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        <ExplanationTxt>Kettering Adventist Healthcare is the parent organization of Kettering Health which includes the supported hospitals reflected in Schedule A, Part I. As the parent organization, Kettering Adventist Healthcare coordinates the administrative and strategic tasks of the hospitals, providing a continuity in the operations which benefits their respective exempt missions. Kettering Adventist Healthcare board members also serve as board members for each of the hospitals, along with community volunteers, to provide consistent and efficient management and leadership. All of the activities of Kettering Adventist Healthcare are directed towards the improvement of healthcare for all of the communities within the 9-county area served by 9 hospital facilities within Kettering Health.</ExplanationTxt>
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        <ExplanationTxt>The services that Kettering Adventist Healthcare provides are in support of the services that the supported organizations would have done in each organization in order to operate efficiently. The provision of management services, strategic investments in healthcare providers, recruitment of medical staff, coordination of the capital investments in facilities, and financing of such facilities is improved through the coordination of efforts by Kettering Adventist Healthcare. Without such coordination, each of the supported hospital organizations would have to make separate investments in each activity.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section E, Line 3a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of trustees of Kettering Adventist Healthcare reserves the power to appoint a majority of the members of the board of trustees for each of the supported organizations.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section E, Line 3b</FormAndLineReferenceDesc>
        <ExplanationTxt>Kettering Adventist Healthcare exercises a substantial degree of control over the supported organizations by appointing board members who are knowledgeable in the overall strategic direction of Kettering Health. In addition, Kettering Adventist Healthcare also provides overall management, strategic, and capital direction. The investment of working capital and long-term investment funds are also coordinated through Kettering Adventist Healthcare. As part of its long-term strategy, Kettering Adventist Healthcare also coordinates the investment of long-term exempt financing to facilitate the construction of new facilities, consistent with the efficient investment in healthcare projects to provide access to all members of the community while avoiding duplicative capital investments.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <OtherAssetsOrgGrp>
        <Desc>Retirement plans assets</Desc>
        <BookValueAmt>2963710</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2963710</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
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        <Amt>2695303</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Retirement plans liabilities</Desc>
        <Amt>2963710</Amt>
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      <TotalLiabilityAmt>5659013</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The System completed an analysis of its certain and uncertain tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2022 or 2021.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
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        <RegionTxt>Europe (Including Iceland &amp; Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investment in captive insurance company</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1698765</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>1698765</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>1698765</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Accounting Method:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <PersonalServicesInd>X</PersonalServicesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>Manchur Fred</PersonNm>
        <TitleTxt>CEO - KH until Dec 22</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>16387</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>30232</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>1216557</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>EVP Chief Administration Officer unt</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>265356</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2160</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16387</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>44851</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1209564</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mewhirter Michael</PersonNm>
        <TitleTxt>KH CFO until Nov 22, Interim CEO unt</TitleTxt>
        <BaseCompensationFilingOrgAmt>817010</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>189750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6586</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>83432</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29584</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1126362</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TitleTxt>EVP Mission, Brand &amp; People</TitleTxt>
        <BaseCompensationFilingOrgAmt>646347</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>73587</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>630362</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22292</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>692005</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ko Tim</PersonNm>
        <TitleTxt>Interim KH CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>115560</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1482</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>56448</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29344</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>717911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sharrett Kevin</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>433605</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>118076</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1897</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusRelatedOrganizationsAmt>15000</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>15439</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Haas Richard</PersonNm>
        <TitleTxt>EVP Market Strategies until 12/22</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>694083</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36182</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30271</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>746443</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>63857</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Olson Brad</PersonNm>
        <TitleTxt>VP Managed Care-Revenue Management</TitleTxt>
        <BaseCompensationFilingOrgAmt>355984</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>93026</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>72788</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32512</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28760</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>583070</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>53845</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Three Directors received the benefit, travel for companions. Professional tax preparation is required for the Kettering Health CEO to ensure compliance with federal regulations and guidelines. The benefits listed above are grossed up and included in taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Lines 4a-b</FormAndLineReferenceDesc>
        <ExplanationTxt>Walter Sackett received a severance payment of $168,487. Terry Burns received a severance payment of $144,238. Kettering Health has a supplemental executive retirement plan available only to a certain class of management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Col Biii</FormAndLineReferenceDesc>
        <ExplanationTxt>Column Biii includes compensation reported on the W-2 that may or may not have gone through the current year Statement of Operations and Changes in Net Assets.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Fred Manchur</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $1,132,070 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Mary Kaye Manchur</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $355,667 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>David Weigley</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Board Chair/Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $214,624 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Becky Weigley</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Board Chair/Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $79,196 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Roy Chew</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $241,180 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022. The recipient made a partial reimbursement of $99,819.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Shelley Chew</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $41,220 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Buffy Halverson</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $286,549 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Ron HalvorsenJr</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $105,060 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Darren Wilkins</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $70,109 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Yvette Wilkins</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $712 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Robert Vandeman</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $64,230 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Bob Cundiff</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $62,654 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Tanique Cundiff</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $21,415 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Todd Anderson</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>EVP / CFO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $55,782 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022. The recipient made a partial reimbursement of $4,705.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Rachel Anderson</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of EVP, CFO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $39,327 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022. The recipient made a partial reimbursement of $817.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Terry Burns</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>CAO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $50,790 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Dorothy Burns</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of CAO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $25,918 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Karl Haffner</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $48,202 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Cherie Haffner</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $25,296 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Richard Haas</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>EVP - New Markets</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $30,663 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Debbie Haas</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of the EVP of New Markets</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $20,077 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Jarrod McNaughton</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $24,123 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Heidi McNaughton</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $11,941 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Emmanuel Asiedu</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $23,584 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Austin Roberts</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Son of a Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $20,682 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Randy Roberts</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $2,025 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Richard Manchur</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Son of CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $19,358 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Andrea Manchur</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Daughter-In-Law of CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $9,350 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Jared Kerasoma</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Son-in-law of CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $17,348 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Christina Kerasoma</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Daughter of CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $13,705 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Jiri Moskala</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Father of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $16,860 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Andrea Jakobsons</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $13,806 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Eva Moskala</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Mother of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $3,569 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Petra Moskalova</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Sister of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $6,306 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Marvin Brown</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $8,717 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Grace Brown</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $8,075 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Wally Sackett</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $7,525 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Julie Sackett</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $2,169 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Kate Baldwin</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $5,614 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Brendon Prutzman</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Spouse of Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $5,000 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Rick Remmers</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $3,847 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Thomas Peebles</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $3,172 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Les Neff</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $1,036 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Michael Mewhirter</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>CFO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $678 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Jon Velasco</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $437 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>Adele Riley</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>Director</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>Received an economic benefit from the organization totaling $400 as discovered through a forensic audit completed in 2023 reviewing business activity from 2016 through 2022.</TransactionDesc>
        <TransactionCorrectedInd>1</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <TaxImposedAmt>1106530</TaxImposedAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Richard Manchur</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Son of Director Fred Manchur</RelationshipDescriptionTxt>
        <TransactionAmt>882317</TransactionAmt>
        <TransactionDesc>Compensation</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jared Keresoma</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Son-in-Law of Director Fred Manchur</RelationshipDescriptionTxt>
        <TransactionAmt>492501</TransactionAmt>
        <TransactionDesc>Compensation</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L; PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals are organization managers that approved certain excess benefit transactions. The list below includes the total amounts approved by each individual during the period from 2016-2022:Dave Weigley $1,758,768Fred Manchur $836,939Michael Mewhirter $1,226Edward Mann $174,836Terry Burns $31,104Roy Chew $209,862Wally Sackett $4,441Tim Dutton $2,362Todd Anderson $45,448</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A tax specialist is engaged to review the 990. The 990 is reviewed and accepted by the audit committee which reports this to the governing body (board).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Kettering Health regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employees' annual reviews. Employees must certify that they have read the conflict of interest policy and have disclosed any potential conflicts and agree to immediately notify Corporate Integrity if one should arise. Board members are required to annually review Kettering Health's policy, sign a conflict of interest statement, and notify Kettering Health if a conflict should arise.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing documents, conflict of interest policy, and financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Neither the oversight process nor the selection process changed during the tax year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Page 1- Reason for Amending</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is being corrected for a second time to correct some errors found on Schedule L when the Form 4720 was prepared. See below: 1. There was a change in the amount of excess benefit transactions for Dave Weigley 2. The amounts reported for excess benefit transactions for Austin Roberts and Randy Roberts were originally reported under the wrong name and have now been corrected. 3. The amounts reported for excess benefit transactions for Jiri Moskala and Andrea Jakobsons were originally reported under the wrong name and have now been corrected. 4. There was a change in the amount of the approver penalty amount which is reflected on Schedule L, Part I, line 2. Additionally, the taxpayer also wanted to make a reclassification for other expenses on Part IX line 24.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Alliance Physicians Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Prestige Place Suite 910</AddressLine1Txt>
          <CityNm>Miamisburg</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45342</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Kettering Adventist Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beavercreek Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Prestige Place Suite 910</AddressLine1Txt>
          <CityNm>Miamisburg</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45342</ZIPCd>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Dayton Osteopathic Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Prestige Place Suite 910</AddressLine1Txt>
          <CityNm>Miamisburg</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45342</ZIPCd>
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          <AddressLine1Txt>1 Prestige Place Suite 910</AddressLine1Txt>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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</Return>
