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        <OtherCompensationAmt>59649</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Wagner MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>184149</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51674</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sonia Chopra MD</PersonNm>
        <TitleTxt>PHYSICIAN/DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>514922</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>45004</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stacey Bishop-Yeatman MD</PersonNm>
        <TitleTxt>PHYSICIAN/DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>61086</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thom Bunnell DO</PersonNm>
        <TitleTxt>PHYSICIAN/DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>56149</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vickie Chan MD</PersonNm>
        <TitleTxt>PHYSICIAN/DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>57425</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bruce Henley</PersonNm>
        <TitleTxt>CFO/TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>15.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>368866</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50803</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jacob Bast</PersonNm>
        <TitleTxt>SENIOR VP/COO/SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>35.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>594321</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57710</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ann Beers MD</PersonNm>
        <TitleTxt>PHYSICIAN/CHIEF MEDICAL OFFICER</TitleTxt>
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        <OtherCompensationAmt>26190</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Colleen Darnell MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>58546</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ivan Bedoya-Apraez MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>54346</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Neal Moser MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Pratish Shah MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Willmott MD</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas Flora MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>838243</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>58836</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Oakley MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41373</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>15461555</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>4826800</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1445871</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>764</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DRESSMAN BENZINGER LAVELLE PSC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>109 EAST FOURTH ST</AddressLine1Txt>
            <CityNm>COVINGTON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41011</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEGENHARDT ENTERPRISES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2169 CHAMBER CENTER DR</AddressLine1Txt>
            <CityNm>FT MITCHELL</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41017</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TIMOTHY J KAPPES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>731 TIMBER LANE</AddressLine1Txt>
            <CityNm>INDEPENDENCE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41051</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COLLECTIONS SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON &amp; COKER LOCUMTENENS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3000 OLD ALABAMA RD</AddressLine1Txt>
            <AddressLine2Txt>STE 119-608</AddressLine2Txt>
            <CityNm>ALPHARETTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>444731</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EXPERIAN HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>720 COOL SPRINGS BLVD 200</AddressLine1Txt>
            <CityNm>FRANKLIN</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REVENUE SERVICES</ServicesDesc>
        <CompensationAmt>422766</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>24</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>67923</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>0</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>67923</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621111</BusinessCd>
        <TotalRevenueColumnAmt>528208079</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>528208079</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SALE OF FOOD PRODUCTS</Desc>
        <BusinessCd>621111</BusinessCd>
        <TotalRevenueColumnAmt>696073</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>696073</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <BusinessCd>621111</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4388689</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEASED SERVICE REVENUE</Desc>
        <BusinessCd>621111</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>5737193</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CARE MANAGEMENT PERFORMANCE INCENTIVES</Desc>
        <BusinessCd>621111</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>6439648</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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      </TotalOthProgramServiceRevGrp>
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      </InvestmentIncomeGrp>
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      </IncmFromInvestBondProceedsGrp>
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      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
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        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1163860</TotalRevenueColumnAmt>
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      </NetRentalIncomeOrLossGrp>
      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetIncmFromFundraisingEvtGrp>
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      </NetIncmFromFundraisingEvtGrp>
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      <BenefitsToMembersGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>46</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1695143</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>3500</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>21993</ProgramServicesAmt>
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      </AdvertisingGrp>
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        <ProgramServicesAmt>2495239</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>20827857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3750994</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>319828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>317393</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>215407</TotalAmt>
        <ProgramServicesAmt>55236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160171</ManagementAndGeneralAmt>
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      <InterestGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Neal Moser MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1330270</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>204935</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32524</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29174</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1616703</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pratish Shah MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1139992</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>106758</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>29526</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35175</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1331251</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Willmott MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>213875</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>31188</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>38552</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1560936</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. HEIDI MURLEY IS EMPLOYED BY AND COMPENSATED THROUGH ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE, A RELATED ORGANIZATION FOR WHICH SHE SERVES AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR SUMMIT MEDICAL GROUP, INC., DBA ST. ELIZABETH PHYSICIANS. ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE, A RELATED ORGANIZATION, ESTABLISHES COMPENSATION UTILIZING WRITTEN EMPLOYMENT CONTRACTS, INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEY OR STUDY, FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY A COMPENSATION COMMITTEE COMPOSED OF MEMBERS OF THE BOARD OF TRUSTEES ALL OF WHOM SATISFY INDEPENDENCE REQUIREMENTS SUFFICIENT TO SHOW THAT THEY DO NOT HAVE A CONFLICT OF INTEREST WITH COMPENSATION ARRANGEMENTS OF EXECUTIVE OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain individuals listed in Part VII participated in a split dollar life insurance plan. Please refer to Schedule L for participants, premiums and outstanding loan amounts. The following individuals are reported on the parent company, St. Elizabeth Medical Center's Schedule L as follows which includes the outstanding balance. Garren Colvin - $7,719,450 Lori Ritchey-Baldwin - $1,491,146 Laroy Kendall - $835,380 Heidi Murley - $284,209 Jacob Bast - $758,574 Bruce Henley - $1,454,840</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Persons listed in Part VII received Board-approved bonuses, reported on Schedule J, Part II, Column B(ii). These are nonfixed payments, contingent on performance, subject to Committee discretion, and not guaranteed.</ExplanationTxt>
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        <BusinessName>
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        <RelationshipWithOrgTxt>PHYSICIAN/DIRECTOR</RelationshipWithOrgTxt>
        <LoanPurposeTxt>To fund split dollar life Insurance premiums for supplemental life insurance</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>258000</OriginalPrincipalAmt>
        <BalanceDueAmt>272986</BalanceDueAmt>
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        <BusinessName>
          <BusinessNameLine1Txt>DANIEL FLORA</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>PHYSICIAN/DIRECTOR</RelationshipWithOrgTxt>
        <LoanPurposeTxt>To fund split dollar life Insurance premiums for supplemental life insurance</LoanPurposeTxt>
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        <BusinessName>
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        <RelationshipWithOrgTxt>PHYSICIAN/FORMER EXECUTIVE MEDICAL DIRECTOR</RelationshipWithOrgTxt>
        <LoanPurposeTxt>To fund split dollar life Insurance premiums for supplemental life insurance</LoanPurposeTxt>
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          <BusinessNameLine1Txt>CHAITANYA MANDAPAKALA</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>PHYSICIAN/DIRECTOR</RelationshipWithOrgTxt>
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          <BusinessNameLine1Txt>DONALD PRICE</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>PHYSICIAN/CHAIRMAN</RelationshipWithOrgTxt>
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            <BusinessNameLine1Txt>BRANDI CHAN</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>THOMAS BUNNELL</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>FATHER OF DIRECTOR THOM BUNNELL</RelationshipDescriptionTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS DOES NOT HAVE A SPECIFIC WHISTLEBLOWER POLICY. HOWEVER, THERE IS A SECTION OF ST. ELIZABETH PHYSICIANS CORPORATE RESPONSIBILITY PROGRAM THAT ADDRESSES COMPLIANCE WITH THE FEDERAL FALSE CLAIMS ACT AND, WITHIN THAT SECTION, PROTECTION FOR WHISTLEBLOWERS IS SPECIFICALLY ADDRESSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS HAS A SINGLE CORPORATE MEMBER, ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS HAS A SINGLE CORPORATE MEMBER, ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE THAT HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE, THE SOLE MEMBER OF SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS, HAS CERTAIN RESERVED POWERS OF WHICH INCLUDE APPROVING: (I) ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING BUT NOT LIMITED TO EXPENDITURES FOR INFORMATION SYSTEMS; (II) PHYSICIAN COMPENSATION FORMULAS; (III) LOANS, CAPITAL LEASES OR CREDIT FACILITIES IN ANY FISCAL YEAR; (IV) ACQUISITION, SALE OR CONVEYANCE OF CAPITAL ASSETS, INCLUDING REAL PROPERTY; (V) ACQUISITIONS, ALLIANCES AND JOINT VENTURES WITH OTHER HEALTH CARE PROVIDERS; (VI) SELECTION, EMPLOYMENT, TERMINATION AND COMPENSATION OF A PRESIDENT/CHIEF EXECUTIVE OFFICER; (VII) AMENDMENTS TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION; (VIII) THE DISSOLUTION, MERGER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (IX) CONTRACTUAL RELATIONSHIPS WITH OTHER PHYSICIAN GROUPS AND HEALTH CARE PROVIDERS; (X) CONTRACTING FOR PHYSICIAN SERVICES WITH MANAGED CARE COMPANIES OR OTHER PAYERS; (XI) ESTABLISH ANY COMPENSATION FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND (XII) ADOPTING OR MATERIALLY MODIFYING A STRATEGIC PLAN FOR THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not have committees with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS PROCESS TO REVIEW THE FORM 990 CONSISTS OF THE REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT AND THE ST. ELIZABETH PHYSICIANS BOARD OF DIRECTORS. THE FORM 990 IS REVIEWED WITH AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMIT MEDICAL GROUP, INC. , D/B/A ST. ELIZABETH PHYSICIANS, REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR A MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (I) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (II) HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY; (III) HAS AGREED TO COMPLY WITH THE POLICY; AND (IV) UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. WHEN BUSINESS MATTERS COME BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST: (I) THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT; (II) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (III) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (IV) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (V) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. THIS PROCESS IS PERFORMED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR BOTH THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD. THIS WAS LAST PERFORMED IN 2024. OTHER KEY EXECUTIVES ARE REVIEWED AND THE CHIEF EXECUTIVE OFFICER MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, WILL MAKE AVAILABLE THE FORM 990 AND THE RELATED APPLICABLE SCHEDULES WHICH ARE OPEN TO PUBLIC INSPECTION. SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, WILL NOT MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS WHICH ARE NOT OPEN TO PUBLIC INSPECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Outcome Income - Total Revenue: 31235, Related or Exempt Function Revenue: 31235, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; AMSURG Net Income - Total Revenue: 16526, Related or Exempt Function Revenue: 16526, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; AMGA Reimbursement - Total Revenue: 2526, Related or Exempt Function Revenue: 2526, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Garnishment Income - Total Revenue: 80, Related or Exempt Function Revenue: 80, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OMNIPOD - Total Revenue: 2975, Related or Exempt Function Revenue: 2975, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Income - Total Revenue: 138489, Related or Exempt Function Revenue: 138489, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Replacement Badge Income - Total Revenue: 840, Related or Exempt Function Revenue: 840, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sale of Supplies - Total Revenue: 116669, Related or Exempt Function Revenue: 116669, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vendor Refund - Total Revenue: 92, Related or Exempt Function Revenue: 92, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rebate Revenue - Total Revenue: 233122, Related or Exempt Function Revenue: 233122, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER BETWEEN AFFILIATES - 20157773; INVESTMENT IN AMSURG - 204906; Total - 20362679;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ST ELIZABETH MEDICAL CENTER INC DBA ST ELIZABETH HEALTHCARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 MEDICAL VILLAGE DRIVE</AddressLine1Txt>
          <CityNm>EDGEWOOD</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41017</ZIPCd>
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          <CityNm>Edgewood</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41017</ZIPCd>
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        <EIN>832875231</EIN>
        <PrimaryActivitiesTxt>Advance Healthcare Quality and Availability in Northern KY</PrimaryActivitiesTxt>
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          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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          <BusinessNameLine1Txt>BIOSKILLS LAB LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4123 OLYMPIC BLVD</AddressLine1Txt>
          <CityNm>ERLANGER</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41018</ZIPCd>
        </USAddress>
        <EIN>320571870</EIN>
        <PrimaryActivitiesTxt>BIOSKILLS LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>St Elizabeth Provider Network Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1 Medical Village Dr</AddressLine1Txt>
          <CityNm>Edgewood</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41017</ZIPCd>
        </USAddress>
        <EIN>472862438</EIN>
        <PrimaryActivitiesTxt>Physician-Hospital Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>St Elizabeth Medical Center Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>