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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUEANN V SCHULTZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS BELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACIE MASON</PersonNm>
        <TitleTxt>SVP AND CFO/TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>530114</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>94016</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY KINCADE</PersonNm>
        <TitleTxt>SVP AND CHIEF NURSING OFFICER STARTED 5/2024</TitleTxt>
        <AverageHoursPerWeekRt>47.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>279905</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34524</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL PERRY</PersonNm>
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        <AverageHoursPerWeekRt>47.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>466300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47876</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACY O'ROURKE</PersonNm>
        <TitleTxt>SVP AND CHIEF ADMIN OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>47.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>562388</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>133480</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CASEY WHALE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1499407</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40338</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACOB DEISTER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1286526</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46879</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48588</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW WILLS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41835</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALAH NAJM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>1390029</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53941</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEGGY BURNETTE</PersonNm>
        <TitleTxt>SVP AND CFO/TREASURER - ended 2/2023</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>217462</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12226</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>11829624</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>782201</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>938</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KENDALL CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2551 NW BUTTON RD</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66618</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO INC &amp; AFFILIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 360170</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152516170</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUPPORT SVCS MGT</ServicesDesc>
        <CompensationAmt>9600388</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIMEDX INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 636129</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45623</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIP MAINTENANCE</ServicesDesc>
        <CompensationAmt>9256808</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANESTHESIA ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>823 SW MULVANE ST</AddressLine1Txt>
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            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>7871612</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SENNE &amp; COMPANY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2001 NW HIGHWAY 24</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66618</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>4363211</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>91</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>2023622</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>2000030</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>130898</AllOtherContributionsAmt>
      <TotalContributionsAmt>4154550</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>981652618</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>981652618</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>40254422</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40215717</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>38705</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NUTRITIONAL SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2426408</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2426408</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION SERVICES/SCHOOL OF NURSING</Desc>
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        <TotalRevenueColumnAmt>2128547</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2128547</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH</Desc>
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        <RelatedOrExemptFuncIncomeAmt>5637862</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>24006065</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>2703397</TotalRevenueColumnAmt>
        <ExclusionAmt>2703397</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>358242</RealAmt>
        <PersonalAmt>5710</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>5710</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>363952</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>20997555</SecuritiesAmt>
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      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
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        <ExclusionAmt>21273898</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>307820</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>-</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>-</Desc>
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        <UnrelatedBusinessRevenueAmt>346525</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>795397</ProgramServicesAmt>
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        <ProgramServicesAmt>3241134</ProgramServicesAmt>
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        <ProgramServicesAmt>483374312</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1419713</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>354043</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>452291</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>168750</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>34151</ProgramServicesAmt>
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        <ProgramServicesAmt>3258975</ProgramServicesAmt>
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        <ProgramServicesAmt>13382933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1287129</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>7718701</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>NUTRITION &amp; FOOD SERVCIE</Desc>
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        <ProgramServicesAmt>2844660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1114606</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4123443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24323277</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>905742034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126315623</ManagementAndGeneralAmt>
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        <EOYAmt>15694</EOYAmt>
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        <EOYAmt>53270216</EOYAmt>
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        <EOYAmt>145453711</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>16395988</EOYAmt>
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        <EOYAmt>14105127</EOYAmt>
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        <FAPAppAvailableOnWebsiteURLTxt>https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>B</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>true</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>true</TaxExemptHospitalCYOrPYInd>
        <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>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>23</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.stormontvail.org/we-are-stormont/community-connection/community-health-planning/</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>https://www.livewellgearycounty.org/copy-of-community-resources</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>2024-Geary-County-CHNA-Hospital-Implementation-Plan-1.pdf</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
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        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - STORMONT VAIL HEALTHCARE, INC.. THE CHNA INCLUDED BROAD COMMUNITY INPUT: 3,816 COMMUNITY PRECEPTION SURVEY RESPONSES PROVIDING FEEDBACK ON ACCESS TO CARE, PREVENTATIVE CARE, SOCIAL DETERMINANTS OF HEALTH, INCOME AND DEMOGRAPHICS. THE SURVEY RESULTS NEARLY MIRRORED DEMOGRAPHIC REPRESENTATION OF SHAWNEE COUNTY. 12 ROUNDTABLES WITH UNDER-REPRESENTED VOICES THAT INCLUDED 140 RESIDENTS PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, QUALITY OF CARE, CONCERNS, UNDERLYING REASONS FOR POOR HEALTH AND SUGGESTED IMPROVEMENTS. ROUNDTABLES WERE HELD AT THE ROSSVILLE LIBRARY, EAST TOPEKA SENIOR CENTER, WASHBURN UNIVERSITY (BLACK STUDENT UNION, FIRST GEN STUDENTS, AND HALO), HOSPITAL PATIENT FAMILY PARTNERSHIP, SHAWNEE COUNTY HEALTH DEPARTMENT SECTION REPRESENTATIVES, UNITED WAY SOCIAL SERVICE COLLABORATION, TOPEKA RESCUE MISSION, FAMILY SERVICE AND GUIDANCE CENTER ADVISORY COUNCIL, LOCAL CHILD CARE PROVIDERS, AND EL CENTRO. DATA ANALYSIS INCLUDING REVIEW OF RECENTLY RELEASED COUNTY HEALTH RANKINGS. TOWN HALL EVENT HELD AT THE TOPEKA SHAWNEE COUNTY PUBLIC LIBRARY INCLUDED 55 STAKEHOLDERS REPRESENTING 41 ORGANIZATIONS TO REVIEW ALL OF THE SURVEY AND ROUNDTABLE RESULTS AND COUNTY HEALTH RANKING DATA. THE EVENT CONCLUDED WITH SMALL GROUP DISCUSSION AND INDIVIDUAL PRIORITIZATION EXERCISES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - STORMONT VAIL HEALTHCARE, INC.. THE UNIVERSITY OF KANSAS HEALTH SYSTEM ST. FRANCIS CAMPUS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - STORMONT VAIL HEALTHCARE, INC.. A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR SHAWNEE COUNTY, KANSAS IN THE SPRING OF 2024. A STEERING COMMITTEE CHAIRED BY STORMONT VAIL HEALTH INCLUDED REPRESENTATIVES FROM: SHAWNEE COUNTY HEALTH DEPARTMENT, LIVE WELL SHAWNEE COUNTY, UNITED WAY OF KAW VALLEY, GRACEMED HEALTH CLINIC, FAMILY SERVICE AND GUIDANCE CENTER, VALEO BEHAVIORAL HEALTH CARE, AND THE UNIVERSITY OF KANSAS HEALTH SYSTEM ST. FRANCIS CAMPUS WHO ALL PLANNED AND IMPLEMENTED THE COMPREHENSIVE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - STORMONT VAIL HEALTHCARE, INC.. CHNA RESULTS WERE SHARED IN A MEDIA RELEASE AND ANNOUNCED AT A CHNA RELEASE/CHIP KICKOFF COMMUNITY EVENT HELD IN DECEMBER 2024.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - STORMONT VAIL HEALTHCARE, INC.. Work on the new Community Health Implementation Plan (CHIP) began in the fall of 2024 and will be completed in 2025 identifying objectives and strategies to address each need over the next three years. The CHIP process is being led by LiveWell Shawnee County and Stormont Vail Health serves on the leadership team as well as has team member representation on the community workgroups that align with CHNA/CHIP priorities. CHIP goals and strategies are also informed by local and state data. Stormont Vail Health developed a Hospital Implementation Plan including strategies the hospital will undertake over the next three years to address each of the identified priorities. The Implementation Plan progress is updated every 6 months over three years. The Stormont Vail Health strategic plan also addresses behavioral health and violence intervention strategies and includes a community pillar with areas of focus related to community engagement and health equity, including maternal/infant health disparities. Our commitment to community partnerships and attention to social determinants of health exemplifies our mission, "Working together to improve the health of our community". The full Hospital Implementation Plan is available on the SVH website. Examples of specific Hospital Implementation strategies include: Behavioral Health (mental health and substance use) Access - increased capacity for inpatient admissions Continuation of Zero Suicide grant Opioid Stewardship Committee - includes Lab and EPIC team Initiatives targeted at farming and ranching communities Safe medication disposal Neighborhood Safety and Housing Habitat Capable grant - Trauma Prevention Department Hospital based violence intervention strategies SVH Mobile Clinic presence with Mobile Access Partnership community outreach to homeless neighbors Healthy Eating Options Prescriptive Food Pantry Integration of interactive community food pantry map with AVS and MyChart for patients indicating they are food insecure on SDoH screening Meals on Wheels volunteers Health Equity Implement SDoH screening at Lincoln Center Community Committee of the Board oversight especially as it relates to infant and maternal morbidity and mortality of Black birthing persons and babies Evaluate funding for Social Work/Health Navigator for Lincoln Center Increased strategies to address maternal/child disparities Welcome Baby Jubilee events Sustaining Team Birth and antibias training for team members</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>STORMONT-VAIL HEALTHCARE INC FORMED A NEW SINGLE MEMBER LLC, STORMONT-VAIL HEALTH FLINT HILLS, LLC, WHICH OBTAINED ITS KANSAS STATE HOSPITAL LICENSE IN JUNE 2023 TO OPERATE A HOSPITAL IN GEARY COUNTY KANSAS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility B, 1 - STORMONT VAIL HEALTH FLINT HILLS, LLC. Work on the new Community Health Implementation Plan (CHIP) began in the fall of 2024 and will be completed in 2025 identifying objectives and strategies to address each need over the next three years. The CHIP process is being led by Live Well Geary County. Stormont Vail Health team members serve on the community workgroups that align with CHNA/CHIP priorities. CHIP goals and strategies are also informed by local and state data. Stormont Vail Health developed a Hospital Implementation Plan including strategies the hospital will undertake over the next three years to address each of the identified priorities. The Implementation Plan progress is updated every 6 months over three years. Our commitment to community partnerships and attention to social determinants of health exemplifies our mission, "Working together to improve the health of our community". The full Hospital Implementation Plan is available on the SVH website. Examples of specific Hospital Implementation strategies include: Access to Community Resources * Social Determinants of Health screening and referral * Research integration of closed loop referral system * Employer health fairs - Regional Relations Youth Character Development * Tours for high school students interested in medical professions * Promote youth volunteer program and job shadowing Transportation * Explore related insurance benefits * Increase outreach clinics in Junction City reducing patient need to travel Obesity * Explore food pantry funding opportunities * Telehealth options for 2/3 visits with Weight Management * Explore feasibility of Walk With a Doc - Community Engagement Mental Health * Improved access to inpatient and outpatient behavioral health services * Virtual appts outside of normal business hours * Suicide prevention initiatives for farming and ranching communities</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>37</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STORMONT VAIL PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>830 SW LANE SUITE B</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
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          </USAddress>
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        </OthHlthCareFcltsGrp>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>823 SW MULVANE ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
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          </USAddress>
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        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>COTTON O'NEIL FOOT AND ANKLE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1315 SW 6TH AVE SUITE A</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
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            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
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          </BusinessName>
          <USAddress>
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            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>1414 SW 8TH ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2660 SW 3RD ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2660 SW 3RD ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
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          <USAddress>
            <AddressLine1Txt>823 SW MULVANE ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL DIGESTIVE HEALTH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>720 SW LANE ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
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            <AddressLine1Txt>920 SW LANE</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
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            <BusinessNameLine1Txt>STORMONT VAIL IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>731 SW MULVANE ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>COTTON O'NEIL MANHATTAN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1325 Research Park Drive</AddressLine1Txt>
            <CityNm>MANHATTAN</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66502</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 SW LINCOLN</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>901 SW GARFIELD ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STORMONT VAIL BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3707 SW 6TH ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PSYCHIATRIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL ASBURY DRIVE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2902 SW ASBURY DR</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66614</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL EMPORIA CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 SW 12TH ST</AddressLine1Txt>
            <CityNm>EMPORIA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66801</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL NORTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4505 NW FIELDING ROAD</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66618</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL PEDIATRIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4100 SW 15TH ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66604</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL DIABETESENDOCRINOLOGY CTR</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>3520 SW 6TH AVE</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>STORMONT VAIL OBGYN LINCOLN CENTER URISH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2830 SW URISH ROAD</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66614</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STORMONT VAIL SLEEP CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1615 SW 8TH AVE</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STORMONT VAIL MATERNAL FETAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>830 SW LANE STREET</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>FETAL MEDICINE SERVICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL URISH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6725 SW 29TH ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66614</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL CROCO CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2909 SE WALNUT DR</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66605</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STORMONT VAIL INFUSION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1414 SW 8th Avenue</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>INFUSION CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL EXPRESS CARE MIDTOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1516 SW 6th Avenue</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL CORPORATE VIEW CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 CORPORATE VIEW ROAD</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66615</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL WAMEGO CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1704 COMMERCIAL CIRCLE</AddressLine1Txt>
            <CityNm>WAMEGO</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66547</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL OSAGE CITY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>131 WEST MARKET ST</AddressLine1Txt>
            <CityNm>OSAGE CITY</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66523</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL CARDIAC THORACIC SURGEON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>830 SW MULVANE</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL OSKALOOSA CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>209 W JEFFERSON ST</AddressLine1Txt>
            <CityNm>OSKALOOSA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66066</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL CARBONDALE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>211 EAST MAIN ST</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66523</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL NETAWAKA CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 WHITE WAY</AddressLine1Txt>
            <CityNm>NETAWAKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66516</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL MERIDEN CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>407 EAST WYANDOTTE</AddressLine1Txt>
            <CityNm>MERIDEN</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66512</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL LAWRENCE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 ARKANSAS</AddressLine1Txt>
            <CityNm>LAWRENCE</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66044</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COTTON O'NEIL PEDIATRICS MISSION WOODS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2860 SW MISSION WOODS DR</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66614</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>STORMONT VAIL PROVIDES MATERNAL FETAL MEDICINE SERVICES, BREASTFEEDING CLINIC, TRAUMA PROGRAM, CARE CLINIC, PALLIATIVE CARE, BEHAVIORAL HEALTH, PEDIATRIC INTENSIVE CARE UNIT, AND A MOBILE CLINIC TO THE COMMUNITY. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE</FormAndLineReferenceDesc>
        <ExplanationTxt>COST TO CHARGE RATIO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>7718701</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORTING COMMUNITY ORGANIZATIONS BY PARTICIPATING IN FUNDRAISING EVENTS AND COMMUNITIES ATTEMPTING TO GROW THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE AMOUNT IS CALCULATED BY DETERMINING THE AMOUNT OF THE ACCOUNTS THAT WERE WRITTEN OFF AS BAD DEBT NET OF ANY RECOVERIES. A COST TO CHARGE RATIO WAS APPLIED TO THE NET BAD DEBT AMOUNT IN ORDER TO DETERMINE COST. THE AMOUNT WRITTEN OFF AS BAD DEBT HAS BEEN REDUCED BY ANY APPLICABLE DISCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ARE NOT AWARE OF ANY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT WERE CONSIDERED TO BE BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENT FOOTNOTE ADDRESSING BAD DEBT EXPENSE IS ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>STORMONT VAIL HEALTHCARE BELIEVES THAT SOME PORTION OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED TO BE A COMMUNITY BENEFIT. STORMONT VAIL PROVIDES MEDICAL CARE TO THE MEMBERS OF THE COMMUNITY, INCLUDING MEDICARE PATIENTS, EVEN IF THE COSTS OF THAT CARE ARE NOT COMPLETELY REIMBURSED. THE HEALTH OF THE COMMUNITY WOULD SUFFER IF STORMONT VAIL DID NOT PROVIDE THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ESSENTIAL ELEMENT OF THE MISSION OF STORMONT VAIL HEALTHCARE IS TO BE GOOD FINANCIAL STEWARDS AS WE STRIVE TO IMPROVE THE HEALTHCARE OF OUR COMMUNITY. AS PART OF THAT STEWARDSHIP, WE MUST DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH PATIENTS CAN AFFORD TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE WORK VERY HARD TO MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. OUR REPRESENTATIVES WORK WITH PATIENTS TO TRY TO REACH THE MOST EQUITABLE SOLUTION IN ORDER TO RESOLVE A PATIENT BILL. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - STORMONT VAIL HEALTHCARE, INC.: Line 16a URL: https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/; B - Stormont Vail Health Flint Hills, LLC: Line 16a URL: https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - STORMONT VAIL HEALTHCARE, INC.: Line 16b URL: https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/; B - Stormont Vail Health Flint Hills, LLC: Line 16b URL: https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - STORMONT VAIL HEALTHCARE, INC.: Line 16c URL: https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/; B - Stormont Vail Health Flint Hills, LLC: Line 16c URL: https://www.stormontvail.org/billing-insurance-financial-services/financial-assistance/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE CHNA, STORMONT VAIL AND STAFF ARE ACTIVE IN THE COMMUNITY. BY DOING SO, STORMONT VAIL IS ABLE TO LEARN ABOUT ISSUES IMPACTING THE COMMUNITY AND CITIZENS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>STORMONT VAIL WIDELY PUBLICIZES THE FINANCIAL ASSISTANCE PROGRAM BY POSTING INFORMATION ON THE STORMONT VAIL WEBSITE, NOTIFYING AND DISTRIBUTING INFORMATION TO PATIENTS AT ALL REGISTRATION AREAS WHEN THEY PRESENT FOR SERVICE, MAKING INFORMATION AVAILABLE IN REGISTRATION WAITING ROOMS, INCLUDING INFORMATION ON PATIENT BILLING STATEMENTS, MENTIONING THE FAP WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE AND BY PUBLICIZING THE FAP TO COMMUNITY HEALTH CENTERS AND SOCIAL SERVICE AGENCIES. STORMONT VAIL ALSO ASSISTS PATIENTS IN OBTAINING COVERAGE THROUGH GOVERNMENTAL PROGRAMS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>TOPEKA IS THE MAJOR URBAN CENTER IN SHAWNEE COUNTY WITH A POPULATION OF 177,746 (US CENSUS BUREAU 2023). SHAWNEE COUNTY IS THE THIRD LARGEST COUNTY IN THE STATE. SHAWNEE COUNTY HAS A SLIGHTLY GREATER RACIAL AND ETHNIC DIVERSITY THAN THE STATE OF KANSAS OVERALL. OVER 27% OF THE COUNTY AND 25% OF TOPEKA ARE NON-WHITE. THE AFRICAN AMERICAN POPULATION IN SHAWNEE COUNTY IS 8.5% VERSUS 6.2% STATEWIDE. HISPANIC OR LATINO IN SHAWNEE COUNTY IS 14.0% VERSUS 12.7% STATEWIDE. MEDIAN AND PER CAPITA INCOME ARE SLIGHTLY LOWER FOR SHAWNEE COUNTY THAN FOR THE STATE. THE COUNTY'S POVERTY RATE IS 10.5%, AND THE STATE'S RATE IS 10.6% PERCENT. THE PERCENTAGE OF SHAWNEE COUNTY CHILDREN LIVING IN POVERTY IS 13% - THE SAME AS THE STATE, AND 23% OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS COMPARED TO 21% STATEWIDE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>STORMONT VAIL IS A NON-PROFIT CORPORATION SO ANY SURPLUS FUNDS ARE RE-INVESTED BACK INTO THE ORGANIZATION AND NOT PAID TO INVESTORS. THE HEALTH SYSTEM IS MANAGED BY A LOCAL BOARD OF DIRECTORS WHO ARE COMMUNITY LEADERS. STORMONT VAIL ACCEPTS ALL PATIENTS REGARDLESS OF INSURANCE COVERAGE SO THAT CARE IS PROVIDED TO ALL WHO NEED CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>KS</ExplanationTxt>
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          <AddressLine1Txt>1500 SW 10TH AVE</AddressLine1Txt>
          <CityNm>TOPEKA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66604</ZIPCd>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE HISTORICALLY ONLY MADE TO THE STORMONT-VAIL FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. DUE TO THE CLOSE WORKING RELATIONSHIP BETWEEN THE ORGANIZATIONS, NO MONITORING OF THE USAGE OF FUNDS AFTER THE FACT IS DEEMED NECESSARY.</ExplanationTxt>
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        <PersonNm>STACIE MASON</PersonNm>
        <TitleTxt>SVP AND CFO/TREASURER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRACY O'ROURKE</PersonNm>
        <TitleTxt>SVP AND CHIEF ADMIN OFFICER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL PERRY</PersonNm>
        <TitleTxt>SVP AND CHIEF NURSING OFFICER RETIRED 5/2024</TitleTxt>
        <BaseCompensationFilingOrgAmt>412508</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY KINCADE</PersonNm>
        <TitleTxt>SVP AND CHIEF NURSING OFFICER STARTED 5/2024</TitleTxt>
        <BaseCompensationFilingOrgAmt>271199</BaseCompensationFilingOrgAmt>
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        <PersonNm>JOHN MA</PersonNm>
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        <PersonNm>CASEY WHALE</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Housing allowance or residence for personal use</FormAndLineReferenceDesc>
        <ExplanationTxt>STACIE MASON, CFO, RECEIVED A HOUSING ALLOWANCE WHICH WAS INCLUDED AS W-2 TAXABLE INCOME.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>457(F) ANNUAL CONTRIBUTIONS MADE AS PERCENT OF BASE SALARY IN DECEMBER. IF OVER AGE 60 CONTRIBUTIONS ARE VESTED AND TAXES ARE WITHHELD. IF LESS THAN 60 CONTRIBUTIONS DO NOT VEST UNTIL EARLIER OF 5 ANNUAL CONTRIBUTIONS OR AGE 60. ACCOUNT IS NOT DISTRIBUTED UNTIL TERMINATION. THE FOLLOWING PARTICIPATED IN THE 457(F) PLAN: KEVIN DISHMAN ROBERT KENAGY AMY KINCADE STACIE MASON SALAH NAJM TRACY O'ROURKE CAROL PERRY THE FOLLOWING AMOUNTS VESTED IN THE 457(F) PLAN: ROBERT KENAGY $153,750 CAROL PERRY $ 49,301</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYED PHYSICIANS MAY EARN ADDITIONAL COMPENSATION IF THE RELATIVE VALUE UNITS THAT ARE GENERATED FROM THEIR PRACTICE EXCEED CERTAIN LEVELS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II, Column (F) Compensation reported as deferred on prior Form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.</ExplanationTxt>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>true</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.0057</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>true</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 COLUMNS A AND D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 11 COLUMNS A AND D</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS AMOUNT OF BOND PROCEEDS WAS DEPOSITED INTO THE REFUNDING ACCOUNT OR ESCROW FUND AND WAS USED TO REFUND THE PRIOR OBLIGATION(S).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 13 COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROJECT FINANCED BY THE REFUNDED BONDS HAD AN ORIGINAL PROJECT COMPLETION DATE THAT OCCURRED IN 2001.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Column A: The rebate calculation was completed as of 11/15/2021. Column B: The rebate calculation was completed as of 10/18/2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: KANSAS DEVELOPMENT FINANCE AUTHORITY The calculation for computing no rebate due was performed on 11/15/2021</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: KANSAS DEVELOPMENT FINANCE AUTHORITY The calculation for computing no rebate due was performed on 10/18/2021</ExplanationTxt>
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    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="23017437" softwareVersionNum="2023v6.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>KANSAS DEVELOPMENT FINANCING AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>481066589</BondIssuerEIN>
        <BondIssuedDt>2022-08-17</BondIssuedDt>
        <IssuePriceAmt>40145000</IssuePriceAmt>
        <PurposeDesc>REFUND REMAINDER 2013 BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3815000</RetiredAmt>
        <TotalProceedsAmt>40145000</TotalProceedsAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>416227</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>39727313</OtherSpentProceedsAmt>
        <UnspentAmt>1460</UnspentAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.0057</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>true</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>STORMONT-VAIL HEALTHCARE, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. FOR THE YEAR ENDED SEPTEMBER 30, 2024, 19,464 INPATIENTS, 56,421 EMERGENCY ROOM PATIENTS, 1,499 NEWBORNS, AND 409 NEONATAL INTENSIVE CARE BABIES WERE SERVED. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE STORMONT VAIL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. STORMONT VAIL'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION REGARDLESS OF ABILITY TO PAY. AS PART OF THIS MISSION, STORMONT VAIL PROVIDES CARE TO PERSONS COVERED BY MEDICARE AND MEDICAID. FOLLOWING ARE SOME OF THE BENEFITS PROVIDED AT REDUCED RATES FOR THE FISCAL YEAR: IN ADDITION TO THE CHARITY CARE PROVIDED, STORMONT VAIL ALSO PROVIDED SERVICE TO PATIENTS THAT RESULTED IN UNCOLLECTIBLE AMOUNTS AS FOLLOWS: BAD DEBT EXPENSE AT COST $ 18,372,854 SHORTFALL OF MEDICARE PAYMENTS AT COST $ 99,302,455 SHORTFALL OF MEDICAID PAYMENTS AT COST $ 28,381,858 STORMONT VAIL ALSO PROVIDES OTHER HEATH CARE SERVICES AND PROGRAMS FOR THE BENEFIT OF THE COMMUNITY, FREE OR AT REDUCED RATES. EXAMPLES OF THESE INCLUDE: 1. SUBSIDY OF NURSING EDUCATION, MEDICAL EDUCATION, AND ALLIED HEALTH EDUCATION 2. OPERATING THE REGIONS ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) SERVING A HIGH PERCENTAGE OF MEDICALLY INDIGENT PATIENTS 3. OPERATING A LEVEL II TRAUMA CENTER SERVING NORTHEAST KANSAS 4. ORGANIZED SUPPORT GROUPS FOR A VARIETY OF TOPICS INCLUDING CANCER SUPPORT GROUP, DIABETES ADULT SUPPORT GROUP AND THE PREGNANCY AND INFANT LOSS SUPPORT GROUP 5. VOLUNTEER TIME WAS DONATED TO STORMONT VAIL HELPING TO REDUCE THE COST OF PROVIDING HEALTH CARE 6. Stormont Vail employees support the Care Line, which is an emergency fund for patients in financial distress, providing services and supplies on a short-term basis 7. USE OF POZEZ EDUCATION CENTER FACILITIES FOR A VARIETY OF COMMUNITY GROUPS AND PROGRAMS 8. PARTICIPATED IN NUMEROUS CLINICAL RESEARCH TRIALS THROUGH THE CLINICAL RESEARCH DEPARTMENT 9. OPERATED A PALLIATIVE CARE PROGRAM TO PROVIDE COMFORT CARE TO PATIENTS WITH CHRONIC CONDITIONS 10. PROVIDED SUPPORT AND EDUCATION FOR PATIENTS WITH DIABETES THROUGH THE DIABETES LEARNING CENTER 11. STORMONT-VAIL IS A REGIONAL NETWORK OF 30+ LOCATIONS IN 11 COMMUNITIES IN OUR REGION IMPROVING ACCESS TO MEDICAL CARE IN SEVERAL CITIES THAT OTHERWISE WOULD NOT HAVE ACCESS, PARTICULARLY ON WEEKENDS 12. MATERNAL FETAL MEDICINE PROGRAM PROVIDED CARE AND ACCESS TO SCREENINGS AND GENETIC COUNSELING FOR WOMEN WITH AT-RISK PREGNANCIES 13. OFFERED VARIOUS PARENTING AND CHILDBIRTH PREPARATION PROGRAMS THROUGH STORMONT-VAIL'S WEB SITE 14. THE HEALTH CONNECTION PROGRAM, WHICH PROVIDES PHYSICIAN REFERRAL AND AFTER-HOUR ACCESS TO A NURSE 15. PARTNERED WITH BUILDING BLOCKS TO PROVIDE CHILDCARE SERVICES TO STAFF 16. CONNECTED WITH THE COMMUNITY THROUGH THE ORGANIZATION WEBSITE, WWW.STORMONTVAIL.ORG 17. PARTNERED WITH HEALTH INNOVATION NETWORK OF KANSAS, A COALITION OF 15 HOSPITALS SHARING INFORMATION, EDUCATION AND OTHER NEEDED SERVICES 18. STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE MEALS ON WHEELS PROGRAM INCLUDING SPONSORING A MEALS ON WHEELS ROUTE 19. STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE UNITED WAY 20. OPERATED THE PATIENT CENTER MEDICAL HOME CONCEPT TO IMPROVE CARE WITH THE FOCUS ON PREVENTION AND WELLNESS 21. WORK WITH OTHERS IN THE COMMUNITY TO IMPROVE SAFETY NET SERVICES FOR UNDER INSURED AND UNINSURED 22. PROVIDED STAFF TO SERVE ON THE BOARD OF DIRECTORS FOR THE UNITED WAY OF TOPEKA, TOPEKA COMMUNITY FOUNDATION, GO TOPEKA, AND OTHERS 23. PROVIDED TRANSPORTATION TO PATIENTS WHO ARE UNABLE TO GET TO THEIR HEALTH CARE APPOINTMENTS OR NEED TRANSPORTATION TO RETURN HOME 24. PROVIDED SCREENING AND COORDINATION FOR PARTICIPANTS FOR A DRUG PROGRAM BENEFIT TO HELP PATIENTS OBTAIN NEEDED MEDICATION 25. PROVIDED COMMUNITY LEADERSHIP THROUGH HEARTLAND HEALTHY NEIGHBORHOODS AND ASSOCIATED WORKGROUP PARTICIPATION 26. DONATED OFFICE SPACE, JANITORIAL SERVICES, SHREDDING, AND PHONES TO HOUSE THE SHAWNEE COUNTY MEDICAL SOCIETY HEALTHACCESS PROGRAM THAT HELPS COORDINATE DONATED CARE FOR LOW-INCOME UNINSURED ON BEHALF OF THE ENTIRE MEDICAL COMMUNITY 27. PARTNERED WITH UNITED WAY 211 SO THAT INDIVIDUALS CAN DIAL 211 FROM ANY PHONE TO SPEAK WITH A REFERRAL SPECIALIST. AVAILABLE IN BOTH ENGLISH AND SPANISH 28. PROVIDED RESOURCE INFORMATION FOR FINANCIAL ASSISTANCE TO INDIVIDUALS 29. PARTNERED WITH SEVERAL ORGANIZATIONS TO PROVIDE MENTAL HEALTH ASSISTANCE 30. FOOD ASSISTANCE RESOURCES WERE PROVIDED IN COLLABORATION WITH SEVERAL ORGANIZATIONS 31. PROVIDED RESOURCE INFORMATION ON HOUSING ASSISTANCE FOR INDIVIDUALS THAT ARE HAVING FINANCIAL DIFFICULTIES OR HAVE BEEN EVICTED 32. Provided health &amp; wellness resources 33. Coordinate two Welcome Baby Jubilee events each year to assist pregnant individuals and their support systems to community resources through booths and a panel presentation. 34. Offer monthly Walk With a Doc events for community members to hear a short presentation by a physician and enjoy a walk at a community location 35. Donate staff time to teach CNA and Phlebotomy classes at a local school district 36. Staff and operate a mobile clinic providing primary care in community parking lots and with the Mobile Access Partnership providing care to individuals who are homeless 37. Provide trauma prevention education for the community including Stop the Bleed, car seat and senior safety check lanes, and fall prevention</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Continued</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAIL PROVIDED SUPERVISED CLINICAL EXPERIENCE FOR 1,592 STUDENTS TO THE FOLLOWING ENTITIES: NAME/LOCATION---------------------------------------------------TYPE OF STUDENTS 190th ARW----------------------------------------------------------Undergrad RN or LPN (8) Baker University----------------------------------------------Undergrad RN or LPN (173) Baker University----------------------------------------------MSN Student (2) Barton Co Community College-----------------------Medical Technology Student (1) Barton Co Community College-----------------------EMT Student (2) Barton Co Community College-----------------------Phlebotomy Student (2) Benedictine College----------------------------------------Undergrad RN or LPN (5) Chamberlain University-----------------------------------Nurse Practitioner Student (7) Cloud County Community College-----------------Undergrad RN or LPN (4) Coffey Health System-------------------------------------Regional Staff Student (1) Emporia State University--------------------------------Undergrad RN or LPN (6) Flint Hills Technical College-------------------------Undergrad RN or LPN (1) Fort Hays----------------------------------------------------------IP Speech Language Pathology Student (2) Fort Hays----------------------------------------------------------Undergrad RN or LPN (18) Fort Hays----------------------------------------------------------Nurse Practitioner Student (1) Fort Hays----------------------------------------------------------Psychology Student (2) Fort Hays----------------------------------------------------------Ultrasound Student (2) Graceland University--------------------------------------MSN Student (3) Graceland University--------------------------------------Nurse Practitioner Student (4) Grand Canyon University--------------------------------Undergraduate RN or LPN (1) Hiawatha Community Hospital-------------------------Regional Staff Student (1) Highland Community College--------------------------Undergrad RN or LPN (27) Hutchinson Community College----------------------Undergrad RN or LPN (3) IHM Academy of EMS-------------------------------------------EMT Student (2) Junction City Fire Department-------------------------Regional Staff Student (2) Kansas State University-----------------------------------Dietician Student (1) Kansas State University-----------------------------------Physician Assistant Student (74) Manhattan Technical College-------------------------Medical Technology Students (3) Maryville University-----------------------------------------Nurse Practitioner Student (11) Mid America Nazarene University---------------------Nurse Practitioner Student (1) Nemaha Valley Community Hospital-----------------Regional Staff Student (4) Neosho Community College------------------------------Undergrad RN or LPN (18) Nightingale College------------------------------------------Undergrad RN or LPN (1) Non-Affiliated Observers---------------------------------Observer (152) Non-Affiliated Observers---------------------------------Clinic (1) Rockhurst University----------------------------------------IP PT Student (1) Rockhurst University----------------------------------------Nurse Practitioner Student (2) Rockhurst University----------------------------------------Undergraduate RN or LPN (21) Sabetha Hospital------------------------------------------------Regional Staff Student (9) Seaman High School-------------------------------------------HS Work Program (9) TCALC--------------------------------------------------------------------Phlebotomy Student (6) Texas Wesleyan University--------------------------------Nurse Anesthesia Student (6) Univ of Missouri-KC--------------------------------------------Nurse Practitioner Student (5) University of Central Missouri------------------------Nurse Practitioner Student (3) University of Kansas------------------------------------------Medical Student (1) University of Kansas------------------------------------------Nurse Practitioner Student (7) University of Kansas------------------------------------------Pharmacy Student (10) University of Kansas------------------------------------------Social Work Student (2) University of Kansas Medical Center---------------------------Inpatient PT Student (2) University of Kansas Medical Center------------------IP Speech Language Pathology Student (2) University of Kansas Medical Center---------------------------Medical Technology Student (1) University of Kansas Medical Center---------------------------Nurse Anesthesia Student (4) University of Kansas Medical Center---------------------------Nurse Practitioner Student (3) University of Kansas Medical Center---------------------------Outpatient PT Student (1) University of Kansas Medical Center---------------------------Undergraduate RN or LPN (1) University of Nebraska Medical Center------------------------Physician Assistant Student (1) University of Saint Mary-------------------------------------------Inpatient OT Student (1) University of Saint Mary-------------------------------------------Inpatient PT Student (1) University of Saint Mary-------------------------------------------Outpatient PT Student (4) Washburn Institute of Technology------------------------------Phlebotomy Student (12) Washburn Institute of Technology------------------------------Surgical Tech (11) Washburn Institute of Technology------------------------------Undergraduate RN or LPN (95) Washburn Rural High School-------------------------------------HS Work Program (1) Washburn University-----------------------------------------------HIM Student (1) Washburn University-----------------------------------------------Inpatient OT Student (4) Washburn University-----------------------------------------------Inpatient OTA Student (1) Washburn University-----------------------------------------------Inpatient PTA Student (2) Washburn University-----------------------------------------------Kinesiology Student (7) Washburn University-----------------------------------------------Medical Technology Student (2) Washburn University-----------------------------------------------Nurse Practitioner Student (22) Washburn University-----------------------------------------------Outpatient PT Student (5) Washburn University-----------------------------------------------Rad Tech/MRI//CT Student (17) Washburn University-----------------------------------------------Respiratory Therapy Student (43) Washburn University-----------------------------------------------Social Work Student (2) Washburn University-----------------------------------------------Undergraduate RN or LPN (329) Western Governors University-----------------------------------Undergraduate RN or LPN (1) Wichita State University-------------------------------------------Nurse Practitioner Student (2) Wichita State University-------------------------------------------Physician Assistant Student (11) Wichita State University-------------------------------------------Undergraduate RN or LPN (42)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a &amp; 15b - Compensation of Top Management, Officers or Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE THAT IS CHARGED WITH THE OVERSIGHT AND REVIEW OF ALL EXECUTIVE COMPENSATION AND BENEFITS FOR THE CEO, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS OF THE HEALTH SYSTEM. THE COMPENSATION IS REVIEWED ANNUALLY BY AN EXTERNAL INDEPENDENT CONSULTANT, GALLAGHER. GALLAGHER REVIEWS BASE COMPENSATION, INCENTIVE PROGRAMS AND TOTAL CASH COMPENSATION THAT ARE OFFERED ON AN ANNUAL BASIS TO ENSURE IT ALIGNS WITH FAIR MARKET VALUE AND COMPLIES WITH OUR ESTABLISHED COMPENSATION PHILOSOPHY. IN ADDITION, GALLAGHER ON A REGULAR BASIS REVIEWS THE EXECUTIVE BENEFIT PROGRAM TO ALSO ENSURE IT IS APPROPRIATE AND REASONABLE. GALLAGHER CONDUCTED A REVIEW IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S FINANCE AND AUDIT COMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE CHAIRMAN OF THE GOVERNANCE COMMITTEE OF STORMONT VAIL HEALTHCARE EACH YEAR. THE CHAIRMAN REVIEWS THE RESPONSES AND REPORTS TO THE GOVERNANCE COMMITTEE FOR THEIR REVIEW AND DETERMINATION OF ANY APPROPRIATE ACTION TO BE TAKEN. THE CHAIRMAN ALSO THEN REPORTS THE RESULTS TO THE FULL BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE THEIR CONFLICT-OF-INTEREST POLICY AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM REVENUE - Total Revenue: 24006065, Related or Exempt Function Revenue: 24006065, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>POST RETIREMENT COSTS - -21777; OTHER CHANGES IN NET ASSETS - -370441; EARNINGS EQUITY INVESTMENTS - -4115222; INVESTMENT IN PARTNERSHIPS - -307820;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REASON FOR AMENDING</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 2023 990 is being amended because after a review of our previously filed Form 990, we identified an inadvertent duplication in Schedule H, Line 7B Medicaid community benefit expense. To maintain accuracy and compliance, we are submitting an amended return for a complete and transparent presentation of our financial information.</ExplanationTxt>
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          <BusinessNameLine1Txt>COTTON-O'NEIL ACO LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1500 SW 10TH AVE</AddressLine1Txt>
          <CityNm>TOPEKA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66604</ZIPCd>
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        <PrimaryActivitiesTxt>SHARED SAVING</PrimaryActivitiesTxt>
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        </USAddress>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>STORMONT-VAIL PHARMACY LLC</BusinessNameLine1Txt>
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        </USAddress>
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          <BusinessNameLine1Txt>STORMONT-VAIL FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
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        <EIN>480980926</EIN>
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        <EIN>480782848</EIN>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CENTURY HEALTH SOLUTIONS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2951 SW WOODSIDE DR</AddressLine1Txt>
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          <ZIPCd>66614</ZIPCd>
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      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
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      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>MANHATTAN SURGICAL HOSPITAL LLC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>