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        <DirectOffsettingRevenue>564848</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1257863</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00420</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>206</NumberOfActivitiesOrPrograms>
        <PersonsServed>315483</PersonsServed>
        <TotalCommunityBenefitExpense>68706535</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>42668844</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>26037691</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08590</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>17558187</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>70461880</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>79790408</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-9328528</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>KADLEC REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>888 SWIFT BLVD</AddressLine1>
          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>99352</ZIPCode>
        </Address>
        <WebsiteAddress>KWEB.KADLEC.ORG</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <Other>INPATIENT REHAB</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>KADLEC REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>0</CHNAConducted>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>0</CollectionActivities>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 3C: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN A REPORT PREPARED BY A RELATED ORGANIZATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPUTE FIGURES REPORTED ON LINES 7A-7C. FOR LINES 7E-7I ACTUAL COSTS WERE USED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) AND SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 17,558,187.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 2: ACTUAL BAD DEBT WRITE OFFS LESS RECOVERIES ARE POSTED DAILY. AT THE END OF EACH MONTH, AN ACCRUAL IS BOOKED ESTIMATING THE AMOUNT OF BAD DEBT EXPENSES PENDING ASSOCIATED WITH SELF PAY ACCOUNTS RECEIVABLE BALANCES AND SEVERAL THIRD PARTY PAYORS WHICH HAVE A RELATIVELY SMALL ACCOUNTS RECEIVABLE BALANCE AT ANY GIVEN TIME. RESERVE PERCENTAGES ARE APPLIED AGAINST THE ACCOUNTS RECEIVABLE BALANCES BASED ON AGING, WITH ACCOUNTS OLDER THAN 180 DAYS BEING RESERVED FOR AT 100%.DISCOUNTS ARE POSTED ON A DAILY BASIS AND ARE CAPTURED AS AN "OTHER CONTRACTUAL ADJUSTMENT" TO GROSS CHARGES. BOTH DISCOUNTS AND PAYMENTS WOULD REDUCE THE AMOUNT OF OUTSTANDING ACCOUNTS RECEIVABLE, THUS REDUCING THE AMOUNT OF BAD DEBT EXPENSE ACCRUAL POSTED AT THE END OF EACH MONTH.FINANCIAL ASSISTANCE (CHARITY) POSTINGS ARE NOT ACCRUED. THESE ADJUSTMENTS ARE POSTED ON A DAILY BASIS ONCE IT HAS BEEN DETERMINED WHAT AMOUNT FOR WHICH THE PATIENT HAS QUALIFIED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 3: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). 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 MEDICAL CENTER 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) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 93% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 71% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, SELF-PAY WRITE-OFFS INCREASED $1,608,360 FROM $552,147 FOR FISCAL YEAR 2011 TO $2,160,507 FOR FISCAL YEAR 2012. THESE CHANGES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2012. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE POLICY DURING FISCAL YEARS 2012 OR 2011. DURING 2012, THE MEDICAL CENTER ADDED A POLICY FOR DISCOUNTS FOR UNINSURED PATIENTS. THE MEDICAL CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: KADLEC REGIONAL MEDICAL CENTER IS NOT COVERING THE COST OF THE CARE PROVIDED. THE COSTING METHODOLOGY OF COST TO CHARGE RATIO IS DIRECTLY FROM THE MEDICARE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: IF A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THE ACCOUNT IS NOT PLACED WITH A COLLECTION AGENCY. A PATIENT QUALIFYING FOR PARTIAL ADJUSTMENT IS RESPONSIBLE FOR THE REMAINING BALANCE AND THE ACCOUNT IS HANDLED ACCORDING TO OUR COLLECTION POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>KADLEC REGIONAL MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 20D: MEDICARE COST-TO-CHARGE RATIO.</Explanation>
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      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: THROUGH A COALITION BETWEEN BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE, LOURDES HEALTH NETWORK, KADLEC REGIONAL MEDICAL CENTER, KENNEWICK GENERAL HOSPITAL, GROUP HEATLH COOPERATIVE, PROSSER MEMORIAL HOSPITAL AND BENTON FRANKLIN HEALTH DISTRICT. THE ASSESSMENT IS PRODUCED FROM DATA, STAKEHOLDER INTERVIEWS, SURVEYS AND FORUMS AND INTERESTED COMMUNITY REPRESENTATIVES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: INFORMATION ABOUT THE AVALIABILITY OF FINANCIAL ASSISTANCE IS PROMINENTLY POSTED IN PATIENT AREAS. IN ADDITON, INFORMATION IS AVALIABLE ON KADLEC'S WEBSITE AND ALSO INCLUDED ON PATIENT STATEMENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: KADLEC SERVES A DIVERSE POPULATION WITHIN ITS PRIMARY SERVICE AREA OF BENTON AND FRANKLIN COUNTIES. IN ADDITION, KADLEC SERVES A LARGE HISPANIC POPULATION.</Explanation>
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      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: N/A</Explanation>
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      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 7: WASHINGTON</Explanation>
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    </IRS990ScheduleH>
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        <NamePerson>JULIE L MEEK</NamePerson>
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        <NamePerson>DAVID R ROACH</NamePerson>
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        <NamePerson>LANE SAVITCH</NamePerson>
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        <NamePerson>RAND WORTMAN</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALEXANDER SCORTZARU</NamePerson>
        <Title>DIRECTOR, INFORMATION TECHNOLOGY</Title>
        <BaseCompensationFilingOrg>140930</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10000</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DARLA SOUTHERN</NamePerson>
        <Title>PHARMACIST</Title>
        <BaseCompensationFilingOrg>173717</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>THE BOARD IS ALLOWED TO TAKE THEIR COMPANION ON THE ANNUAL BOARD RETREAT. RAND WORTMAN KHS PRESIDENT &amp; CEO, KRMC CEO; LANE SAVITCH, KRMC PRESIDENT; LARRY CHRISTENSEN, VP RESOURCE DEVELOPMENT FOR KHS AND KADLEC FOUNDATION EXECUTIVE DIRECTOR; WILLIAM WINGO, VP, CORPORATE COUNSEL FOR KRMC AND KHS WILLIAM BAKER, VP, REGIONAL BUSINESS DEVELOPMENT FOR KRMC AND KHS; THEIR MEADOW SPRINGS COUNTRY CLUB DUES ARE PAID BY THE MEDICAL CENTER.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>THE KHS BOARD ESTABLISHED AN INCENTIVE COMPENSATION PROGRAM FOR SENIOR KHS AND KRMC EXECUTIVES TO ENSURE LEADERSHIP WAS FOCUSED ON KHS AND KRMC PRIORITIES; PATIENT SATISFACTION, EMPLOYEE SATISFACTION, QUALITY CARE, STRATEGIC GOALS, AND OPERATING INCOME. PERFORMANCE EXPECTATIONS ARE SET EACH YEAR WITH THE OPERATING BUDGET, CAPITAL BUDGET, AND BUSINESS PLAN. THE INCENTIVE GOALS ARE WEIGHTED ACCORDING TO THE PARTICIPANTS CONTRIBUTION. THE GOALS ARE ALL OR NOTHING AND THE PAYOUT OCCURS AFTER A FINAL REPORT IS PRESENTED TO THE BOARD EXECUTIVE COMMITTEE.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WASHINGTON HEALTHCARE FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>911108929</IssuerEIN>
        <CUSIPNumber>93978ED25</CUSIPNumber>
        <DateIssued>2006-09-07</DateIssued>
        <IssuePrice>33165247</IssuePrice>
        <DescriptionOfPurpose>REFUNDING SERIES 1996 AND 2001 BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WASHINGTON HEALTHCARE FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>911108929</IssuerEIN>
        <CUSIPNumber>93978ED33</CUSIPNumber>
        <DateIssued>2006-09-07</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>FINANCING MAJOR ADDITION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WASHINGTON HEALTHCARE FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>911108929</IssuerEIN>
        <CUSIPNumber>93978HAV7</CUSIPNumber>
        <DateIssued>2010-11-04</DateIssued>
        <IssuePrice>56114049</IssuePrice>
        <DescriptionOfPurpose>FINANCING MAJOR ADDITION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WASHINGTON HEALTHCARE FACILITIES AUTHORITY</BusinessNameLine1>
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        <IssuerEIN>911108929</IssuerEIN>
        <CUSIPNumber>93978HGZ2</CUSIPNumber>
        <DateIssued>2012-08-30</DateIssued>
        <IssuePrice>60297918</IssuePrice>
        <DescriptionOfPurpose>FINANCING MAJOR ADDITION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>7555000</AmountRetired>
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        <CreditEnhancement>933645</CreditEnhancement>
        <CapitalExpenditures>1828067</CapitalExpenditures>
        <YearOfSubstCompletion>2002</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>2950000</AmountRetired>
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        <IssuanceCostsFromProceeds>1959100</IssuanceCostsFromProceeds>
        <CreditEnhancement>1712033</CreditEnhancement>
        <CapitalExpenditures>44453250</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
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        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <BondReferenceCd>C</BondReferenceCd>
        <AmountRetired>1070000</AmountRetired>
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        <CapitalExpenditures>43016585</CapitalExpenditures>
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        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
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        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
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        <BondReferenceCd>B</BondReferenceCd>
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        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
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        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
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        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
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      <Form990ScheduleKPartIII>
        <BondReferenceCd>D</BondReferenceCd>
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        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
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        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
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        <BondReferenceCd>A</BondReferenceCd>
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        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
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        <BondReferenceCd>B</BondReferenceCd>
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        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>PIPER JAFFRAY</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>28.500000000000</TermOfHedge>
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        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
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        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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        <BondReferenceCd>D</BondReferenceCd>
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        <VariableRateIssue>0</VariableRateIssue>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>0</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>0</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>0</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>0</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART IV, LINE 2C:</Identifier>
        <Explanation>(C) THE ORGANIZATION HAS NOT DONE A COMPUTATION AT THIS POINT IN TIME. (D) THE ORGANIZATION HAS NOT DONE A COMPUTATION AT THIS POINT IN TIME.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS HIRED QUORUM HEALTH RESOURCES AS A MANAGEMENT COMPANY TO OVERSEE DAY TO DAY OPERATIONS OF THE MEDICAL CENTER. THE CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>KADLEC HEALTH SYSTEM (KHS) IS THE SOLE VOTING MEMBER OF KADLEC REGIONAL MEDICAL CENTER(KRMC). KHS SHALL HAVE SUCH RIGHTS AND POWERS AS ARE SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT, THE ARTICLES OF INCORPORATION OF KRMC AND THE BYLAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE ANNUAL MEETING OF THE SOLE VOTING MEMBER OF KADLEC REGIONAL MEDICAL CENTER(KRMC) TO RATIFY ELECTION AND RE-ELECTION OF DIRECTORS OF KRMC AND FOR THE TRANSACTION OF SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE SOLE VOTING MEMBER, SHALL BE HELD EACH YEAR AS SPECIFIED IN THE BYLAWS OF THE SOLE VOTING MEMBER. THE SOLE VOTING MEMBER MAY DELEGATE OR APPOINT AN OFFICER OF KADLEC HEALTH SYSTEM TO EXERCISE ANY OF THE RIGHTS AND POWERS OF THE SOLE VOTING MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE SOLE VOTING MEMBER HAS THE RIGHT: (1)TO RATIFY THE ELECTION OR APPOINTMENT OF EACH MEMBER OF THE BOARD OF DIRECTORS AND THE ELECTION OF OFFICERS (2) TO REMOVE ANY DIRECTOR (3) TO AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF KADLEC REGIONAL MEDICAL CENTER, AND TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF BYLAWS OF KRMC RECOMMENDED BY THE BOARD OF DIRECTORS (4) TO APPROVE ANY MERGERS OR CONSOLIDATION (5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND DEVELOPMENT AND REVISION (6) TO APPROVE THE ENTRY INTO JOINT VENTURES OR PARTNERSHIPS (7) TO APPROVE THE ENCUMBRANCE, LEASE, SALE OR OTHER TRANSFER OF ASSETS WITH A VALUE OF $1,000,000 OR GREATER (8) TO APPROVE THE SELECTION OR REMOVAL KRMC'S INDEPENDENT AUDITOR OR LEGAL COUNSEL (9) TO APPROVE THE INITIATION OF LITIGATION OR SETTLEMENT OF MATERIAL LITIGATION IN WHICH KRMC IS THE PLAINTIFF OR DEFENDANT (10) TO APPROVE THE EXECUTION OF ANY MANAGEMENT AGREEMENT, OR ANY OTHER CONTRACT</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>ONCE THE 990 IS PREPARED BY A THIRD PARTY, ACCOUNTING STAFF REVIEWS THE DOCUMENTS TO VERIFY INFORMATION HAS BEEN PROVIDED AND INPUT ACCURATELY. ONCE THIS PROCESS HAS BEEN COMPLETED, THE 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE 990 IS ALSO UPLOADED TO THE BOARD WEBSITE AND IS AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE COMPLIANCE PROGRAM IS DIRECTED BY THE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE COMMITTEE, WHO ARE CHARGED WITH ENSURING THAT THE HOSPITAL MAINTAINS AN EFFECTIVE COMPLIANCE PROGRAM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>AN INDEPENDENT THIRD PARTY IS USED TO DETERMINE APPROPRIATE COMPENSATION AND REVIEWED AND APPROVED BY THE COMPENSATION COMMITTE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>HARD COPIES OF THE AUDITED FINANCIAL STATEMENTS ARE KEPT IN THE ACCOUNTING DEPARTMENT AND ARE AVAILABLE UPON REQUEST. THE HOSPITAL'S "MISSION, VISION, VALUES" STATEMENT IS DISPLAYED IN NUMEROUS PUBLIC LOCATIONS THROUGHOUT THE FACILITY. CONFLICT OF INTEREST POLICY IS AVAILABLE TO PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>INTEREST RATE SWAP CONTRACT 650,379. BOOK/TAX DIFFERENCE IN JOINT VENTURE INCOME -367,415.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>NO CHANGE FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KADLEC CLINIC LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>945 GOETHALS SUITE 220</AddressLine1>
          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>99352</ZIPCode>
        </AddressUS>
        <EIN>204265899</EIN>
        <PrimaryActivities>PRIMARY CARE PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KADLEC MEDICAL ASSOCIATES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>888 SWIFT BLVD</AddressLine1>
          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>993523583</ZIPCode>
        </AddressUS>
        <EIN>203980865</EIN>
        <PrimaryActivities>INPATIENT HOSPITALISTS SERVICES</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KADLEC NEUROSCIENCE CENTER LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 SWIFT BLVD SUITE 300</AddressLine1>
          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>993523583</ZIPCode>
        </AddressUS>
        <EIN>201613946</EIN>
        <PrimaryActivities>NEUROLOGICAL RELATED PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRICITIES NEPHROLOGY LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>309 BRADLEY SUITE 109</AddressLine1>
          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>99352</ZIPCode>
        </AddressUS>
        <EIN>271041915</EIN>
        <PrimaryActivities>NEPHROLOGY PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE NEUROLOGICAL RESOURCE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>712 SWIFT BLVD SUITE 1</AddressLine1>
          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>993523583</ZIPCode>
        </AddressUS>
        <EIN>911266345</EIN>
        <PrimaryActivities>EDUCATION ON NEUROLOGICAL DISORDERS</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
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        <ControlledOrg>0</ControlledOrg>
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          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
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        <AddressUS>
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          <State>WA</State>
          <ZIPCode>993523583</ZIPCode>
        </AddressUS>
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        <PublicCharityStatus>LINE 3</PublicCharityStatus>
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        <AddressUS>
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          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>993523583</ZIPCode>
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        <DirectControllingEntityName>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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          <City>RICHLAND</City>
          <State>WA</State>
          <ZIPCode>99352</ZIPCode>
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        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
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      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
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      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>KADLEC HEALTH SYSTEM</BusinessNameLine1>
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          <BusinessNameLine1>THE NEUROLOGICAL RESOURCE CENTER</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>THE NEUROLOGICAL RESOURCE CENTER</BusinessNameLine1>
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        <TransactionType>O</TransactionType>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>