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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20573</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1731710</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>164326</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>25</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 850737</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55485</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AGENCY NURSING</ServicesDesc>
        <CompensationAmt>4790878</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO INC &amp; AFFILIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4880 PAYSHPHERE CIRCLE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY &amp; HOUSEKEEPING SERVICES</ServicesDesc>
        <CompensationAmt>4206908</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELTA T GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 884</AddressLine1Txt>
            <CityNm>BRYN MAWR</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19010</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AGENCY NURSING</ServicesDesc>
        <CompensationAmt>1826304</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IRIS TELEHEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>114 W 7TH ST STE 900</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN GROUP - PSYCHIATRY</ServicesDesc>
        <CompensationAmt>1703011</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON DRUG COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 848442</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DRUG COMPANY</ServicesDesc>
        <CompensationAmt>1594835</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>38</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2796291</GovernmentGrantsAmt>
      <TotalContributionsAmt>2796291</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>43678316</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43678316</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEES FROM GOVERNMENT AGENCIES</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>4866127</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4866127</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMERCIAL INSURANCE AND SELF-PAY</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>534604</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>534604</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BLUE CROSS</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>267724</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>267724</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>49346771</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>983086</TotalRevenueColumnAmt>
        <ExclusionAmt>983086</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4440550</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>3253823</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3253823</TotalRevenueColumnAmt>
        <ExclusionAmt>3253823</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>TOBACCO SETTLEMENT</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>252701</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>252701</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>244077</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>244077</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DSH-PA MEDICAL ASST</Desc>
        <BusinessCd>524298</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>119150</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>615928</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>56995899</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49962699</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4236909</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1857537</TotalAmt>
        <ProgramServicesAmt>1412911</ProgramServicesAmt>
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        <FundraisingAmt>9050</FundraisingAmt>
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        <TotalAmt>22589758</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3397932</TotalAmt>
        <ProgramServicesAmt>2584591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>796786</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1327634</TotalAmt>
        <ProgramServicesAmt>1009847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311319</ManagementAndGeneralAmt>
        <FundraisingAmt>6468</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>35843</TotalAmt>
        <ManagementAndGeneralAmt>35843</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>113856</TotalAmt>
        <ManagementAndGeneralAmt>113856</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>223891</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>13301679</TotalAmt>
        <ProgramServicesAmt>11992555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1301736</ManagementAndGeneralAmt>
        <FundraisingAmt>7388</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>675963</TotalAmt>
        <ProgramServicesAmt>556094</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119869</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>45331</TotalAmt>
        <ProgramServicesAmt>36265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9066</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>546078</TotalAmt>
        <ProgramServicesAmt>546078</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3187235</TotalAmt>
        <ProgramServicesAmt>2640205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>547030</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1213688</TotalAmt>
        <ProgramServicesAmt>636262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>577426</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS</Desc>
        <TotalAmt>1788555</TotalAmt>
        <ProgramServicesAmt>1788555</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>846994</TotalAmt>
        <ProgramServicesAmt>738477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106966</ManagementAndGeneralAmt>
        <FundraisingAmt>1551</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>316155</TotalAmt>
        <ProgramServicesAmt>248687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61688</ManagementAndGeneralAmt>
        <FundraisingAmt>5780</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>256613</TotalAmt>
        <ProgramServicesAmt>256613</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>395191</TotalAmt>
        <ProgramServicesAmt>316302</ProgramServicesAmt>
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        <FundraisingAmt>49</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>52119933</TotalAmt>
        <ProgramServicesAmt>41946039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10016996</ManagementAndGeneralAmt>
        <FundraisingAmt>156898</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>970</EOYAmt>
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        <BOYAmt>8481548</BOYAmt>
        <EOYAmt>6341101</EOYAmt>
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        <EOYAmt>7760817</EOYAmt>
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        <EOYAmt>621327</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>76616532</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>31469680</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>47714569</BOYAmt>
        <EOYAmt>45146852</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>42048670</EOYAmt>
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        <BOYAmt>2981321</BOYAmt>
        <EOYAmt>1766293</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>100577611</BOYAmt>
        <EOYAmt>103686030</EOYAmt>
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        <EOYAmt>18289151</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1587862</BOYAmt>
        <EOYAmt>501206</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>24927040</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>73075010</BOYAmt>
        <EOYAmt>77790088</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>968902</BOYAmt>
        <EOYAmt>968902</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>74043912</BOYAmt>
        <EOYAmt>78758990</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>100577611</BOYAmt>
        <EOYAmt>103686030</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>4875966</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>555052</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-715940</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>79782</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>41946039</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>42025821</FilingOrganizationsTotalAmt>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
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      <AvgTotalLobbyingExpendGrp>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
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      </AvgGrassrootsNontaxableGrp>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <EndYearBalanceAmt>968902</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>968902</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>968902</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>968902</BeginningYearBalanceAmt>
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        <EndYearBalanceAmt>968902</EndYearBalanceAmt>
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        <EndYearBalanceAmt>968902</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>6400</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6400</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>53927073</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15213606</DepreciationAmt>
        <BookValueAmt>38713467</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>8995878</DepreciationAmt>
        <BookValueAmt>4294075</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1863420</DepreciationAmt>
        <BookValueAmt>593669</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>WORKER'S COMPENSATION CLAIMS</Desc>
        <Amt>146988</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCE</Desc>
        <Amt>354218</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>501206</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>56611120</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>555052</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-715940</OtherRevenueAmt>
      <RevenueNotReportedAmt>-160888</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>56772008</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>223891</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>223891</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>56995899</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>51896042</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>51896042</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>223891</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>223891</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>52119933</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TEMPORARILY RESTRICTED NET ASSETS INCLUDE FUNDS WHICH MAY BE USED PRIMARILY FOR EDUCATIONAL AND LIBRARY RELATED EXPENSES OF THE HOSPITAL. THE PERMANENTLY RESTRICTED NET ASSETS CONSIST OF INSTRUMENTS WHICH ARE TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES. THE INCOME IS REPORTED AS UNRESTRICTED INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL FILES FEDERAL FORM 990 AND NOT FORM 990T. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2022. IT IS DIFFICULT TO PREDICT THE FINAL TIMING AND RESOLUTION OF ANY PARTICULAR UNCERTAIN TAX POSITION. BASED ON THE HOSPITAL'S ASSESSMENT OF MANY FACTORS, INCLUDING PAST EXPERIENCE AND COMPLEX JUDGMENTS ABOUT FUTURE EVENTS, THE HOSPITAL DOES NOT CURRENTLY ANTICIPATE SIGNIFICANT CHANGES IN ITS TAX POSITIONS OVER THE NEXT 12 MONTHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -715,940.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>EAGLEVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: FOR THE FY 2026-2028 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN, EAGLEVILLE HOSPITAL RELIED UPON BEHAVIORAL HEALTH DATA COLLECTED BY THE 2024 NATIONAL SURVEY ON DRUG USE AND HEALTH, AND THE STRATEGIC PLAN RECENTLY RELEASED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH ADMINISTRATION FOR THE PERIOD 2023 TO 2026. ADDITIONALLY, TO ENSURE THAT OUR ASSESSMENT AND PLAN REMAIN SENSITIVE TO THE NEEDS OF OUR LOCAL COMMUNITY, WE REVIEWED PLANNING DOCUMENTS PREPARED BY MONTGOMERY COUNTY OFFICIALS INCLUDING THE COUNTY'S PUBLISHED COMMUNITY HEALTH ASSESSMENT. FOR FUTURE COMMUNITY HEALTH PLANNING, WE REMAIN COMMITTED TO WORKING CLOSELY WITH COMMUNITY LEADERS TO ENHANCE AND EXPAND OPPORTUNITIES FOR REDUCING THE IMPACT OF ADDICTION AND IMPROVING THE OVERALL MENTAL HEALTH OF OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>EAGLEVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: EAGLEVILLE HOSPITAL'S STRATEGY TO ADDRESS SIGNIFICANT NEEDSEAGLEVILLE HOSPITAL HAS IDENTIFIED THE FOLLOWING PRIMARY OPPORTUNITIES FOR IMPACTING COMMUNITY NEED IN OUR SERVICE AREA. PROGRESS ON THESE STRATEGIES AND THEIR IMPLEMENTATION ARE LISTED BELOW. COMBAT THE OPIOID CRISIS THROUGH THE EXPANSION OF TREATMENT AND RECOVERY SUPPORT SERVICES.RATIONALE: CONSUMER-FRIENDLY ACCESS TO CARE COUPLED WITH PEER SUPPORT AND REDUCED FINANCIAL BARRIERS WILL IMPROVE ACCESS TO TREATMENT. THE ORGANIZATION HAS ESTABLISHED 24-HOUR ACCESS FOR INTAKE AND ASSESSMENT TO FURTHER MOTIVATE INDIVIDUALS AND FAMILY MEMBERS TO SEEK TIMELY TREATMENT. FOR SUBSTANCE USE DISORDER (SUD) PATIENTS PRESENTING TO AREA EMERGENCY DEPARTMENTS, CONTINUED ENGAGEMENT THROUGH A WARM-HAND-OFF PROCESS AREA WILL RESULT IN MORE IMMEDIATE REFERRALS FOR FORMAL TREATMENT. (PRIORITIES 1, 2, 3, 4 AND 5).OBJECTIVES:A. CONTINUE TO ADDRESS BARRIERS TO IMPROVE ACCESS FOR LOCAL COUNTY RESIDENTS SEEKING EVENING AND WEEKEND ACCESS FOR EVALUATION AND TREATMENT. IN ADDITION TO THE EXPANSION OF HOURS, THE HOSPITAL WILL CONTINUE TO PROMOTE FURTHER ENGAGEMENT WITH COMMUNITY ACCESS SITES.B. ACTIVELY PARTNER WITH OUTSIDE ORGANIZATIONS TO FOSTER THE WARM HAND-OFF PROCESS IMMEDIATELY UPON ADMISSION TO EAGLEVILLE HOSPITAL. C. ADVANCE THE ORGANIZATIONAL STRATEGIC DIRECTION TO SUPPORT EXPANSION OF INTEGRATED SERVICES IN THE AREAS OF SUPPORTIVE HOUSING, PRIMARY CARE AND EMPLOYMENT. CURRENTLY 76% OF THE HOSPITAL'S POPULATION IS UNEMPLOYED AND OVER 50% DO NOT HAVE HOUSING. D. CONTINUE TO ENSURE THAT THE NEEDIEST ARE SERVED AND SUPPORTED BY OFFERING ACCESS TO FINANCIAL COUNSELING FOR MEDICAL ASSISTANCE APPLICATIONS. ADDRESS SERIOUS MENTAL ILLNESS (SMI) IN CONCERT WITH SUBSTANCE USE DISORDER TREATMENT AS A BEST PRACTICE.RATIONAL: MORE SUBSTANCE USE DISORDER PATIENTS ARE PRESENTING WITH SERIOUS EMOTIONAL DISORDERS REQUIRING ADVANCEMENTS IN THE INTENSITY AND SCOPE OF CARE. TREATMENT OUTCOMES ARE IMPROVED WHEN THE ASSESSMENT AND TREATMENT OF MENTAL ILLNESS/EMOTIONAL DISORDERS AND OPIATE USE DISORDER OR OTHER SUBSTANCE USE DISORDERS OCCUR SIMULTANUEOUSLY AND BY PROFESSIONALS TRAINED IN CO-OCCURING PRINCIPLES. ONGOING EDUCATIONAL RESOURCES AND TECHNICAL ASSISTANCE WILL BE BENEFICIAL TO THE SYSTEM OF CARE. (PRIORITIES 1,2,3,4&amp;5). OBJECTIVES:A. CONTINUE THE ADVANCEMENT OF EVIDENCE-BASED PRACTICES THAT ACTIVELY ENGAGE PATIENTS IN THEIR INDIVIDUALIZED TREATMENT PLAN, MEASURE AND MANAGE OUTCOMES DURING POST INPATIENT DISCHARGE AND PROVIDE BENCHMARKING STRATEGIES FOR ADVANCING TREATMENT MODALITIES SPECIFIC TO THE COMMUNITY SERVED. B. PROMOTE ENGAGEMENT IN THE STATE-MANDATED THIRTY-HOUR EDUCATIONAL PROGRAM ON CO-OCCURRING CORE COMPETENCY FOR EAGLEVILLE HOSPITAL STAFF AND THE EXTERNAL PROFESSIONAL COMMUNITY. STRENGTHENING HEALTH PRACTITIONER TRAINING AND EDUCATIONRATIONALE: THE IMPACT OF COVID-19 HAS HAD AN UNPRECEDENTED EFFECT ON THE HEALTHCARE LABOR MARKET. THIS PARADIGM SHIFT HAS CREATED A SHORTAGE OF PROFESSIONALS AND PARA-PROFESSIONALS ENTERING THE FIELD OF BEHAVIORAL HEALTH, WHICH WHEN COUPLED WITH LOW RETENTION, THREATENS THE QUALITY OF CARE AND THE EXPANSION OF RESOURCES REQUIRED TO MEET INCREASING NEEDS OF THE HEALTHCARE SYSTEM. COLLABORATION AMONG HEALTH CARE PROVIDERS, GRADUATE SCHOOL PROGRAMS, AND PROFESSIONAL CERTIFICATION BODIES IS NEEDED TO ATTRACT AND RETAIN A MORE SKILLED WORKFORCE. (PRIORITIES 3, 4 &amp; 6)OBJECTIVES:A. CONTINUE TO HOST FREE OR LOW-COST PROFESSIONAL CONFERENCES AND SEMINARS IN COLLABORATION WITH THE PENNSYLVANIA CERTIFICATION BOARD (PCB), THE MONTGOMERY COUNTY BEHAVIORAL HEALTH ADMINISTRATION, THE DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS AND LOCAL LAW ENFORCEMENT PROFESSIONALS. B. PROVIDE INTERNSHIPS AND SCHOLARSHIPS FOR BOTH UNDERGRADUATE AND GRADUATE STUDENTS AND EXISTING EMPLOYEES SEEKING DEGREES IN NURSING, SOCIAL WORK AND COUNSELING FROM AREA COLLEGES, BUILDING AN INTERNAL PIPELINE OF CANDIDATES COMMITTED TO THE FIELD WHILE SUPPORTING THE FURTHERANCE OF RETENTION.C. PROMOTE STATE-FUNDED SCHOLARSHIPS, GRANTS AND LOAN FORGIVENESS PROGRAMS DESIGNED TO MAINTAIN LONGEVITY WITHIN THE RECOVERY FIELD.D. CONTINUE TO EXPAND THE CURRENT LEVEL OF CLINICAL INTEGRATION WITH LOCAL ACADEMIC PARTNERSHIPS INVOLVING MEDICAL STUDENTS AND RESIDENCY PROGRAMS, WHICH INCLUDE THE FOLLOWING PARTNERS TEMPLE UNIVERSITY, THE UNIVERSITY OF PENNSYLVANIA, JEFFERSON HEALTH, MONTGOMERY COUNTY COMMUNITY COLLEGE, AND PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE. EAGLEVILLE HOSPITAL ALSO RECOGNIZES THE IMPORTANCE OF ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH TO EFFECTIVELY TREAT SUBSTANCE USE DISORDER. MANY OF EAGLEVILLE'S PATIENTS ARE UNHOUSED, UNEMPLOYED, SUFFER FROM FOOD INSECURITY, AND LACK ACCESS TO BASIC MEDICAL AND DENTAL CARE. THESE ISSUES CONSTITUTE MAJOR IMPEDIMENTS TO RECOVERY AND THE ABILITY OF PATIENTS TO RE-INTEGRATE INTO THE COMMUNITY. EAGLEVILLE IS CURRENTLY IDENTIFYING MEANS TO ASSIST ITS PATIENTS WITH THESE ISSUES AND EXPLORING THE DEVELOPMENT OF ADJUNCTIVE AND AFTERCARE PROGRAMS TO ASSIST PATIENTS WITH RESOLVING THESE CONCERNS AND THEIR RE-ENTRY TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>C.) EXPAND THE CURRENT LEVEL OF CLINICAL INTEGRATION WITH LOCAL</FormAndLineReferenceDesc>
        <ExplanationTxt>ACADEMIC INVOLVING MEDICAL STUDENTS AND RESIDENCY PROGRAMS. THE OBJECTIVES FOR STRENGTHENING HEALTH PRACTITIONER TRAINING AND EDUCATION ABOVE REMAIN A MAJOR PRIORITY OF THE HOSPITAL. - EAGLEVILLE HOSPITAL IS CONTINUALLY REASSESSING THE ABILITY TO IMPLEMENT PROGRAMS PREVIOUSLY OFFERED THAT WERE IMPACTED BY PANDEMIC RELATED RESTIRCTIONS: - PROVIDE INTERNSHIPS FOR STUDENTS SEEKING DEGREES IN SOCIAL WORK AND COUNSELING FROM AREA COLLEGES AND UNIVERSITIES. - PROVIDE INTERNSHIPS FOR STUDENTS SEEKING DEGREES IN SOCIAL WORK AND COUNSELING FROM AREA COLLEGES AND UNIVERSITIES.EAGLEVILLE HOSPITAL IS CURRENTLY PROVIDING INTERNSHIP EXPERIENCES FOR STUDENTS FROM MANY LOCAL COLLEGES AND UNIVERSITIES, INCLUDING BUT NOT LIMITED TO, VILLANOVA UNIVERSITY, TEMPLE UNIVERSITY, BRYN MAWR SCHOOL OF SOCIAL WORK, LA SALLE UNIVERSITY, CHESTNUT HILL COLLEGE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, DELAWARE VALLEY UNIVERSITY AND MONTGOMERY COUNTY COMMUNITY COLLEGE. - PROVIDE CLINICAL ROTATIONS FOR MEDICAL, PHYSICIAN ASSISTANT AND NURSING STUDENTS.EAGLEVILLE HOSPITAL CONTINUES TO PROVIDE A TRAINING SITE FOR CLINICAL ROTATIONS FOR STUDENTS FROM THE DISCIPLINES LISTED ABOVE. EAGLEVILLE HOSTS APPROXIMATELY 100 NURSING STUDENTS ANNUALLY. EAGLEVILLE HOSPITAL ALSO HAS MEDICAL STUDENTS AND PHYSICIAN ASSISTANT STUDENTS FROM TEMPLE UNIVERSITY, PHYSICIAN ASSISTANT STUDENTS FROM THOMAS JEFFERSON UNIVERSITY AND VILLANOVA UNIVERSITY AND CERTIFIED REGISTERED NURSE PRACTITIONER STUDENTS FROM LASALLE UNIVERSITY.EAGLEVILLE HOSPITAL WILL CONTINUE TO PROVIDE MEETING SPACE FOR SEVERAL SELF-HELP GROUPS TO HOST THEIR WEEKLY COMMUNITY BASED MEETINGS. ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, COCAINE ANONYMOUS AND NAR-ANON HOLD MEETINGS ON A NIGHTLY BASIS ON THE CAMPUS.EAGLEVILLE IS WORKING WITH MEMBERS OF THE LOCAL RECOVERY COMMUNITY INCLUDING OUR ALUMNI TO INCREASE MEETINGS ON SITE AND OFFER USE OF EAGLEVILLE FACILITIES FOR RECOVERY BASED ACTIVITIES.IN THE SPIRIT OF BUILDING ADDITIONAL PARTNERSHIPS TO BETTER SERVE OUR PATIENT COMMUNITY, EAGLEVILLE MAKES A SIGNIFICANT INVESTMENT IN STAFFING AN ACTIVE CASE MANAGEMENT DEPARTMENT, AND IDENTIFYING AFTERCARE RESOURCES. EAGLEVILLE HOSPITAL'S CASE MANAGEMENT DEPARTMENT AND ADMISSIONS DEPARTMENT CONTINUE TO REACH OUT TO COMMUNITY PROVIDERS TO FORM RECIPROCAL RELATIONSHIPS IN THE COMMUNITIES WE SERVE. SINCE 2020 OUR PHILADELPHIA REFERRALS INCREASED DRAMATICALLY AND THEREFORE WE HAVE WORKED TO CONNECT WITH MORE PROVIDERS IN THE CITY, INCLUDING FEDERALLY QUALIFIED HEALTH CENTER'S (FQHCS), IN ORDER TO PROVIDE OUR PATIENTS WITH THE MOST COMPREHENSIVE, AFFORDABLE AND CONVENIENT AFTER CARE. WE HAVE ALSO PROVIDED OUR INFORMATION TO ALLOW FOR A SMOOTH TRANSFER TO HIGHER LEVEL OF CARE WHEN INDICATED. CLINICAL STAFF HAVE STARTED TO HOST ONSITE MEETINGS WITH REFERRAL SOURCES, AS WELL AS PLAN TO VISIT REFERRAL SOURCES TO BUILD A STRONGER RELATIONSHIP AND WORK TO HAVE SEAMLESS REFERRAL PLANNING FOR OUR PATIENTS.COMMUNITY NEEDS UNABLE TO BE ADDRESSEDEAGLEVILLE HOSPITAL ACKNOWLEDGES THE BREADTH OF SERVICES AND HUMAN SERVICE NEEDS REQUIRED BY COUNTY RESIDENTS, THE HOSPITAL'S INPATIENT TREATMENT RESOURCE ARE DEDICATED TO ADDICTION AND MENTAL HEALTH TREATMENT. WHERE THE HOSPITAL CANNOT PROVIDE OUTPATIENT TREATMENT, OR LICENSED/ CERTIFIED RESOURCES SUCH AS SUPPORTED EDUCATION AND SUPPORTIVE HOUSING, STAFF REMAIN AWARE OF THE NECESSITY TO PROVIDE PERSONS IN RECOVERY WITH A BROAD BASE OF COMMUNITY RESOURCES, INCLUDING RECOVERY AND HALFWAY HOUSES, CASE MANAGEMENT AND OUTPATIENT TREATMENT. PATIENTS OF ALL AGES ACCESS THESE SERVICES THROUGH A LARGE NETWORK OF REFERRAL AGENCIES. WHERE POSSIBLE, PATIENTS ARE INTRODUCED TO OPPORTUNITIES TO RECEIVE THEIR GED, AND CONNECT WITH THE LOCAL COMMUNITY COLLEGE, VOCATIONAL TRAINING IN MONTGOMERY COUNTY THROUGH SOAR (SKILLS, OPPORTUNITIES, ACHIEVEMENT, AND RESPONSIBILITY) AND OIC (OPPORTUNITIES INDUSTRIALIZATION CENTERS).THE HOSPITAL IS CAPABLE OF PROVIDING INPATIENT DETOXIFICATION AND REHABILITATION AS WELL AS INPATIENT PSYCHIATRIC CARE FOR BOTH MEN AND WOMEN. THE HOSPITAL WELCOMES THE OPPORTUNITY TO ENGAGE WITH OUTREACH STAFF EMPLOYED BY COUNTY AGENCIES FOR THE EXPRESSED PURPOSE OF TEACHING OLDER MEDICALLY ISOLATED POPULATION; SOME OF WHOM MAY NEED INPATIENT CARE AT EAGLEVILLE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE EAGLEVILLE HOSPITAL TAKES SERIOUSLY ITS LONG-STANDING COMMITMENT TO THE COMMUNITY IN THIS REGION AND TO INDIVIDUALS WHO RECEIVE CARE, THE STAFF ENGAGES IN A BROAD RANGE OF ACTIVITIES TO PROMOTE THE HEALTH OF THE PEOPLE AND COMMUNITIES SERVED. AT THE STATE LEVEL, THE HOSPITAL PARTICIPATES IN A VARIETY OF ADVOCACY AND POLICY DEVELOPMENT ACTIVITIES. HOSPITAL STAFF MEMBERS HAVE BEEN INVOLVED IN TASK FORCES AND WORK GROUPS AT THE INVITATION OF THE PENNSYLVANIA DEPARTMENT OF HEALTH BUREAU OF DRUG AND ALCOHOL PROGRAMS, THE PENNSYLVANIA DEPARTMENT OF WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THE PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY, IN ADDITION THE EXTENSIVE WORK WITH THE ORGANIZATIONS LISTED IN THE NEEDS ASSESSMENT SECTION.AT THE COUNTY AND LOCAL LEVELS, EAGLEVILLE HOSPITAL STAFF MEMBERS HAVE WORKED WITH THE MONTGOMERY COUNTY SUICIDE PREVENTION WORK GROUP, THE MONTGOMERY COUNTY FORENSIC WORK GROUP, THE CITY OF PHILADELPHIA FORENSIC TASK FORCE, THE CITY OF PHILADELPHIA FIR/IPP EXECUTIVE COMMITTEE, AND BOTH THE MONTGOMERY AND DELAWARE COUNTY INTEGRATED DUAL DIAGNOSIS WORK GROUPS. EAGLEVILLE PROVIDES SPEAKERS TO LOCAL SCHOOL SYSTEMS, COMMUNITY GROUPS AND TREATMENT PROVIDERS ON A VARIETY OF TOPICS RELATED TO BEHAVIORAL HEALTH CONDITIONS.EAGLEVILLE HOSPITAL RECOGNIZES THE RESPONSIBILITY THAT COMES WITH THE UNIQUE ARRAY OF CAPABILITY, EXPERIENCE, SERVICES AND IMPRESSIVE HUNDRED-YEAR HISTORY. IT IS IN THIS SPIRIT THAT EAGLEVILLE HOSPITAL CONTINUOUSLY ASSESSES THE HEALTH CARE NEEDS OF THOSE SERVED, DEVELOPS PROGRAMMING AND SERVICES TO ADDRESS THOSE NEEDS, INFORM PATIENTS OF THE AVAILABLE MEANS TO ACCESS SERVICES, PARTNER EFFECTIVELY THROUGHOUT THECOMMUNITIES AND POPULATIONS SERVED, AND HELP TO PROMOTE THE HEALTH OF THOSE COMMUNITIES THROUGH POLICY ENGAGEMENT, BEST PRACTICES, TRAINING AND PROFESSIONAL DEVELOPMENT.OVER THE PAST FEW YEARS,FOR EXAMPLE, MULTIPLE COMMUNITY NEEDS HAVE PRESENTED OPPORTUNITIES FOR EAGLEVILLE TO STEP IN AND PROVIDE MUCH NEEDED SERVICES.IN OUR ONGOING EFFORT TO BE A GOOD PARTNER TO MONTGOMERY COUNTY EMERGENCY SERVICES (MCES), EAGLEVILLE ACTED QUICKLY ON A REQUEST TO HOUSE CAROL'S PLACE ON THE EAGLEVILLE CAMPUS. CAROL'S PLACE IS THE MCES CRISIS RESIDENTIAL PROGRAM.EAGLEVILLE ALSO OPENED THE LONG-TERM RESIDENTIAL TREATMENT PROGRAM, DESIGNED FOR ADULTS AGES 18 AND UP WITH SERIOUS AND PERSISTENT MENTAL ILLNESS REQUIRING A SECURE AND STRUCTURED ENVIRONMENT WITH 24-HOUR STAFFING. THE INDIVIDUALS PARTICIPATING IN THIS PROGRAM HAVE BEEN TRANSFERRED, AFTER EXTENDED STAYS, TO PROGRAMS AT A HIGHER LEVEL OF CARE WITH THE ULTIMATE GOAL BEING A SLOW, GENTLE TRANSITION BACK INTO THE COMMUNITY OR TO LESS STRUCTURED ENVIRONMENTS ONCE THE RESIDENT IS PREPARED TO BE SUCCESSFUL THERE.EAGLEVILLE WILL CONTINUE TO WORK WITH LOCAL LAW ENFORCEMENT AGENCIES TO PROVIDE IMMEDIATE ACCESS TO CARE FOR INDIVIDUALS DIVERTED FROM ARREST DUE TO SUBSTANCE USE DISORDERS THROUGH THE LAW ENFORCEMENT TREATMENT INITIATIVE (LETI PROGRAM).EAGLEVILLE HAS ALSO PARTNERED WITH PHILADELPHIA ACUTE CARE HOSPITALS AS WELL AS COMMUNITY BEHAVIORAL HEALTH AGENCIES AND FACILITIES TO PROVIDE A MUCH- NEEDED INPATIENT TREATMENT RESOURCE FOR INDIVIDUALS WHO HAVE SUBSTANCE USE DISORDERS AND COMORBID MEDICAL CONDITIONS REQUIRING IV ANTIBIOTICS AND WOUND CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL MAINTAINS ALLOWANCES FOR CREDIT LOSSES FOR ESTIMATED LOSSES RESULTING FROM THE INABILITY OF ITS CUSTOMERS TO MAKE REQUIRED PAYMENTS. MANAGEMENT EVALUATES ITS HISTORICAL LOSS EXPERIENCE AND APPLIES THIS HISTORICAL LOSS RATIO TO FINANCIAL ASSETS WITH SIMILAR CHARACTERISTICS. THE HOSPITAL'S HISTORICAL LOSS RATIO OR ITS DETERMINATION OF RISK POOLS MAY BE ADJUSTED FOR CHANGES IN CUSTOMER, ECONOMIC, MARKET OR OTHER CIRCUMSTANCES. SIGNIFICANT PAST DUE BALANCES OVER 240 DAYS AND OTHER HIGHER RISK AMOUNTS ARE REVIEWED INDIVIDUALLY FOR COLLECTABILITY BASED ON THE FOLLOWING CUSTOMER SPECIFIC FACTORS: CUSTOMER CREDIT-WORTHINESS, PAST TRANSACTION HISTORY WITH THE CUSTOMER, CURRENT ECONOMIC INDUSTRY TRENDS, AND CHANGES IN CUSTOMER PAYMENT TERMS. IF THE FINANCIAL CONDITION OF THE HOSPITAL'S CUSTOMERS WERE TO DETERIORATE, ADVERSELY AFFECTING THEIR ABILITY TO MAKE PAYMENTS, ADDITIONAL ALLOWANCES WOULD BE REQUIRED. BASED ON MANAGEMENT'S ASSESSMENT, THE HOSPITAL PROVIDES FOR ESTIMATED UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE. BALANCES THAT REMAIN OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLECOLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COST REPORT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOCATED IN SOUTHEASTERN PENNSYLVANIA FOR THE PAST CENTURY, EAGLEVILLE HOSPITAL IS A HIGHLY RESPECTED AND CUTTING-EDGE REGIONAL PROVIDER OF BEHAVIORAL HEALTH TREATMENT SERVICES FOR ADULTS. APPROXIMATELY 90% OF ITS PATIENTS SERVED RECEIVE PUBLIC FUNDING FOR THEIR TREATMENT. PUBLIC FUNDING INCLUDES MEDICARE, MEDICAID AND COUNTY FUNDING FOR UNINSURED AND UNDER-INSURED INDIVIDUALS. IT IS CRITICAL THAT THE HOSPITAL REMAIN ABREAST OF THE CURRENT TRENDS IN REGIONAL BEHAVIORAL HEALTH NEEDS TO BEST SERVE THE PATIENTS BY DESIGNING RESPONSIVE AND EFFECTIVE PROGRAMS. TO ENSURE THIS KNOWLEDGE BASE, EAGLEVILLE HOSPITAL STAFF MEMBERS ACTIVELY PARTICIPATE IN THE PENNSYLVANIA REHABILITATION AND COMMUNITY PROVIDERS ASSOCIATION, THE PENNSYLVANIA CERTIFICATION BOARD, THE DRUG AND ALCOHOL SERVICE PROVIDERS ASSOCIATION OF PENNSYLVANIA.TO BEST SERVE THE MEDICARE-FUNDED POPULATION, EAGLEVILLE HOSPITAL ALSO PAYS CLOSE ATTENTION TO THE BEHAVIORAL HEALTH NEEDS OF ELDERLY AND DISABLED INDIVIDUALS COVERED BY MEDICARE. THE ADMISSION DEPARTMENT HAS DEVELOPED A BROAD NETWORK OF CONTACTS WITH GENERAL HOSPITALS, PSYCHIATRIC HOSPITALS, NURSING HOMES, ASSISTED LIVING FACILITIES, GERIATRIC GROUP PRACTICES, COUNTY OFFICES ON AGING AND THE PENNSYLVANIA COALITION ON AGING. EAGLEVILLE HOSPITAL OPERATES HOSPITAL AND NON-HOSPITAL LEVEL PROGRAMS FOR BOTH SUBSTANCE USE DISORDERS AND MENTAL DISORDERS IN RESPONSE TO THE IDENTIFIED NEEDS.ALL MEDICAID RECIPIENTS IN PENNSYLVANIA PARTICIPATE IN HEALTH CHOICES, A PROGRAM STRONGLY CONCERNED WITH THE AVAILABILITY OF PROGRAMMING DESIGNED TO MEET THE NEEDS OF INDIVIDUALS WITH CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS. EAGLEVILLE HOSPITAL CONTINUES TO EXPAND ITS CAPABILITY TO PROVIDE INTEGRATED TREATMENT OF CO-OCCURRING DISORDERS IN RESPONSE TO IDENTIFIED NEEDS. EAGLEVILLE HOSPITAL FREQUENTLY RESPONDS TO REQUESTS FOR PROPOSALS ISSUED BY THE HEALTH CHOICES MANAGED CARE ORGANIZATIONS AND DEVELOPS PROGRAMMING CONSISTENT WITH THE NEEDS IDENTIFIED BY THESE ORGANIZATIONS.EAGLEVILLE HOSPITAL PERFORMS ROUTINE PATIENT SATISFACTION SURVEYS AND FOCUS GROUPS WITH ITS PATIENT POPULATION. IN RESPONSE TO HESE FINDINGS, EAGLEVILLE MODIFIES ITS PROGRAMMING IN ORDER TO MEET RECOGNIZED PATIENT AND COMMUNITY NEEDS. EAGLEVILLE HOSPITAL RESPONDS TO REQUESTS FOR PROPOSALS ISSUED BY NUMEROUS SINGLE COUNTY AUTHORITIES, WHICH PROVIDE FUNDING FOR UNINSURED AND UNDER INSURED SUBSTANCE USERS, IN RESPONSE TO NEEDS IDENTIFIED THROUGH THESE COUNTIES' NEEDS ASSESSMENT PROCESSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VERY NETWORKS THROUGH WHICH THE HOSPITAL STAYS INFORMED OF AND RESPONSIVE TO COMMUNITY NEEDS ALSO PROVIDE CHANNELS THROUGH WHICH PATIENT EDUCATION AND INFORMATION IS SHARED. THE HOSPITALS, NURSING HOMES, MEDICAL PRACTICES AND COUNTY OFFICES, AMONG OTHERS, HAVE PROVEN EFFECTIVE PARTNERS IN HELPING EAGLEVILLE REACH INDIVIDUALS WHO CAN BENEFIT FROM IT'S PROGRAMS. THEY ALSO HAVE BEEN SUCCESSFUL IN INFORMING INDIVIDUALS NEEDING SERVICES OF EAGLEVILLE'S SERVICES AND PROGRAMS AND IDENTIFYING SOURCES OF FUNDING TO ENABLE THEIR ACCESS TO TREATMENT. EAGLEVILLE HOSPITAL PARTICIPATES IN MANY COMMUNITY-BASED RESOURCE, HEALTH AND AWARENESS FAIRS AND TREATMENT DIRECTORIES (E.G., SHATTERPROOF AND SAMHSA'S FINDTREATMENT.GOV) TO PROVIDE PROGRAM INFORMATION AND RESOURCES TO INDIVIDUALS SEEKING TREATMENT. THROUGH ITS PARTICIPATION IN SUCH COMMUNITY SETTINGS, EAGLEVILLE HAS BEEN ABLE TO DEVELOP ADVANTAGEOUS COLLABORATIVE RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS. EAGLEVILLE'S THERAPEUTIC AND MEDICAL PERSONNEL PROVIDE ASSISTANCE TO INDIVIDUAL PATIENTS IN NEED OF COMMUNITY RESOURCES BY IDENTIFYING PROGRAMS AND ASSSISTING THEM TO NAVIGATE COMMUNITY RESOURCES SO THEY CAN OBTAIN SERVICES TO MEET THEIR NEEDS. PATIENTS PRESENTING WITHOUT BENEFIT OF THIRD-PARTY COVERAGE OR IN NEED OF FINANCIAL ASSISTANCE ARE REFERRED TO A DESIGNATED EAGLEVILLE FINANCIAL COUNSELOR WHO WORKS DIRECTLY WITH THE INDIVIDUAL TO OBTAIN COVERAGE THROUGH A COUNTY, STATE OR OTHER RESOURCE OR TO ESTABLISH ELIGIBILITY FOR EAGLEVILLE'S CHARITY CARE PROGRAM. IN MOST CASES, THIS INVOLVES A COLLABORATIVE EFFORT WITH THE UNIT BEHAVIORAL CARE COORDINATOR AND, WITH THE PATIENT'S CONSENT, A DESIGNEE, SUCH AS A FAMILY MEMBER CONTRIBUTING INFORMATION. THE ASSIGNED FINANCIAL COUNSELOR WILL REVIEW ALL DATA, ASSESS, PROCESS, AND ORCHESTRATE SUBMISSION TO ALL APPLICABLE RESOURCES FOR FUNDING ON BEHALF OF THE PATIENT IN ACCORDANCE WITH HOSPITAL POLICIES AND THE PATIENT HANDBOOK PROVIDED AT THE TIME OF ADMISSION OR AVAILABLE ON OUR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>EAGLEVILLE HOSPITAL SERVES A RANGE OF GEOGRAPHIC COMMUNITIES AND PATIENT POPULATIONS. THE HOSPITAL DRAWS THE MEDICARE POPULATION PRIMARILY FROM PENNSYLVANIA, BUT ALSO REGULARLY SERVES RESIDENTS OF OTHER PROXIMATE STATES SUCH AS DELAWARE, NEW JERSEY, NEW YORK AND MARYLAND.THE MAJORITY OF PATIENTS SERVED BY EAGLEVILLE HOSPITAL COME FROM THE CITY OF PHILADELPHIA. THE SECOND LARGEST SOURCE OF ADMISSIONS IS MONTGOMERY COUNTY. THE HOSPITAL, HOWEVER, RECEIVES MANY REFERRALS FROM THROUGHOUT PENNSYLVANIA BECAUSE, AS A SPECIALTY SERVICE PROVIDER, IT HAS THE DISTINCTIVE ABILITY TO PROVIDE HOSPITAL-LEVEL SERVICES AND INTEGRATED CO-OCCURRING TREATMENT SERVICES. THE SINGLE COUNTY AUTHORITIES IN PENNSYLVANIA RELY ON EAGLEVILLE HOSPITAL, SINCE VERY FEW FACILITIES OFFER HOSPITAL-LEVEL SUBSTANCE USE DISORDER TREATMENT. FOR SOME OF THESE COUNTIES, EAGLEVILLE HOSPITAL IS THE ONLY HOSPITAL-LEVEL FACILITY OR INTEGRATED CO-OCCURRING FACILITY WITHIN SEVERAL HOURS' DRIVE, MAKING THE HOSPITAL A CRITICAL COMMUNITY RESOURCE. FURTHERMORE, THE MAJORITY OF INDIVIDUALS SERVED BY EAGLEVILLE ARE ECONOMICALLY DISADVANTAGED AND MANY STRUGGLE WITH CHRONIC DISABILITIES. EAGLEVILLE HOSPITAL PROVIDES CHARITY CARE WHEN FUNDING IS NOT AVAILABLE AND MEDICAL NECESSITY EXISTS. GIVEN THE CURRENT STATE OF THE ECONOMY, THIS POPULATION IS EXPANDING. AN INCREASING NUMBER OF PREVIOUSLY INSURED INDIVIDUALS NO LONGER HAVE THE MEANS TO PURCHASE COMMERCIAL INSURANCE YET DO NOT QUALIFY FOR PUBLIC BENEFITS INCLUDING MEDICARE, MEDICAID OR SINGLE COUNTY AUTHORITY FUNDING. THE HOSPITAL ALSO INCREASINGLY SERVES YOUNG ADULTS WITH NO HEALTH INSURANCE, NO BEHAVIORAL HEALTH BENEFITS AND NO FINANCIAL ABILITY TO PAY FOR CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>ELENA KARZOVA</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>WILLIAM R KEENAN</PersonNm>
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        <PersonNm>MARY ELLEN MCLAUGHLIN</PersonNm>
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        <PersonNm>DENISE HENNESSEY</PersonNm>
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        <PurposeDesc>FINANCE A PORTION OF THE CAPITAL PROJECT - EXPANSION OF THE HOSPITAL CAMPUS</PurposeDesc>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1: DESCRIPTION OF ORGANIZATION'S MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE COMPREHENSIVE, HIGH QUALITY SERVICES RELATED TO ADDICTION, CO-OCCURRING DISORDERS AND OTHER BEHAVIORAL HEALTH PROBLEMS THROUGH EAGLEVILLE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE I: DESCRIPTION OF ORGANIZATION'S MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES QUALITY INPATIENT AND RESIDENTIAL TREATMENT FOR SUBSTANCE ABUSE, MEDICAL, PSYCHOLOGICAL, PSYCHIATRIC, AND CO-OCCURRING DISORDERS. THE HOSPITAL ALSO PROVIDES RELATED RESEARCH, TRAINING AND EDUCATIONAL SERVICES TO PROFESSIONAL AND LOCAL COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE ORGANIZATION IS EAGLEVILLE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EAGLEVILLE FOUNDATION ELECTS AND APPROVES MEMBERS OF EAGLEVILLE HOSPITAL'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DECISIONS OF THE ORGANIZATION'S GOVERNING BODY ARE SUBJECT TO APPROVAL BY EAGLEVILLE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN THE AUDIT COMMITTEE AND APPROVED BY THE COMMITTEE. THE COMMITTEE THEN PROVIDES A COPY OF THE FORM 990 TO THE GOVERNING BODY FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT EACH YEAR. THE POLICY IS REGULARLY MONITORED BY THE COMPLIANCE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERSONNEL COMMITTEE IN CONJUCTION WITH THE FULL BOARD COMPLETES AN EXTENSIVE REVIEW OF THE CEO COMPENSATION ON A CYLCICAL BASIS, USING COMPARATIVE INDUSTRY COMPENSATION DATA AS WELL AS OVERALL MISSION PERFORMANCE AS PRIMARY CRITERIA TO FINALIZE AND APPROVE THE LEVEL OF CEO COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>EAGLEVILLE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>ADMINISTRATION CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 99,290. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,290. ADMISSIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 107,329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,329. FINANCE CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 456,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 456,031. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 1,107,738. MANAGEMENT AND GENERAL EXPENSES 229,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,337,253. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 189,575. MANAGEMENT AND GENERAL EXPENSES 164,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 354,567. INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES 931,736. MANAGEMENT AND GENERAL EXPENSES 49,635. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 981,371. LABORATORY: PROGRAM SERVICE EXPENSES 166,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,164. MARKETING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 103,414. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,414. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,335,150. MANAGEMENT AND GENERAL EXPENSES 1,703. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,336,853. NURSING - ADMINISTRATION: PROGRAM SERVICE EXPENSES 12,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,915. NUTRITION: PROGRAM SERVICE EXPENSES 2,893,244. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,893,244. OPERATION PLANT: PROGRAM SERVICE EXPENSES 359,903. MANAGEMENT AND GENERAL EXPENSES 74,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 434,472. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 62,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,752. OTHER PURCHASED SERVICES - RADIOLOGY: PROGRAM SERVICE EXPENSES 107,178. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,178. PATIENT ACCOUNTING: PROGRAM SERVICE EXPENSES 270,518. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 270,518. PERFORMANCE IMPROVEMENT: PROGRAM SERVICE EXPENSES 26,663. MANAGEMENT AND GENERAL EXPENSES 9,406. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,069. PHARMACY: PROGRAM SERVICE EXPENSES 1,270,101. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,270,101. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 78,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,084. DEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 7,388. TOTAL EXPENSES 7,388. PSYCHIATRIST SERVICES: PROGRAM SERVICE EXPENSES 2,180,834. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,180,834. ADMINISTRATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,852. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,852.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -715,940.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT MAKE ANY CHANGES IN ITS OVERSIGHT PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINES 7G &amp; 7H</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EAGLEVILLE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 45 100 EAGLEVILLE ROAD</AddressLine1Txt>
          <CityNm>EAGLEVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19043</ZIPCd>
        </USAddress>
        <EIN>222565791</EIN>
        <PrimaryActivitiesTxt>SUPPORT EAGLEVILLE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EAGLEVILLE HOSPITAL WORKERS COMPENSATION TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 45 100 EAGLEVILLE ROAD</AddressLine1Txt>
          <CityNm>EAGLEVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19043</ZIPCd>
        </USAddress>
        <EIN>237740057</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION OF EAGLEVILLE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EAGLEVILLE HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>