391</BondIssuerEIN>
        <CUSIPNum>652872AB8</CUSIPNum>
        <BondIssuedDt>2007-03-08</BondIssuedDt>
        <IssuePriceAmt>7500000</IssuePriceAmt>
        <PurposeDesc>BUILDINGS AND STRUCTURES</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>VARIABLE RATE DEMAND HOSPITAL REFUNDING REVENUE BONDS SERIES 2008</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>486004391</BondIssuerEIN>
        <CUSIPNum>652874BP2</CUSIPNum>
        <BondIssuedDt>2008-08-21</BondIssuedDt>
        <IssuePriceAmt>11385000</IssuePriceAmt>
        <PurposeDesc>REFUNDING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSPITAL REVENUE BONDS SERIES 2019</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>486004391</BondIssuerEIN>
        <BondIssuedDt>2019-12-18</BondIssuedDt>
        <IssuePriceAmt>12000000</IssuePriceAmt>
        <PurposeDesc>BUILDING IMPROVEMENTS AND EQUIPMENT</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>7500000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>121912</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>7378088</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>11385000</TotalProceedsAmt>
        <RefundingEscrowAmt>11226075</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>158925</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>12000000</TotalProceedsAmt>
        <CapitalExpendituresAmt>2512179</CapitalExpendituresAmt>
        <UnspentAmt>9487821</UnspentAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MATTHEW SCHMIDT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionDesc>CEO OF HEALTH MINISTRIES CLINIC, INC. TO WHICH ORGANIZATION LEASED CLINIC FACILITIES AT NO COST</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MELVIN SCHADLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionDesc>OFFICER OF THE ORGANIZATION'S PRIMARY BANK</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CHARLES CRAIG</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionDesc>EMPLOYED AS ORGANIZATION'S CHIEF MEDICAL OFFICER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE L, PART IV FOR DETAILS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE AND FORWARDED TO THE FULL BOARD FOR APPROVAL PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE COMPLIANCE COMMITTEE REVIEWS CONFLICTS OF INTEREST ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT COMPENSATION CONSULTANT PERFORMS A COMPENSATION ANALYSIS OF THE CEO SALARY. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE INDEPENDENT COMPENSATION ANALYSIS AND COMPENSATION INFORMATION OBTAINED FROM THE KANSAS HOSPITAL ASSOCIATION AND OTHER SOURCES TO DETERMINE THE APPROPRIATENESS OF THE CEO SALARY AND OTHER OFFICERS' COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS TYPICALLY NOT AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF ANNUITY OBLIGATION 15,096.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>