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        <BusinessNameLine1>Mary Washington Healthcare</BusinessNameLine1>
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      <Phone>5407411821</Phone>
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        <AddressLine1>2300 Fall Hill Avenue</AddressLine1>
        <City>Fredericksburg</City>
        <State>VA</State>
        <ZIPCode>22401</ZIPCode>
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      <Name>Winifred J Haikey</Name>
      <Title>Sr Vice President</Title>
      <DateSigned>2012-03-07</DateSigned>
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      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>true</MailingsMembers>
      <MailingsMembersAmount>6724</MailingsMembersAmount>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>10744</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>true</RalliesDemonstrations>
      <RalliesDemonstrationsAmount>17721</RalliesDemonstrationsAmount>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>35189</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
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        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="10000105" softwareVersion="2010v3.2">
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        <Depreciation>21163</Depreciation>
        <BookValue>23661</BookValue>
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      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>705731</OtherCostOrOtherBasis>
        <Depreciation>226639</Depreciation>
        <BookValue>479092</BookValue>
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      <Equipment>
        <OtherCostOrOtherBasis>19657607</OtherCostOrOtherBasis>
        <Depreciation>10908327</Depreciation>
        <BookValue>8749280</BookValue>
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      <OtherLandBuildings>
        <OtherCostOrOtherBasis>22348</OtherCostOrOtherBasis>
        <Depreciation>5965</Depreciation>
        <BookValue>16383</BookValue>
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        <Description>Rounding</Description>
        <BookValue>1</BookValue>
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      <OtherAssets>
        <Description>Other receivable</Description>
        <BookValue>127998</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Net Goodwill</Description>
        <BookValue>459222</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Investment in Subsidiaries</Description>
        <BookValue>178760540</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Invest in VHA</Description>
        <BookValue>200000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Invest in VA Alliance LLC</Description>
        <BookValue>5000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Affiliates</Description>
        <BookValue>8475693</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>188028454</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Pension Liability LT</Description>
        <Amount>17336696</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension Liability Current</Description>
        <Amount>2000000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>19336696</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Grant Program Expenditures, Net $0 Pension $6551177 $9891614 Depreciation on Insurance Policy $ -0 Rounding $ -0 G/L Sale of Investment299,344 $ -299344 Pension $ -0</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <TravelForCompanions>X</TravelForCompanions>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Xavier R Richardson</NamePerson>
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        <NamePerson>Paul L Prewitt</NamePerson>
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        <OtherCompensationFilingOrg>6014</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>163406</TotalCompensationFilingOrg>
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        <NamePerson>Marie Fredrick</NamePerson>
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        <OtherCompensationFilingOrg>22148</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>211933</TotalCompensationFilingOrg>
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        <NamePerson>Kathryn S Wall</NamePerson>
        <BaseCompensationFilingOrg>219709</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>31466</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>303581</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>J Thomas Ryan MD</NamePerson>
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        <OtherCompensationFilingOrg>112378</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>470458</TotalCompensationFilingOrg>
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        <NamePerson>Fred M Rankin III</NamePerson>
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        <NamePerson>Eric K Fletcher</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Dillard L Sumner</NamePerson>
        <BaseCompensationFilingOrg>131819</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>8799</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>152398</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Barbara A Kane RN</NamePerson>
        <BaseCompensationFilingOrg>195592</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>31564</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16259</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>254023</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Amy A Adome</NamePerson>
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        <OtherCompensationFilingOrg>20818</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13300</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6221</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>209367</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 7</Identifier>
        <ReturnReference>Part I, Line 7: Non-Fixed payments not listed above</ReturnReference>
        <Explanation>Part I, Line 7 - All Executives have as a part of their compensation a variable component such that they are eligible to receive a percentage of their base pay as an incentive for the achievement of individual and corporate goals and objectives.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Part I, Line 1A - Trustees who are uncompensated volunteers traveling for business related reasons on behalf of the organization are reimbursed for the cost of spousal travel. Reimbursements paid for spousal travel are reimbursed and reported as income on a form 1099 in the year paid. Executives who are traveling for business related reasons on behalf of the organization are reimbursed for the cost of spousal meals provided and the amount is reported as income on the Executive's W-2.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Unrelated Business Income</ReturnReference>
        <Explanation>MWHC as a part of its mission provides strategic planning and direction for all of its affiliates. IRS Regulations treat management fees received from taxable subsidiaries as unrelated business income. As a result, the revenue reported on line 7A is income from taxable subsidiaries for provision of management fees and loss sustained is a result from allocations of corporate services provided in excess of the revenue received.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule R</ReturnReference>
        <Explanation>Abbreviations: MWHC - Mary Washington HealthcareMPI - MediCorp Properties, Inc. MWHC Clinical - Mary Washington Healthcare Clinical Services, Inc. MediDoctors H.C. - MediDoctors Holding Company</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Independence</ReturnReference>
        <Explanation>Part I, Item 4 and Part VI, Item 1 (B)Stricter standards than are required have been used for purposes of determining independence of our Board of Trustees. For example, physicians on the medical staff are not considered to be independent board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part III Line 1 - Org. Mission</ReturnReference>
        <Explanation>Provision of health care. Mary Washington Healthcare was organized to act as the parent corporation in the Mary Washington Healthcare affiliated group, and to engage in such activities for the benefit of, to perform the functions of, and to carry out the purpose of Mary Washington Hospital, Stafford Hospital and its affiliated organizations in the system.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>No documents available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Every Trustee and Executive all the way down to our managerial level is required to disclose any and all conflicts. The disclosures are made annually and submitted to the Mary Washington Healthcare Director of Internal Audit. The Director presents all conflicts to the Audit and Compliance Committee of the Board of Trustees. The Chairman of the Audit and Compliance Committee reports all conflicts to the full board. The conflicts are actively managed - individuals with conflicts disclose their conflicts again when a topic comes up for discussion for which the individual has a conflict - the individual then recuses him/herself from any decision related to that topic. The conflicts policy is reviewed annually by the Board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Management completes a draft of the Internal Revenue Service (IRS) Form 990 Information Return for the Mary Washington Healthcare system and its subsidiaries. At that time the review process begins and the return is submitted to the Audit and Compliance Committee of the Board for review and acceptance. The Form 990 is also provided to the Board of Trustees through the Board website for further review.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Mary Washington Eye Care Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2300 Fall Hill Ave Ste 509</AddressLine1>
          <City>Fredericksburg</City>
          <State>VA</State>
          <ZIPCode>22401</ZIPCode>
        </AddressUS>
        <EIN>271248032</EIN>
        <PrimaryActivity>Optometry</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Virginia Urgent Care LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2300 Fall Hill Avenue</AddressLine1>
          <City>Fredericksburg</City>
          <State>VA</State>
          <ZIPCode>22401</ZIPCode>
        </AddressUS>
        <EIN>364615049</EIN>
        <PrimaryActivity>Medical Srv</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Tompkins Martin Medical Plaza</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>2300 Fall Hill Ave</AddressLine1>
          <City>Fredericksburg</City>
          <State>VA</State>
          <ZIPCode>22401</ZIPCode>
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        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
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          <BusinessNameLine1>Medical Imaging of Fredericksburg</BusinessNameLine1>
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          <AddressLine1>2300 Fall Hill Ave</AddressLine1>
          <City>Fredericksburg</City>
          <State>VA</State>
          <ZIPCode>22401</ZIPCode>
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        <PrimaryActivity>Imaging</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
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          <State>VA</State>
          <ZIPCode>22401</ZIPCode>
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        <EIN>541244509</EIN>
        <PrimaryActivity>Retail Medical</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MWHC</BusinessNameLine1>
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        <ShareOfEOYAssets>2065738</ShareOfEOYAssets>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Fredericksburg Professional Risk Exchang</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2300 Fall Hill Avenue Suite 509</AddressLine1>
          <City>Fredericksburg</City>
          <State>VA</State>
          <ZIPCode>22401</ZIPCode>
        </AddressUS>
        <EIN>531095956</EIN>
        <PrimaryActivity>Captive Insurance</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MWHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>2642616</ShareOfTotalIncome>
        <ShareOfEOYAssets>32637830</ShareOfEOYAssets>
        <PercentageOwnership>0.00975</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mary Washington Healthcr Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>557435</AmountInvolved>
        <MethodOfAmtDetermination>Ind Appraisal</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Fredericksburg Professional Risk Exchang</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>390004</AmountInvolved>
        <MethodOfAmtDetermination>Ind Appraisal</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mary Washington Eye Care Center LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>47500</AmountInvolved>
        <MethodOfAmtDetermination>Ind Appraisal</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical Imaging of Fredericksburg</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>406707</AmountInvolved>
        <MethodOfAmtDetermination>Ind Appraisal</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Fredericksburg Ambulatory Surgery Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>905570</AmountInvolved>
        <MethodOfAmtDetermination>Ind Appraisal</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>