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        <ReportableCompFromRltdOrgAmt>393149</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62948</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sherif Kaiser</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>405470</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48549</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Sharbaugh</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>390031</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45157</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Freilich</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>381203</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49472</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jake Meza</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>383196</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46830</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kris Maddalena</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>398465</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28179</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NELSON T CLARK</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>358771</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43829</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA DALLMANN</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>348093</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>53822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE LOWMAN</PersonNm>
        <TitleTxt>Controller</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>377994</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13930</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Barrick</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>353267</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24633</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Coello</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>353442</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22111</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY GROESBECK</PersonNm>
        <TitleTxt>ASSOC DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>308699</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40330</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sharon Rigney</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>293590</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39027</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER GOODITIS</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>290502</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37079</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amanda Fleming</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>278677</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31673</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Roxer</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>293906</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10889</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN CLIPPER</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>270293</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21592</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Heather Sigel</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>252425</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38593</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Lessar</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>250886</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38908</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Dale</PersonNm>
        <TitleTxt>Former Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9143</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY BOYD</PersonNm>
        <TitleTxt>SR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>24515</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chris Turnbull</PersonNm>
        <TitleTxt>Former Med Staf President</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>105244</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dan Alexander</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>45000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Harry Smith</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>21361</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD DANSIE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>17100</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS WISE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>14183</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA M CONNELL</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>12000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF BOEHM</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>9000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLIFTON L RUTHERFORD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>9000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN CLUSS</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BETH PRICE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELODY EATON</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS GILPIN</PersonNm>
        <TitleTxt>Vice Chairman</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>6000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE JOHNSON</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>6000</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gerald Smith</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>5000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>10762082</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>8837428</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1625181</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>323</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INOVA HEALTHCARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8110 GATEHOUSE ROAD SUITE 400W</AddressLine1Txt>
            <CityNm>FALLS CHURCH</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE FEE</ServicesDesc>
        <CompensationAmt>2367203</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Ensemble RMC LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11512 Reed Hartman Highway</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>service</ServicesDesc>
        <CompensationAmt>52079189</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>POWER WELLNESS MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2055 W ARMY TRAIL ROAD SUITE 124</AddressLine1Txt>
            <CityNm>ADDISON</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE AND MGMT FEE</ServicesDesc>
        <CompensationAmt>2776239</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Epic Systems Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1979 Milky Way</AddressLine1Txt>
            <CityNm>Verona</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53593</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Service products</ServicesDesc>
        <CompensationAmt>1693649</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUNTZINGER MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>201 S BLAKELY STREET 154</AddressLine1Txt>
            <CityNm>DUNMORE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18512</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICES</ServicesDesc>
        <CompensationAmt>1310184</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>32</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>36628</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>971193</GovernmentGrantsAmt>
      <TotalContributionsAmt>1007821</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>16986733</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>VHAC CAPITAL</Desc>
        <BookValueAmt>600000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>55935419</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LEASE</Desc>
        <Amt>423096</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EXECUTIVE MUTUAL FUND PAYABLE</Desc>
        <Amt>169285</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>6888701</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7481082</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF" softwareId="24020490" softwareVersionNum="2024v5.2">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICAN &amp; CARRIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENT</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>18092834</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>18092834</SubtotalSpentAmt>
      <TotalSpentAmt>18092834</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3f - Method of Accounting</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCRUAL METHOD OF ACCOUNTING</ExplanationTxt>
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    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="24020490" softwareVersionNum="2024v5.2">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>American Cancer Society</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 18090</AddressLine1Txt>
          <CityNm>Middle River</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21220</ZIPCd>
        </USAddress>
        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 E 2nd Street</AddressLine1Txt>
          <CityNm>Front Royal</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22630</ZIPCd>
        </USAddress>
        <RecipientEIN>540449988</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>27195</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>CONCERN HOTLINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22604</ZIPCd>
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        <RecipientEIN>541097847</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Foundation to Eradicate Duche</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Alexandria</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22301</ZIPCd>
        </USAddress>
        <RecipientEIN>710874241</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>MARTINSBURG</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25402</ZIPCd>
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        <RecipientEIN>050602031</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Hampshire County Pathways</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>134 W Sioux Ln</AddressLine1Txt>
          <CityNm>Romney</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26757</ZIPCd>
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        <RecipientEIN>463722481</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Horizon Goodwill Industries</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14515 Pennsylvania Avenue</AddressLine1Txt>
          <CityNm>Hagerstown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21742</ZIPCd>
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        <RecipientEIN>520660403</RecipientEIN>
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        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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        <USAddress>
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          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22602</ZIPCd>
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        <RecipientEIN>541901169</RecipientEIN>
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        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mountaineer Community Health</BusinessNameLine1Txt>
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          <CityNm>Paw Paw</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25434</ZIPCd>
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        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
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        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
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        <RecipientEIN>541972659</RecipientEIN>
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        <PurposeOfGrantTxt>COVER OUR HEALTH EXPENSES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAGE COUNTY FREE MEDICAL C</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>PO BOX 45</AddressLine1Txt>
          <CityNm>LURAY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22835</ZIPCd>
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        <RecipientEIN>271421176</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Page One of Page County</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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          <CityNm>FRONT ROYAL</CityNm>
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          <CityNm>Winchester</CityNm>
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        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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          <CityNm>Winchester</CityNm>
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        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>367554</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>120296</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>66668</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12129</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39360</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>606007</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLA DALLMANN</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>247890</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>66464</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>33739</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20538</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33284</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>401915</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARMEN CLIPPER</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>250016</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>277</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8251</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13341</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>291885</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS RUCKER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>452108</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>151520</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>82455</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>49013</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39451</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>774547</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chris Turnbull</PersonNm>
        <TitleTxt>Former Med Staf President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>33894</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>71350</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>105244</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE LOWMAN</PersonNm>
        <TitleTxt>Controller</TitleTxt>
        <BaseCompensationFilingOrgAmt>271075</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>71342</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>35577</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8945</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4985</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>391924</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER GOODITIS</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <BaseCompensationFilingOrgAmt>249492</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>39557</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1453</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8233</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28846</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>327581</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Sharbaugh</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>339290</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>50000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>741</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11197</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33960</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>435188</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH SAVAGE</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>410846</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>135905</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>75430</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13558</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18541</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>654280</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Heather Sigel</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>209504</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>42128</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>793</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6914</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31679</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>291018</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IYAD SABBAGH</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>593574</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>193858</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>107634</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19588</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32156</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>946810</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jake Meza</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>274961</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>71662</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>36573</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9074</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>37756</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>430026</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Dale</PersonNm>
        <TitleTxt>Former Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>246170</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>33965</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8124</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1019</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289278</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Freilich</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>316813</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>63706</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>684</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10455</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39017</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>430675</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY FEIT</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>417709</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>139994</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>76172</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>13784</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>41592</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>689251</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY GROESBECK</PersonNm>
        <TitleTxt>ASSOC DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>255902</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>22612</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>30185</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8445</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31885</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>349029</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Coello</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>266812</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>52327</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>34303</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>8805</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13306</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>375553</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE MIKSIT</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>287325</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>120476</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>37981</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9482</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15709</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>470973</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY BOYD</PersonNm>
        <TitleTxt>SR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>213801</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30438</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>371</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7055</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17460</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269125</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kenneth Janowski</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>466208</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>125000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>61707</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>15385</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31107</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>699407</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN SHEPPARD</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>334165</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>88058</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>43816</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11027</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36223</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>513289</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kris Maddalena</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>343138</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>55327</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11324</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16855</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>426644</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK BAKER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>308914</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>79361</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>40876</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10194</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34886</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>474231</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Nantz</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>1293162</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>491923</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>299022</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>42674</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>39363</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>2166144</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Barrick</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>277871</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>74500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>896</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9170</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15463</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>377900</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Roxer</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>234812</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>58987</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>107</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7749</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3140</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>304795</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NELSON T CLARK</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>256937</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>68122</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>33712</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>8479</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>35350</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>402600</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLAS RESTREPO</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>453392</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>151955</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>83241</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>36257</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>43411</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>768256</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Ireland</PersonNm>
        <TitleTxt>Former trustee/Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>732886</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>120067</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24185</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31456</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>908594</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT AMOS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>536552</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>171250</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>97913</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17706</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41019</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>864440</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sharon Rigney</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>244215</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>49109</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>266</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8059</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30968</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>332617</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sherif Kaiser</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>306601</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>61654</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>37215</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10118</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>38431</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>454019</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Susan Lessar</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>183230</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>43844</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>23812</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6047</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>32861</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>289794</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESA TRIVETTE</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>365757</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>120388</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>66707</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12070</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18081</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>583003</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tonya Smith</PersonNm>
        <TitleTxt>SVP WMC</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>684194</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>229307</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>123845</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>22578</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>41572</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1101496</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WALTER SOWERS</PersonNm>
        <TitleTxt>Legal Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>295511</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>97022</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>53584</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9752</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6626</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>462495</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Zehner</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>288359</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>65616</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>39174</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>29105</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33843</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>456097</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on a change in the life insurance policies for executives, the board approved gross up payments to cover the cost and tax effects of the policy. All gross up payments are treated as taxable income. Members of the exectuive leadership team utilize Charter Air travel for business purposes when acceptable commercial flight schedules are not available. This is not taxable to the individual using this service for company travel.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs</FormAndLineReferenceDesc>
        <ExplanationTxt>Kris Maddalena and Dr. Sheriff Kaiser are paid according to a contract subject to the initial contract exception during the 2023 year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE TWO CLASSES OF MEMBERS: REGULAR AND HONORARY. THE NUMBER OF REGULAR MEMBERS SHALL NOT EXCEED 100. IN ADDITION, THERE MAY BE AN UNLIMITED NUMBER OF HONORARY MEMBERS. QUALIFICATIONS FOR BOTH CLASSES OF MEMBERSHIP SHALL BE ESTABLISHED IN THE BYLAWS OF THE CORPORATION. HONORARY MEMBERS HAVE NO VOTING OR ANY OTHER RIGHTS WHATSOEVER. REGULAR MEMBERS SHALL HAVE VOTING RIGHTS SOLELY WITH RESPECT TO THE ELECTION OF REGULAR MEMBERS, HONORARY MEMBERS AND TRUSTEES, AS ESTABLISHED IN THE BYLAWS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by internal staff and reviewed by an outside accounting firm, who is the paid preparer. The return then undergoes several levels of review including the CFO and CEO. Further, the board reviews the 990 during one of its recurring monthly meetings prior to filing where any issues of concern or question are addressed by Senior Management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members sign a conflict of interest policy annually and upon appointment to the board. All employees that are managers, including officers, have purchasing rights with defined limits, or may enter into a contract on behalf of the organization are required to sign a conflict of interest attestation upon employment and annually. All employees can report breaches in Valley Health System policy. Valley Health System has an employee integrity hotline and a compliance officer. The audit committee is advised of compliance activity on a quarterly basis in addition to monthly follow up by the CEO on any immediate issues. Any infractions can result in disciplinary action or dismissal.Any trustee, officer or employee that discloses a conflict of interest will leave a board meeting on a transaction or arrangement that would be related to the potential conflict. With conflicts of interest the chair of the board will appoint a person or committee (if appropriate) to investigate alternatives to the proposed arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the CEO. A fair market value executive compensation review was completed in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the Officers, and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes all records available as required by law.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to affiliations = $19689850</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers from affiliates = -$25042115</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 25d</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS FOR FUNDRAISING COSTS AND THE FUNDRAISING PROCEEDS ARE RECORDED ON THE GROUP RETURN. THE ORGANIZATION SPENT $1,245,536 IN FUNDRAISING IN 2024 AND THE RELATED ORGANIZATION REPORTED $9,933,716 IN TOTAL OF BOTH CONTRIBUTIONS AND GRANTS UNDER EIN 80-0584319.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>PAGE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>VALLEY PHYSICIAN ENTERPRISE INC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>WAR MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <ZIPCd>25411</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>EAST MOUNTAIN HEALTH ADVANTAGE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY PARTNERS LLC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VALLEY HEALTH SURGERY CENTER LLC</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
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