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        <ProgramServicesAmt>111851</ProgramServicesAmt>
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        <ProgramServicesAmt>11840</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>692992</TotalAmt>
        <ProgramServicesAmt>692992</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>321595</TotalAmt>
        <ProgramServicesAmt>321595</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>76504</TotalAmt>
        <ProgramServicesAmt>16304</ProgramServicesAmt>
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        <ProgramServicesAmt>716378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>267487</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>8344</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120162</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>71956</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>13375</TotalAmt>
        <ManagementAndGeneralAmt>13375</ManagementAndGeneralAmt>
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        <Desc>TRAINING &amp; EDUCATION</Desc>
        <TotalAmt>155388</TotalAmt>
        <ProgramServicesAmt>155388</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BOOKS &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>115372</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEMBERSHIPS &amp; DUES</Desc>
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        <ProgramServicesAmt>47169</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEALS &amp; ENTERTAINMENT</Desc>
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        <ManagementAndGeneralAmt>481999</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>779961</EOYAmt>
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        <EOYAmt>174742</EOYAmt>
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        <EOYAmt>539</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>14895850</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>14551491</EOYAmt>
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        <BOYAmt>8234368</BOYAmt>
        <EOYAmt>14551491</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <EOYAmt>344359</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>344359</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8234368</BOYAmt>
        <EOYAmt>14895850</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>344359</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus3YearsAmt>6437291</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7128710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6662339</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7416603</CurrentTaxYearAmt>
        <TotalAmt>27644943</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus2YearsAmt>7128710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6662339</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7416603</CurrentTaxYearAmt>
        <TotalAmt>27644943</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus3YearsAmt>6220984</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6233044</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6177521</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6771806</CurrentTaxYearAmt>
        <TotalAmt>25403355</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus3YearsAmt>6220984</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6233044</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6177521</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6771806</CurrentTaxYearAmt>
        <TotalAmt>25403355</TotalAmt>
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      <PublicSupportTotal509Amt>2241588</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearAmt>21892</CurrentTaxYearAmt>
        <TotalAmt>918741</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus1YearAmt>896849</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21892</CurrentTaxYearAmt>
        <TotalAmt>918741</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>7128710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7559188</CurrentTaxYearMinus1YearAmt>
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      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORMS 1099 WERE ISSUED ON BEHALF OF WESTERN RESERVE HEALTH EDUCATION, INC. BY STEWARD TRUMBULL MEMORIAL HOSPITAL, INC. [AKA TRUMBULL REGIONAL MEDICAL CENTER] (EIN: 81-5457243) PURSUANT TO A SERVICES AGREEMENT BETWEEN THE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL BE A MEMBERSHIP CORPORATION AND SHALL HAVE NO AUTHORITY TO ISSUE CAPITAL STOCK. THE MEMBERS OF THE CORPORATION SHALL BE DIRECTORS. THE INITIAL DIRECTORS SHALL BE APPOINTED BY COMMUNITY HEALTH INVESTMENT COMPANY, LLC, AND THE INITIAL DIRECTORS SHALL ACT AS THE MEMBERS, AND DIRECTORS OF THE CORPORATION UNTIL THE ELECTION OF THEIR SUCCESSORS AS PROVIDED IN THE BY-LAWS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ANNUAL MEETING SHALL BE TO ELECT THE BOARD OF DIRECTORS OF THE CORPORATION AND TO CONDUCT ANY OTHER BUSINESS LAWFULLY BROUGHT BEFORE THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>A MAJORITY OF THE TOTAL NUMBER OF MEMBERS IN OFFICE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AT ANY MEETING OF THE MEMBERS. EACH MEMBER SHALL BE ENTITLED TO THE ONE (1) VOTE UPON ANY MATTER PROPERLY SUBMITTED FOR A VOTE TO THE MEMBERS. ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN AT A MEETING BY MEMBERS MAY BE TAKEN WITHOUT A MEETING IF ALL MEMBERS CONSENT IN WRITING TO TAKING SUCH ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MANAGMENT COMPILES INFORMATION FOR THE EXTERNAL TAX PROFESSIONALS TO PREPARE THE FORM 990. A COPY OF THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND PROVIDED TO THE FULL BOARD FOR APPROVAL PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS, BOARD COMMITTEE MEMBERS, KEY LEADERS, PHYSICIANS, RESIDENTS AND ADVANCED PRACTITIONERS MUST COMPLY WITH THE REQUIREMENTS OF THE CONFLICT OF INTEREST POLICY RELATED TO POTENTIAL CONFLICTS FOR THEMSELVES OR FAMILY MEMBERS, AS DEFINED IN THE POLICY, UNLESS DEEMED EXEMPT BY LEADERSHIP. ANNUAL SURVEYS ARE EXPECTED TO BE SUBMITTED WITHIN 30 DAYS OF RECEIPT. OFFICE OF CORPORATE &amp; PRIVACY WILL TRACK RECEIPT OF THE COMPLETED DISCLOSURE SURVEYS AND PROVIDE REGULAR UPDATES TO LEADERSHIP TO RESOLVE ANY OUTSTANDING SURVEYS. COMPLETED SURVEYS WITH REPORTED DISCLOSURES SHALL BE INITIALLY SCREENED BY THE COMPLIANCE &amp; PRIVACY OFFICER FOR ANY REAL OR PERCEIVED CONFLICTS WHICH MAY REQUIRE A CONFLICT OF INTEREST MANAGEMENT PLAN. SURVEYS WITH REAL OR PERCEIVED CONFLICT WHICH MAY REQUIRE MANAGEMENT WILL BE ESCALATED FOR FURTHER REVIEW BY THE CHIEF COMPLIANCE OFFICER, SENIOR LEADERSHIP, AND THE BOARD CHAIRMAN AS NECESSARY. THE REVIEW GROUP SHALL DEVELOP A CONFLICT OF INTEREST MANAGEMENT PLAN THAT ADDRESSES THE SPECIFIC ISSUE OF CONCERN FOR THE INVOLVED INDIVIDUAL AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WHRE DID NOT COMPENSATE ANY OTHER OFFICERS IN 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 13:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2019, WHRE HAD A FORMAL WRITTEN WHISTLEBLOWER POLICY IN PLACE. GRADUATE MEDICAL EDUCATION PROGRAM ACCREDITATION STANDARDS IMPLEMENTED BY WHRE INCLUDE SOME WHISTLEBLOWER PROTECTIONS. WHRE HAD THE POLICY ADOPTED AND VOTED ON BY THE BOARD ON MAY 19, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2019, WHRE HAD A FORMAL WRITTEN DOCUMENT RETENTION POLICY IN PLACE. GRADUATE MEDICAL EDUCATION PROGRAM ACCREDITATION STANDARDS IMPLEMENTED BY WHRE INCLUDE SOME DOCUMENT RETENTION REQUIREMENTS. WHRE HAD THE POLICY ADOPTED AND VOTED ON BY THE BOARD ON MAY 19, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 706,892. MANAGEMENT AND GENERAL EXPENSES 217,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 924,618. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 9,486. MANAGEMENT AND GENERAL EXPENSES 49,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,247.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>