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        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CORRI SPIEGEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS GERARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL STERNER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DECKER PLOEHN</PersonNm>
        <TitleTxt>VICE-CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>737295</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2480445</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>386252</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PROFESSIONAL BILLING SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18 12TH AVE</AddressLine1Txt>
            <CityNm>Orion</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61273</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT BILLING</ServicesDesc>
        <CompensationAmt>429204</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>299487</GovernmentGrantsAmt>
      <TotalContributionsAmt>299487</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621910</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>11368862</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DISPATCHING REVENUE</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>164250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>164250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CHART HOSTING</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>179859</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>179859</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11712971</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>195</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>195</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>128680</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>19528</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>109152</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>109152</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109152</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>EMT CLASS FEES &amp; MISC</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>5512</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5512</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>5512</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12127317</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11827830</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>309722</TotalAmt>
        <ManagementAndGeneralAmt>309722</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6687891</TotalAmt>
        <ProgramServicesAmt>5938584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>749307</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>415686</TotalAmt>
        <ProgramServicesAmt>355442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60244</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>808359</TotalAmt>
        <ProgramServicesAmt>691206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117153</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>514613</TotalAmt>
        <ProgramServicesAmt>440032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74581</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>11973</TotalAmt>
        <ManagementAndGeneralAmt>11973</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>76691</TotalAmt>
        <ManagementAndGeneralAmt>76691</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>64694</TotalAmt>
        <ProgramServicesAmt>64694</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>27024</TotalAmt>
        <ProgramServicesAmt>23107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3917</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>16039</TotalAmt>
        <ProgramServicesAmt>13715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2324</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>280379</TotalAmt>
        <ProgramServicesAmt>260634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19745</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>104343</TotalAmt>
        <ProgramServicesAmt>89221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15122</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>5202</TotalAmt>
        <ProgramServicesAmt>4448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>754</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>9460</TotalAmt>
        <ProgramServicesAmt>8089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1371</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>16434</TotalAmt>
        <ProgramServicesAmt>16434</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>896195</TotalAmt>
        <ProgramServicesAmt>766312</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129883</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>324023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54919</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>AMB TAXLIC &amp; GAS &amp; OIL</Desc>
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        <ProgramServicesAmt>257507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43646</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINT</Desc>
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        <ProgramServicesAmt>278282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47166</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT BILLING</Desc>
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        <ProgramServicesAmt>467021</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>229043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38821</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>238591</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>10466385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1789890</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1785829</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1959668</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>589114</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9141796</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2720858</EOYAmt>
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        <EOYAmt>7055469</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1045364</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>583280</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1628644</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>5426825</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>5426825</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>7055469</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-128958</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="990A">
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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <IRSWrittenDeterminationInd>X</IRSWrittenDeterminationInd>
      <SupportedOrganizationsCnt>2</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
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        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>TRINITY MED CENTER</BusinessNameLine1Txt>
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        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
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        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
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        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
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        <ActivitiesEngagedOrgInvlmntInd>true</ActivitiesEngagedOrgInvlmntInd>
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    <IRS990ScheduleB documentId="990B">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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    <IRS990ScheduleC documentId="990C">
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      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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        <BookValueAmt>146786</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1619680</DepreciationAmt>
        <BookValueAmt>455245</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>4801258</DepreciationAmt>
        <BookValueAmt>2118827</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2720858</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>12127317</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>12127317</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>12127317</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>12256275</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>12256275</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROB FRIEDEN</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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        <DeferredCompRltdOrgsAmt>5348</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24788</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>428411</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JOSEPH LOHMULLER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>268651</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>3023</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>27250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>9164</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>308088</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN ROSSMILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>148912</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1449</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>3938</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22494</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>176793</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESA SUMMERS-MAIN</PersonNm>
        <TitleTxt>EXECUTIVE COMMITTEE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>328076</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>75700</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>27000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18450</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>449226</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE POSTEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>249138</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>2438</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5005</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22232</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>278813</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA FREDERIKSEN</PersonNm>
        <TitleTxt>EXEC DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>147335</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10313</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16299</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173947</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN HARTMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>562004</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1558</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5692</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22338</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>591592</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUGLAS BOLEYN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>269430</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>2156</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>3575</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22382</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>297543</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Listed persons compensation information (Part I, line 4)</FormAndLineReferenceDesc>
        <ExplanationTxt>Part IIIThe following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2022 sponsored by Genesis Health System, EIN 42-1418847, a related orgainzation: Robert W. Frieden- $70,366 and Theresa Main-$49,766. The dollar amount represents the current year contribution made by Genesis Health System on behalf of the individuals to the plan in 2022. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part I</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Officer directors etc family relationship Part VI line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System, Iowa employs eight of current Medic EMS board members/officers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was emailed to all Board members prior to submission for review and comments . Prior to final submission the 990 was reviewed with Genesis HealtSystem for the related party information included in the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>At the annual board meeting the confict of interest policy will be reviwed and board member will resign their conflict of interest statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director salary is reviewed annually by Board of Director and executive committee based upon performance and comparable salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The key employees salaries are reviewed annually by Board of Director and executive committee based upon performance and comparable salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization governing documents, conflict of interest, and financial statements are not directly provided to the general public. The board of directors include representives of various governmental units who provide the above documents to their governmental entity.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1227 E RUSHOLME DAVENPORT IA</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>528032459</ZIPCd>
        </USAddress>
        <EIN>421418847</EIN>
        <PrimaryActivitiesTxt>PROVIDES HOSPITAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
