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      <Form990PartVIISectionAGrp>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK ANDERSON</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      </IncmFromInvestBondProceedsGrp>
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      <NetIncomeFromGamingGrp>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <CompDisqualPersonsGrp>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>237624</TotalAmt>
        <ProgramServicesAmt>237624</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <InvestmentEarningsOrLossesAmt>-527</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>4675</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>60992</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
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      <RelatedOrgListSchRInd>false</RelatedOrgListSchRInd>
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        <BookValueAmt>5000</BookValueAmt>
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      <BuildingsGrp>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>363192</BookValueAmt>
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      <RevenueNotReportedFinclStmtAmt>-23117</RevenueNotReportedFinclStmtAmt>
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      <TotalExpensesPerForm990Amt>8818519</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>FUTURE RETENTION OF PHYSCIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD $1371949</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES $23117 COST OF GOODS SOLD $1371949</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="22015553" softwareVersionNum="2022v5.0">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE HANSEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>232601</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15625</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9388</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257614</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER DELFS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>196065</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13872</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41444</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>251381</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATE SURBAUGH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>116435</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8047</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35788</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>160270</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KURT FARCHMIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>14134</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SAMPSON</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14207</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8600</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228899</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL TERRILL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>236694</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16425</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35064</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>288183</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22015553" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS ANNUALLY PROVIDED TO THE SMC'S GOVERNING BOARD FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL AUDIT. ANNUALLY, THE SMC'S CFO AND CEO SUMMARIZE AND REVIEW THEM WITH THE SMC'S FINANCE COMMITTEE. THIS COMMITTEE THEN BRINGS IT TO THE FULL BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>SMC'S PERSONNEL HANDBOOK AND BY-LAWS INCLUDE A CONFLICT OF INTEREST POLICY THAT MUST BE FOLLOWED BY STAFF AND THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF SMC'S CEO AND OTHER KEY EMPLOYEES, THE SMC BOARD OF DIRECTOR'S PERSONNEL COMMITTEE REVIEWS COMPARABILITY DATA (BOTH REGIONAL AND NATIONAL) PRIOR TO FINAL ANNUAL COMPENSATION DECISIONS; THIS DECISION MAKING PROCESS/DELIBERATION AND FINAL DECISION IS DOCUMENTED VIA PERSONNEL COMMITTEE MEETING MINUTES AND RETAINED IN THE PERSONNEL FILE CABINET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF SMC'S CEO AND OTHER KEY EMPLOYEES, THE SMC BOARD OF DIRECTOR'S PERSONNEL COMMITTEE REVIEWS COMPARABILITY DATA (BOTH REGIONAL AND NATIONAL) PRIOR TO FINAL ANNUAL COMPENSATION DECISIONS; THIS DECISION MAKING PROCESS/DELIBERATION AND FINAL DECISION IS DOCUMENTED VIA PERSONNEL COMMITTEE MEETING MINUTES AND RETAINED IN THE PERSONNEL FILE CABINET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SMC MAKES NO DOCUMENTS AVAILABLE TO THE PUBLIC; SHOULD ANYONE WANT TO VIEW THEM, THEY ARE ACCESSIBLE BY COMING TO THE SMC AND ASKING TO VIEW THEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
