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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3987555</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3987555</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2759257</TotalAmt>
        <ProgramServicesAmt>2678927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80330</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>231104</TotalAmt>
        <ProgramServicesAmt>224379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6725</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>174385</TotalAmt>
        <ProgramServicesAmt>169310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5075</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>492</TotalAmt>
        <ManagementAndGeneralAmt>492</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>55646</TotalAmt>
        <ProgramServicesAmt>20250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35396</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>44123</TotalAmt>
        <ProgramServicesAmt>44123</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>25430</TotalAmt>
        <ProgramServicesAmt>8570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16860</ManagementAndGeneralAmt>
      </TravelGrp>
      <InsuranceGrp>
        <TotalAmt>39887</TotalAmt>
        <ProgramServicesAmt>39887</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>85991</TotalAmt>
        <ProgramServicesAmt>85991</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>75979</TotalAmt>
        <ProgramServicesAmt>48299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27680</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Purchased Services</Desc>
        <TotalAmt>28124</TotalAmt>
        <ProgramServicesAmt>28124</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Provider and Sales Tax</Desc>
        <TotalAmt>18083</TotalAmt>
        <ManagementAndGeneralAmt>18083</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>10726</TotalAmt>
        <ProgramServicesAmt>6753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3973</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>3549227</TotalAmt>
        <ProgramServicesAmt>3354613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194614</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>600</BOYAmt>
        <EOYAmt>600</EOYAmt>
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        <EOYAmt>836521</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>10033</EOYAmt>
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        <BOYAmt>543900</BOYAmt>
        <EOYAmt>847154</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>183457</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>149071</BOYAmt>
        <EOYAmt>183457</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>394829</BOYAmt>
        <EOYAmt>663697</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>394829</BOYAmt>
        <EOYAmt>663697</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>543900</BOYAmt>
        <EOYAmt>847154</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>438328</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-169460</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10272</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10272</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>197064</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>187031</DepreciationAmt>
        <BookValueAmt>10033</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>10033</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>With few exceptions, neither Valley Health Systems, Inc. nor any of its affiliates are subject to US federal or state income tax examinations for the years prior to the fiscal year ended May 31, 2020. Management determined that the System had no uncertain tax positions in 2023 and 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>1</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edward Moran</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>19807</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13185</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270720</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel Brody</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>238760</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7357</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14711</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>260828</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Korey Mitchell</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9061</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14019</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232696</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ellen Newhouse</PersonNm>
        <TitleTxt>NP</TitleTxt>
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        <BonusFilingOrganizationAmount>28631</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Cantrell</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6192</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>176932</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>It is common for the physicians' contracts to state that their incentive compensation is based on revenues posted related to that physician's services and performance. Most of the physicians listed have revenues attached to this organization only, but as some of them practice at related organizations, a review of their revenues in total (and not just specifically to this organization) is necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE MANAGEMENT AND THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF VALLEY HEALTH SYSTEMS, INC., THE CONTROLLING ORGANIZATION, PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF VALLEY HEALTH SYSTEMS, INC., THE CONTROLLING ORGANIZATION, AND EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT ON AN ANNUAL BASIS CONFIRMING THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATIONAL SUBSIDY TO/FROM AFFILIATE -169,460.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS BY WHICH OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS IS ASSUMED HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3377 US ROUTE 60</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25705</ZIPCd>
        </USAddress>
        <EIN>550554001</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170(B)(1) (A)(III)</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRANT MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>308 MAIN STREET EAST</AddressLine1Txt>
          <CityNm>MILTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25541</ZIPCd>
        </USAddress>
        <EIN>510156065</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>170(B)(1) (A)(III)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HARTS HEALTH CLINIC INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22 FLEMING DRIVE</AddressLine1Txt>
          <CityNm>HARTS</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25524</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>170(B)(1) (A)(III)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUCH INC</BusinessNameLine1Txt>
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          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPPER KANAWHA HEALTH ASSOCIATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX F</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        </USAddress>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
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          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEMS INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
