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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22198</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIET LABRECHE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>34.25</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>219612</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1755664</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>85380</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CLINICAL COLLEAGUES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1121 N BETHLEHEM PIKE SUITE 60-23</AddressLine1>
            <City>SPRINGHOUSE</City>
            <State>PA</State>
            <ZIPCode>19477</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIOLOGISTS</ServicesDesc>
        <CompensationAmt>1264646</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUORUM HEALTH RESOURCES LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>105 CONTINENTAL PLACE</AddressLine1>
            <City>BRENTWOOD</City>
            <State>TN</State>
            <ZIPCode>37027</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT CONTRACT</ServicesDesc>
        <CompensationAmt>1095234</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ARAMARK CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>24863 NETWORK PLACE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60673</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PLANT OPS MGMT</ServicesDesc>
        <CompensationAmt>584798</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>WEATHERBY LOCUMS INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>6451 NORTH FEDERAL HWY SUITE 800</AddressLine1>
            <City>FORT LAUDERDALE</City>
            <State>FL</State>
            <ZIPCode>33308</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>477625</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SHARED IMAGING INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>801 PHOENIX LAKE AVE</AddressLine1>
            <City>STREAMWOOD</City>
            <State>IL</State>
            <ZIPCode>60107</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IMAGING SERVICES</ServicesDesc>
        <CompensationAmt>438266</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>503823</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>493163</AllOtherContributionsAmt>
      <NoncashContributionsAmt>12500</NoncashContributionsAmt>
      <TotalContributionsAmt>996986</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>23273081</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23273081</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>26113062</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26113062</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDIGENT FUND REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4353784</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4353784</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>53739927</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>66557</TotalRevenueColumnAmt>
        <ExclusionAmt>66557</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>582087</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>410309</SecuritiesAmt>
        <OtherAmt>55857</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>171778</SecuritiesAmt>
        <OtherAmt>-55857</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>115921</TotalRevenueColumnAmt>
        <ExclusionAmt>115921</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>FOOD SERVICES INCOME</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>309333</TotalRevenueColumnAmt>
        <ExclusionAmt>309333</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT SERVICES</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>111116</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>111116</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>210599</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>210599</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>631048</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>55550439</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>53950526</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>111116</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>491811</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>9790</TotalAmt>
        <ProgramServicesAmt>9790</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>33000</TotalAmt>
        <ProgramServicesAmt>33000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>420744</TotalAmt>
        <ProgramServicesAmt>420744</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>23050388</TotalAmt>
        <ProgramServicesAmt>20530444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2519944</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>203940</TotalAmt>
        <ProgramServicesAmt>181645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22295</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3080068</TotalAmt>
        <ProgramServicesAmt>2743345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>336723</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1645140</TotalAmt>
        <ProgramServicesAmt>1465288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179852</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1102369</TotalAmt>
        <ProgramServicesAmt>163238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>939131</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>349217</TotalAmt>
        <ProgramServicesAmt>6947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342270</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>92761</TotalAmt>
        <ManagementAndGeneralAmt>92761</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>9668</TotalAmt>
        <ManagementAndGeneralAmt>9668</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18466</TotalAmt>
        <ManagementAndGeneralAmt>18466</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>9246088</TotalAmt>
        <ProgramServicesAmt>8012507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1164350</ManagementAndGeneralAmt>
        <FundraisingAmt>69231</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>211193</TotalAmt>
        <ProgramServicesAmt>643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194114</ManagementAndGeneralAmt>
        <FundraisingAmt>16436</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1483401</TotalAmt>
        <ProgramServicesAmt>1193809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287155</ManagementAndGeneralAmt>
        <FundraisingAmt>2437</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>146667</TotalAmt>
        <ManagementAndGeneralAmt>146667</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>3397131</TotalAmt>
        <ProgramServicesAmt>1634962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1762169</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>108328</TotalAmt>
        <ProgramServicesAmt>32612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75691</ManagementAndGeneralAmt>
        <FundraisingAmt>25</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>46301</TotalAmt>
        <ManagementAndGeneralAmt>46301</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2560042</TotalAmt>
        <ProgramServicesAmt>1895740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>664302</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1298482</TotalAmt>
        <ProgramServicesAmt>976505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>321977</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>5854284</TotalAmt>
        <ProgramServicesAmt>5854284</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5219611</TotalAmt>
        <ProgramServicesAmt>5190878</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28733</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EHR OVERPAYMENT</Desc>
        <TotalAmt>748222</TotalAmt>
        <ProgramServicesAmt>748222</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UBI TAXES</Desc>
        <TotalAmt>15880</TotalAmt>
        <ManagementAndGeneralAmt>15880</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2217754</TotalAmt>
        <ProgramServicesAmt>736659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1479688</ManagementAndGeneralAmt>
        <FundraisingAmt>1407</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>62568935</TotalAmt>
        <ProgramServicesAmt>51831262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10648137</ManagementAndGeneralAmt>
        <FundraisingAmt>89536</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1116218</BOYAmt>
        <EOYAmt>658308</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>321307</BOYAmt>
        <EOYAmt>1452979</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6770515</BOYAmt>
        <EOYAmt>6279917</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>17500</BOYAmt>
        <EOYAmt>26500</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>1936234</BOYAmt>
        <EOYAmt>122797</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1602440</BOYAmt>
        <EOYAmt>1394846</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1218857</BOYAmt>
        <EOYAmt>844655</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>44394186</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>25983282</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>20268681</BOYAmt>
        <EOYAmt>18410904</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2503551</BOYAmt>
        <EOYAmt>2077247</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>320927</BOYAmt>
        <EOYAmt>53134</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>779309</BOYAmt>
        <EOYAmt>603476</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>36855539</BOYAmt>
        <EOYAmt>31924763</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5927471</BOYAmt>
        <EOYAmt>7980583</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1204180</BOYAmt>
        <EOYAmt>1195801</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7131651</BOYAmt>
        <EOYAmt>9176384</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>28774081</BOYAmt>
        <EOYAmt>21877570</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>949807</BOYAmt>
        <EOYAmt>870809</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>29723888</BOYAmt>
        <EOYAmt>22748379</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>36855539</BOYAmt>
        <EOYAmt>31924763</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-7018496</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>55487</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-12500</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>9668</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>9668</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1G</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF MEMBERSHIP DUES PAID BY TAOS HEALTH SYSTEMS, INC. DURING THE YEAR ARE ATTRIBUTABLE TO LOBBYING ACTIVITY. THE AMOUNT LISTED ON LINE 1G REPRESENTS THIS PORTION AS NO OTHER LOBBYING ACTIVITIES OCCURRED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CollectionUsedPubExhibitionInd>X</CollectionUsedPubExhibitionInd>
      <SolicitedAssetsSaleInd>false</SolicitedAssetsSaleInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>20465</BeginningYearBalanceAmt>
        <ContributionsAmt>2507</ContributionsAmt>
        <AdministrativeExpensesAmt>509</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>22463</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20200</BeginningYearBalanceAmt>
        <ContributionsAmt>683</ContributionsAmt>
        <AdministrativeExpensesAmt>418</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>20465</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20000</BeginningYearBalanceAmt>
        <ContributionsAmt>759</ContributionsAmt>
        <AdministrativeExpensesAmt>559</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>20200</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10000</BeginningYearBalanceAmt>
        <ContributionsAmt>10000</ContributionsAmt>
        <EndYearBalanceAmt>20000</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>10000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1645483</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1645483</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13572124</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4079998</DepreciationAmt>
        <BookValueAmt>9492126</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3166438</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1556803</DepreciationAmt>
        <BookValueAmt>1609635</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>23829481</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19195065</DepreciationAmt>
        <BookValueAmt>4634416</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1625103</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>640736</DepreciationAmt>
        <BookValueAmt>984367</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18366027</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>48990920</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>55487</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>55487</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>48935433</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>6615006</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>6615006</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>55550439</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>55966429</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>55966429</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>6602506</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>6602506</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>62568935</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>organization's liability for uncertain tax positions</FormAndLineReferenceDesc>
        <ExplanationTxt>part x, line 2 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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVENUE ON RETURN, NOT ON BOOKS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART XI, LINE 4B EHR OVERPAYMENT CLASSED AS REVENUE ON FINANCIAL STATEMENTS 748,222 BAD DEBT EXPENSE CLASSED AS REVENUE ON FINANCIAL STATEMENTS 5,854,284 ART CONTRIBUTION 12,500 TOTAL 6,615,006</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPENSE ON RETURN, NOT ON BOOKS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART XII, LINE 4B EHR OVERPAYMENT CLASSED AS REVENUE ON FINANCIAL STATEMENTS 748,222 BAD DEBT EXPENSE CLASSED AS REVENUE ON FINANCIAL STATEMENTS 5,854,284 TOTAL 6,602,506</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>footnote to financial statements for works of art</FormAndLineReferenceDesc>
        <ExplanationTxt>part iii, line 1a the financial statements do not include a footnote describing the works of art that taos health systems, inc. holds for public exhibition as the annual contributions received and the total collection are not material to the financial statement of the hospital as a whole.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>description of organization's collection</FormAndLineReferenceDesc>
        <ExplanationTxt>part iii, line 4 the city of taos is a well-known and respected art community. many artists have contributed works to taos health systems, inc. to help beautify and enhance the healing environment within the walls of the hospital building. there is a wide variety of art, with something for just about everyone's taste. the displays are in every hallway and provide enjoyment for not only patients, but their friends and family that may be visiting.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>false</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <TotalCommunityBenefitExpnsAmt>982709</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>982709</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01730</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>10628030</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>8979659</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1648371</NetCommunityBenefitExpnsAmt>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>11610739</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>2631080</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04640</TotalExpensePct>
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      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>14</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3271</PersonsServedCnt>
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        <TotalExpensePct>0.01730</TotalExpensePct>
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      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>133971</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>133971</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00240</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2224646</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1682480</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>542166</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00220</TotalExpensePct>
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      <CashAndInKindContributionsGrp>
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        <NetCommunityBenefitExpnsAmt>9790</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>1665238</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02210</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <NetCommunityBenefitExpnsAmt>4296318</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06850</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5854284</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>3215867</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>16339529</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>19991612</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3652083</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>Holy Cross Hospital</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>1397 Weimer Road</AddressLine1>
          <City>Taos</City>
          <State>NM</State>
          <ZIPCode>87571</ZIPCode>
        </USAddress>
        <WebsiteAddressTxt>www.taoshospital.org</WebsiteAddressTxt>
        <StateLicenseNum>6432</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>Taos Health Systems Inc</BusinessNameLine1>
        </HospitalFacilityName>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>12</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.taoshospital.org</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AttachedToInvoiceInd>X</AttachedToInvoiceInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LowestNegotiatedRatesInd>X</LowestNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <FacilityNum>5</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>TAOS PROFESSIONAL SERVICES</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1397 WEIMER ROAD</AddressLine1>
            <City>TAOS</City>
            <State>NM</State>
            <ZIPCode>87571</ZIPCode>
          </USAddress>
          <FacilityTxt>MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CENTER FOR PHYSICAL HEALTH</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1398 WEIMER ROAD SUITE 203</AddressLine1>
            <City>TAOS</City>
            <State>NM</State>
            <ZIPCode>87571</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY AND OCCUPATIONAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PENASCO HEALTH CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>24 STATE ROAD 73</AddressLine1>
            <City>PENASCO</City>
            <State>NM</State>
            <ZIPCode>87553</ZIPCode>
          </USAddress>
          <FacilityTxt>HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>TAOS SURGICAL SPECIALISTS</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1399 WEIMER ROAD SUITE 600</AddressLine1>
            <City>TAOS</City>
            <State>NM</State>
            <ZIPCode>87571</ZIPCode>
          </USAddress>
          <FacilityTxt>SURGERY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>TAOS WOMEN'S HEALTH INSTITUTE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1331 MAESTAS ROAD</AddressLine1>
            <City>TAOS</City>
            <State>NM</State>
            <ZIPCode>87571</ZIPCode>
          </USAddress>
          <FacilityTxt>OBSTETRICS/GYNECOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part iii, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Organization records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection effors have been exhausted is charged off against the allowance for doubtful accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part iii, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Organization analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Organization records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Organization's allowance for doubtful accounts for self-pay patients decreased from 70% of self-pay accounts receivable at May 31, 2013, to 67% of self-pay accounts receivable at May 31, 2014. In addition, the Organization write-offs decreased approximately $600,000 from approximately $7.6 million for the year ended May 31, 2013 to approximately $7.0 million for the year ended May 31, 2014. Both decreases were the result of Medicaid expansion. The decrease in write-offs was also due in part from the reduction in overall revenue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part iii, line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>All of the Medicare shortfall should be treated as community benefit because hospitals must treat patients regardless of their ability to pay. The government sets non-negotiable Medicare rates which are sometimes out of line with the true cost to treat Medicare patients. By treating Medicare eligible patients, hospitals alleviate the federal government's burden for directly providing medical services. The data used to evaluate the medicare shortfall was obtained from the FY2014 Medicare Cost Report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part iii, line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>HOLY CROSS HOSPITAL WILL CONTINUALLY NOTIFY THE PATIENT WITH OPEN SELF-PAY ACCOUNTS OF THE FINANCIAL ASSISTANCE POLICY AVAILABILITY FOR A 120 DAY PERIOD. THIS IS KNOWN AS THE FINANCIAL ASSISTANCE POLICY NOTIFICATION PERIOD. HOLY CROSS HOSPITAL WILL PROVIDE THE PATIENT WRITTEN NOTIFICATION 30 DAYS PRIOR TO THE END OF THE FINANCIAL ASSISTANCE NOTIFICATION PERIOD. ADDITIONALLY, HOLY CROSS HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITY UNTIL SUFFICIENT TIME AND NOTIFICATION PERIODS HAVE PASSED (AT LEAST 120 DAYS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to our 2013 CHNA, Taos Health Systems, dba Holy Cross Hospital conducts a monthly Study Group in partnership with town and county officials. These sessions are open to the public and designed to address community concerns in an open forum. Also, Taos Health Systems, dba Holy Cross Hospital acts as fiscal agent for the Taos CARES Health Council, which convenes community members and partner agencies monthly in order to 1) Disseminate health information, including CHNA data, to community; 2) Gather community input; 3) Bring health care entities together; 4) Strengthen community services; 5) Assist communities with health and healthcare goals; 6) Educate community and health care providers. the information obtained from the monthly study groups, open public sessions and taos cares health council is used in conjunction with internal assessments to update the implementation strategy from the 2013 community health needs assessment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>When an account is final billed and identified as self-pay, a letter is sent to the patient requesting either payment or the patient contact the hospital to discuss financial assistance. Payment plans may be arranged or an application for charity care may be completed. For self-pay accounts &lt;$1,000, no calls are made to the patient and collection efforts are the same for all accounts unless the patient is making payments or had indicated that they will apply for financial assistance. For self-pay accounts between $1,000 and $5,000, the patient will be contacted at least 3 times by telephone to encourage them to discuss their bill and apply for assistance. Patients agreeing to apply for charity care will be give applications and assisted in completing the forms if necessary. When an application is received the following steps will be taken: - If the account is more than 120 days old all extraordinary collection activity will be suspended Application information will be reviewed for a disposition within 5 business days. If the application is approved, the following steps will be taken: - Billing Statement showing the amount of financial assistance given, any remaining balances owed will be sent to the patient - Refund any excess payments made by individual If the application is received incomplete, the following action will be taken: - Provide Individual with Written Notice of additional information needed with completion deadline - ONE Notice that Extraordinary Collections will proceed if application IS not completed or claim is not paid within 30 days from above completion deadline or last day of application period (240 days) If the application is denied, patients will be sent a letter informing them of the reason for denial. Holy Cross Hospital will continually notify the patient with open self-pay accounts of the Financial Assistance Policy Availability for a 120 days period. This is known as the Financial Assistance Policy Notification Period. Holy Cross Hospital will provide the patient written notification 30 days prior to the end of the Financial Assistance Notification Period (at 90 days). Holy Cross Hospital will not engage in any extraordinary collection activity until sufficient time and notification periods have passed (at least 120 days). Patients will BE billed full charges less 20% uninsured discount if they do not apply for financial assistance. For accounts &lt;$2,000, incomplete applications will not be accepted. For accounts &gt;$2,000, we will accept all applications and call the patient weekly for 3 weeks to obtain the missing information. After 3 weeks, we will mail the application to the patient explaining that we were unable to process and for them to bring the application back to THS when it is complete. On self-pay accounts over $5,000, the patient will be called as soon as the account is identified. The patient will also be called prior to each additional collection letter being sent. After all appropriate collections letters have been sent and telephone calls have been made and the patient has not made an attempt to make suitable arrangements, the account will be referred to an outside collection agency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Taos Health System serves approximately 51,000 residents of Taos, Colfax, and northern Rio Arriba counties, a diverse cultural community with a poverty rate of 23.9% in a rural frontier area of 15 people per square mile in more than 2,500 square miles. The population of Taos County is 56.1% Hispanic or Latino, 7.4% Native American and 36.2% White non-Hispanic. (Colfax is 48.4% Hispanic/Latino, 2.5% Native American; Rio Arriba is 71.4% Hispanic or Latino and 18% Native American). In Taos County, 20.9% of our collective population is 65 or over, compared to 14.7% nationwide, so we see disproportionately high onset in chronic diseases. 26% of all adults do not have health insurance. The proportion of Taos County children in impoverished or low-income families remains one of the highest in the state and the nation, with more than 43% of all Taos County children under 18 living in poverty.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>promotion of community</FormAndLineReferenceDesc>
        <ExplanationTxt>THS contains Holy Cross Hospital, the Women's Health Institute, Taos Surgical Specialties, Peasco Health Clinic and the Center for Physical Health. We provide primary care, acute hospital care, surgery care, and rehabilitative sports medicine and physical therapy services as well as a Women's Health Clinic, a Rural Health Clinic, and a Surgical Specialties Clinic to ensure that the community's need for care is met. Our system employs 10 physicians and 13 mid-levels from ever-expanding specialties that include internal medicine, cardiology, Ob/Gyn, orthopedics, general surgery, urology and a fully staffed and technologically equipped Emergency Department. THS also provides a number of grant- and hospital-funded community benefit programs that serve a wide array of area residents at no or low cost. These include: - Medicaid Enrollment provides Community Health Workers, including bilingual CHW's, who currently assist uninsured people to access Centennial Care as well as outreach. - Health Exchange Enrollment provides outreach and enrollment by certified Healthcare Guides in the new Health Insurance Exchange. - Diabetes Management provides disease management strategies for pre-diabetics and people living with Type I &amp; II diabetes. - Nutrition Counseling provides multi-faceted counseling for patients facing chronic disease and obesity. - Prescription Assistance provides emergency and ongoing assistance for patients unable to pay for their medications. - Medication Therapy Management improves medication safety and effectiveness for anyone on prescription medications. - Taos Alive is a coalition targeted at preventing youth substance abuse via environmental strategies such as media awareness campaigns and local policy change. - Underage Drinking Prevention provides alcohol literacy education to Taos County elementary, middle, and high school students along with media literacy camps during the summer. - Overdose Prevention provides prevention strategies to community members at-risk for opiate overdose. - Tobacco Use Prevention and Control provides cessation and prevention education for local youth, immigrant, LGBTQ and Native communities. - Cancer Support Services provides services for patients and families living with cancer. - SANE (Sexual Assault Nurse Examiner) serves victims of sexual assault with confidential exams and referrals. - First Steps Home Visiting provides support and referrals for first-time families with children ages 0-3. - Taos Loves Kids Parenting Classes provide training for caregivers of children ages 0-5. - Kids First! supports the mental and physical health of Peasco Valley families of children 0-10. - The Anti-Coagulation Clinic monitors and adjusts drug therapy for people who suffer cardiovascular disease and are at risk for blood clots. - Disaster Preparedness works with community partners and hospital staff to prepare the healthcare system community for county-wide public health emergencies of all types.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part i, line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>total bad debt expense removed from the denominator prior to the percentage calculation = $5,854,284. the information for line 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part iii, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>the amount of bad debt expense estimated to be attributable to patients eligible under the organization's financial assistance policy was calculated based on experience and community/industry knowledge applied to various financial classes. the largest financial class was self-pay, which was estimated at 60% that may have been eligible if paperwork would have been completed and submitted.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>31</RecipientCnt>
        <CashGrantAmt>33000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCEDURES FOR MONITORING GRANTS FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 2 HIGH SCHOOL SENIORS COMPLETE APPLICATIONS WHICH ARE REVIEWED BY A COMMITTEE OF TAOS HEALTH SYSTEMS, INC. AND OTHER COMMUNITY MEMBERS. AFTER AWARD, THE STUDENTS MUST SHOW SATISFACTORY PROGRESS EACH SEMESTER TO BE PAID THE AWARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>JACK GARLAND</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3093</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253487</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY ANNA ABEYTA</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <PersonNm>ALDEN COCKBURN</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5334</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2500</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>6587</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>357226</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>SHANTI MOHLING</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3140</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2500</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296869</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN CETRULO</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>255150</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIM MOORE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1584</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>268866</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIET LABRECHE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9428</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20077</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>242189</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXECUTIVE COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>schedule j, part 1, question 3 THE CEO AND CFO OF TAOS HEALTH SYSTEMS, INC. ARE EMPLOYED BY QUORUM HEALTH RESOURCES LLC, A MANAGEMENT COMPANY, AND RECEIVE NO COMPENSATION FROM THE ORGANIZATION. THE AMOUNTS LISTED BELOW ARE THE COMPENSATION PROVIDED BY QUORUM HEALTH RESOURCES LLC TO THE CEO AND CFO FOR THEIR SERVICES TO TAOS HEALTH SYSTEMS, INC. CEO BASE COMPENSATION: $260,000 OTHER REPORTABLE COMPENSATION/RETIREMENT COMPENSATION/ NONTAXABLE BENEFITS: $ 76,213 CFO BASE COMPENSATION: $134,979 OTHER REPORTABLE COMPENSATION/RETIREMENT COMPENSATION/ NONTAXABLE BENEFITS: $ 34,825</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
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        <PersonNm>JULIET LABRECHE</PersonNm>
        <RelationshipWithOrgTxt>HIGHEST COMPENSATED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>STUDENT LOAN</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>26500</OriginalPrincipalAmt>
        <BalanceDueAmt>26500</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>26500</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>12500</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>OPINION OF EXPERTS</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHANGES TO HOW PROGRAM SERVICES ARE CONDUCTED</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART III, QUESTION 3 HOLY CROSS HOSPITAL DECREASED OUR LICENSED BEDS FROM 47 TO 29, INCLUDING A REDUCTION IN ICU BEDS FROM 5 TO 2. WE ALSO CREATED A FORMAL OBSERVATION UNIT CONSISTING OF 4 BEDS. THESE CHANGES WERE MADE IN RESPONSE TO MARKET DEMAND, COST CONSTRAINTS, AND REIMBURSEMENT CHANGES THAT HAVE TAKEN PLACE OVER THE PAST SEVERAL YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, QUESTION 3 ORGANIZATION CONTRACTED WITH QUORUM HEALTH RESOURCES (QHR) TO PROVIDE MANAGEMENT SERVICES. THE CEO AND CFO POSITIONS ARE EMPLOYED BY QHR IN EXECUTION OF THIS CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCESS TO REVIEW THE FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, QUESTION 11B RETURN IS COMPLETED BY AN INDEPENDENT ACCOUNT FIRM WHICH FORWARDS COMPLETED RETURN TO CEO AND CFO FOR REVIEW TO DETERMINE COMPLETENESS AND ACCURACY. ONCE APPROVED BY BOTH THE CEO AND CFO, A COPY IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD OF DIRECTORS APPROVES THE FINAL COPY WHICH IS THEN FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, QUESTION 12C THE COMPLIANCE COMMITTEE MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY. BOARD OF DIRECTORS MEMBERS, SENIOR LEADERS, DIRECTORS AND KEY EMPLOYEES MUST COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IN THE EVENT OF A CONFLICT OF INTEREST, THE BODY TO WHICH SUCH CONFLICT OF INTEREST DISCLOSURE IS MADE SHALL DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE REQUIRES THAT NON-VOTING AND NON-PARTICIPATION PROVISIONS MUST BE OBSERVED. THE MINUTES OF ANY MEETING WHERE A CONFLICT OF INTEREST IS NOTED SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, QUESTION 15A THE CEO OF TAOS HEALTH SYSTEMS, INC. IS EMPLOYED BY QUORUM HEALTH RESOURCES LLC, A MANAGEMENT COMPANY, AND RECEIVES NO COMPENSATION FROM THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, QUESTION 15B QHR PARTICIPATED IN A FORMAL SURVEY THROUGH AN OUTSIDE 3RD PARTY FIRM IN LATE 2013, COMPLETED BY QHR HUMAN RESOURCES. ANNUAL REVIEW OF NATIONAL AND REGIONAL SALARY SURVEYED WITH SALARY RANGES WERE ESTABLISHED AND ADJUSTED ACCORDINGLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER CHANGES IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>form 990, PART XI, LINE 9 ART CONTRIBUTION NOT RECORDED FOR FINANCIAL STATEMENT PURPOSES (12,500)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>undertake any significant program services not listed on prior year</FormAndLineReferenceDesc>
        <ExplanationTxt>form 990, part iii, question 2 effective june 1, 2013, taos health systems, inc. became the sole owner in taos sports medicine services, llc. The organization previously held a majority interest in this subsidiary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:2403068</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES - OTHER TOTAL FEES:2290315</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:1812671</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES - PHYSICIAN TOTAL FEES:2740034</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1>TAOS PROFESSIONAL SERVICES</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1397 WEIMER ROAD</AddressLine1>
          <City>TAOS</City>
          <State>NM</State>
          <ZIPCode>87571</ZIPCode>
        </USAddress>
        <EIN>274259044</EIN>
        <PrimaryActivitiesTxt>CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <TotalIncomeAmt>2902019</TotalIncomeAmt>
        <EndOfYearAssetsAmt>500347</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>THS INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>TAOS SPORTS MEDICINE SERVICES</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1398 WEIMER RD</AddressLine1>
          <City>TAOS</City>
          <State>NM</State>
          <ZIPCode>87571</ZIPCode>
        </USAddress>
        <EIN>850473650</EIN>
        <PrimaryActivitiesTxt>P/T AND O/T</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <TotalIncomeAmt>1291312</TotalIncomeAmt>
        <EndOfYearAssetsAmt>392138</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>THS INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>