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        <ReportableCompFromOrgAmt>993035</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26298</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HERMAN C LAWSON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>910758</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12378</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC E ELGIN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>728137</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30940</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL KOSLOW MD</PersonNm>
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        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>711589</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26263</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>9285970</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3775307</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1214222</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>371</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WYOMISSING ASSOCIATES LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6259 REYNOLDS MILL RD</AddressLine1Txt>
            <CityNm>SEVEN VALLEYS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>173608844</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>1034722</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>950 N WYOMISSING BLVD LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>560 VAN REED RD</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>196101799</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROP RENT</ServicesDesc>
        <CompensationAmt>712342</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLOSE GRINGS HILL ASSOC LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1417 OLD MILL RD</AddressLine1Txt>
            <CityNm>WYOMISSING</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>196102834</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROP RENT</ServicesDesc>
        <CompensationAmt>591713</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRACTICE MANAGEMENT ADVISORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 349</AddressLine1Txt>
            <CityNm>ORWIGSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17961</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>539872</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EZZAT A HANNA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 151</AddressLine1Txt>
            <CityNm>SHILLINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROPERTY RENTAL</ServicesDesc>
        <CompensationAmt>394970</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>183170380</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>183170380</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>183170380</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>27207</TotalRevenueColumnAmt>
        <ExclusionAmt>27207</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE INCENTIVES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1687493</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1687493</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>ATHLETIC TRAINERS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>340202</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>340202</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>HEALTH INS SHARED SAVINGS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>284602</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>284602</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>131077</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>131077</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>2443374</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>185613754</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>27207</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4426544</TotalAmt>
        <ProgramServicesAmt>4426544</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>208986104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8964710</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>8240613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253906</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>15674705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1699978</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>11685605</TotalAmt>
        <ProgramServicesAmt>11104560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>581045</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>11420211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163276</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>120642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105395</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1561817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59207</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>-498997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8571</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>16178919</TotalAmt>
        <ProgramServicesAmt>16178919</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER FEES</Desc>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>9683143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-194459</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSE</Desc>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1063398</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>313987269</TotalAmt>
        <ProgramServicesAmt>305005498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8981771</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
        <BOYAmt>25268470</BOYAmt>
        <EOYAmt>37223469</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>-10040896</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>27182573</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-128346308</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>121080830</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <DepreciationAmt>5313496</DepreciationAmt>
        <BookValueAmt>3858349</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>8993843</DepreciationAmt>
        <BookValueAmt>2592468</BookValueAmt>
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      <OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SALARIES PAYABLE</Desc>
        <Amt>21915705</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>VACATION PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER 457 PLAN</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG TERM LIABILITIES</Desc>
        <Amt>2500</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>34614333</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES AND RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH A BASIS, THE EXEMPT ENTITIES DO NOT INCUR LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT IN THE CASE OF UNRELATED BUSINESS INCOME. THE SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. NO ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THIS EVALUATION. ON DECEMBER 22, 2017, THE PRESIDENT SIGNED INTO LAW H.R.1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT. THE NEW LAW INCLUDES SEVERAL PROVISIONS THAT RESULT IN SUBSTANTIAL CHANGES TO THE TAX TREATMENT OF TAX-EXEMPT ORGANIZATIONS AND THEIR DONORS. THE SYSTEM HAS REVIEWED THESE PROVISIONS AND THE POTENTIAL IMPACT AND CONCLUDED THE ENACTMENT OF H.R. 1 WILL NOT HAVE A MATERIAL IMPACT ON THE OPERATIONS OF THE SYSTEM.</ExplanationTxt>
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        <PersonNm>CLINT MATTHEWS</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESE M SUCHER</PersonNm>
        <TitleTxt>EXECUTIVE VP COO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY F CONNER</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE MCCARTY MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMIT POWAR MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>641042</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CECELIA SMITH DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <BonusFilingOrganizationAmount>69342</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>531587</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTEN SANDEL MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <BonusFilingOrganizationAmount>75412</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7029</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>7011</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>494169</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAHAB MINASSIAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>354816</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>54364</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>56985</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10571</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11141</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>487877</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY CROZIER MD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>353138</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>61875</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7478</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20885</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20538</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>463914</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAYLAINE GHOUBRIAL MD</PersonNm>
        <TitleTxt>VICE CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>338527</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>23605</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7083</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>382465</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANA CHAUDHRY MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>183772</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>17196</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28157</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17769</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246894</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS G PSARROS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1368529</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>147378</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14537</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20420</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1550864</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN A BRACA III MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>669047</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>323988</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6058</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20240</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1019333</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HERMAN C LAWSON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>705322</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>165436</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11879</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>499</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>923136</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC E ELGIN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>640050</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>69726</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>18361</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20240</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>759077</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL KOSLOW MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>638879</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>69726</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2984</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6023</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20240</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>737852</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINT MATTHEWS 0 307,431 0 THERESE M. SUCHER 0 147,104 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION: AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE ORE MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. COMPENSATION PROCESS: THIS ORGANIZATION DOES NOT PAY THE COMPENSATION REPORTED FROM RELATED ENTITIES. THE COMPENSATION OF EXECUTIVES IS DETERMINED BY TOWER HEALTH'S BOARD OF DIRECTORS, WHICH HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. SCHEDULE J, PART I, LINE 4B TERMS AND CONDITIONS OF PARTICIPATION IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE 457(F) PLAN IS A TAX-DEFERRED RETIREMENT PLAN CONSISTING OF EMPLOYER CONTRIBUTIONS THAT ARE DESIGNED TO HELP SUPPLEMENT THE RETIREMENT SAVINGS FOR KEY EMPLOYEES. THE EMPLOYEE IS IMMEDIATELY ELIGIBLE TO RECEIVE TOWER HEALTH CONTRIBUTIONS TO THE 457(F) DEFERRED COMPENSATION PLAN. THE EMPLOYEE MUST BE EMPLOYED ON DECEMBER 31ST TO RECEIVE THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. THE EMPLOYEE SHALL BECOME 100% VESTED IN THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR THREE YEARS AFTER THE CONTRIBUTION HAS BEEN MADE TO THE ACCOUNT. THE EMPLOYEE WILL ALSO BECOME 100% VESTED IN ALL OF THE EMPLOYER CONTRIBUTIONS: 1) UPON ATTAINING THE AGE 65 WHILE STILL EMPLOYED BY TOWER HEALTH 2) DUE TO DEATH OR DISABILITY 3) UPON TERMINATION OF EMPLOYMENT WITHOUT CAUSE PARTICIPATION IN PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING THE CALENDAR YEAR 2017 BUT DID NOT RECEIVE A DISTRIBUTION. GARY F. CONNER AMIT POWAR, MD</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH MEDICAL GROUP IS THE REGION'S PREMIER PHYSICIAN-DIRECTED, MULTI-SPECIALTY GROUP OF HEALTH CARE PROFESSIONALS WHO PARTICIPATE WITH TOWER HEALTH IN MANAGING POPULATION HEALTH AND PROMOTING WELLNESS, DELIVERING HEALTH CARE THAT IS READILY ACCESSIBLE, COMPASSIONATE, AND OF THE HIGHEST QUALITY AND VALUE, AND ENGAGING IN CLINICAL RESEARCH AND THE EDUCATION OF HEALTH CARE PROFESSIONALS AND OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBER WITHOUT COMPENSATION IS A VOLUNTEER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT PROGRAM SERVICES NOT LISTED ON THE PRIOR FORM 990 PATHOLOGY: THE DEPARTMENT OF PATHOLOGY CONSISTS OF 7 FULL TIME AND 3 PART TIME PHYSICIANS WHO HAVE EXPERTISE IN THE MULTIPLE DISCIPLINES OF THE SPECIALITY OF PATHOLOGY AND LABORATORY MEDICINE. THE DEPARTMENT SUPPORTS READING HOSPITAL, THE OUTPATIENT SURGERY CENTER AT SPRING RIDGE, THE REHABILITATION HOSPITAL IN WYOMISSING AND THMG AND OTHER ASSOCIATED PHYSICIAN OFFICES. THE PATHOLOGISTS PROVIDE CONSULTATIVE OVERSIGHT FOR OUR CLINICAL LABORATORY THAT PERFORMS OVER 4 MILLION TESTS PER YEAR. THE GROUP ALSO PROVIDES PROFESSIONAL INTERPRETATIONS FOR OUR ANATOMIC PATHOLOGY SERVICE. OUR ANNUAL VOLUMNE OF SURGICAL PATHOLOGY CASES IS OVER 34,000 WITH 5600 NON-GYN CYTOLOGY CASES, 1,355 FINE NEEDLE ASPIRATIONS, 241 BONE MARROW BIOPSIES AND 26 MEDICAL AUTOPSIES. IN ADDITION WE PARTICIPATE AND SUPPORT ACADEMIC CONFERENCES FOR THE TRAINING PROGRAMS AND CANCER CENTER. THIS PROGRAM ACCEPTS BOTH MEDICARE AND MEDICAID PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PHYSICIAN SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF THE CORPORATION AT ANY GIVEN POINT IN TIME SHALL CONSIST OF THE PERSONS HOLDING THE FOLLOWING OFFICES AT THAT TIME: PRESIDENT OF THE READING HOSPITAL; VICE PRESIDENT/TREASURER OF THE READING HOSPITAL; AND THE MEMBERS OF THE EXECUTIVE COMPENSATION COMMITTEE OF TOWER HEALTH. THE EXECUTIVE COMPENSATION COMMITTE IS A STANDING COMMITTEE APPOINTED BY THE BOARD CHAIRMAN OF TOWER HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>FIVE MEMBERS SHALL CONSTITUTE A QUORUM AT ALL MEETINGS OF THE CORPORATION. ANY ACTION WHICH MAY BE TAKEN AT A MEETING OF THE MEMBERS OF THE CORPORATION MAY BE TAKEN WITHOUT A MEETING, IF A CONSENT IN WRITING, BY EACH MEMBER SETTING FORTH THE ACTION SO TAKEN SHALL BE SIGNED BY THE MEMBERS OF THE CORPORATION, AND SHALL BE FILED WITH THE SECRETARY OF THE CORPORATION. SUCH CONSENT MUST BE UNANIMOUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH MEDICAL GROUP'S RETURN IS PREPARED BY HOSPITAL STAFF AND REVIEWED BY ITS EXTERNAL TAX ADVISORS. THE TOWER HEALTH MEDICAL GROUP'S RETURN IS THEN POSTED FOR REVIEW BY THE TOWER HEALTH BOARD, WHICH IS THE PARENT CORPORATION, PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE POLICY OF THE HOSPITAL AND CORRESPONDINGLY TOWER HEALTH MEDICAL GROUP TO REQUIRE EACH BOARD MEMBER TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER OR MEMBER'S SPOUSE IS AN OFFICER, DIRECTOR, MEMBER EMPLOYEE OR OWNER (35% OR GREATER SHARE) WITH WHICH THE COMPANY MIGHT REASONABLY ENTER INTO A RELATIONSHIP OR A TRANSACTION IN WHICH THE BOARD MEMBER WOULD HAVE CONFLICTING INTERESTS. EACH YEAR A COPY OF THE WRITTEN STATEMENT WILL BE SENT TO THE BOARD MEMBER FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER SHALL CONFIRM HIS AWARENESS OF THIS POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY ELIMINATIONS 121,080,830</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
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        <PrimaryActivitiesTxt>TRUST FUND</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>THE HIGHLANDS AT WYOMISSING</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>READING HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
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          <ZIPCd>19611</ZIPCd>
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        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHERN CHESTER CNTY MED BLDG 1</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1015 WEST BALTIMORE PIKE</AddressLine1Txt>
          <CityNm>WEST GROVE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19390</ZIPCd>
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        <EIN>232200841</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TOWER HEALTH PPO FKA BHP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>PO BOX 14744</AddressLine1Txt>
          <CityNm>READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19612</ZIPCd>
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        <EIN>232430798</EIN>
        <PrimaryActivitiesTxt>PPO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICUS RESOURCE MANAGEMENT</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 14744</AddressLine1Txt>
          <CityNm>READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19612</ZIPCd>
        </USAddress>
        <EIN>232565297</EIN>
        <PrimaryActivitiesTxt>CM REVIEW</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TOWER HEALTH RECIPROCAL RISK</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>151 MEETING STREET SUITE 301</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>822758845</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>READING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>2994684</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>G/L TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>READING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>118086146</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>G/L TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE R, PART II IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: THE HIGHLANDS AT WYOMISSING CHOSE TO OPERATE UNDER LOCAL OWNERSHIP, SEPARATE FROM TOWER HEALTH AS OF 9/30/17.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>