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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31913</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL NERNEY MD</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>576013</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26432</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN PURVIS DO</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>320268</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17072</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2600194</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1811635</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>217663</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>37</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MURPHY EMERGENCY PHYSICIANS PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 740666</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303740666</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>945242</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>340B LINK LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT 3651 PO BOX 123651</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY NETWORK LINK FEES</ServicesDesc>
        <CompensationAmt>370716</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MURPHY HOSPITALIST GROUP PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5665 NEW NORTHSIDE DRIVE SUITE 320</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30328</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>257899</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DORIS CARRIZALES PURVIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 755</AddressLine1Txt>
            <CityNm>HAYESVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28904</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>244080</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABORATORY CORP OF AMERICA HOLDINGS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1904 ALEXANDER DRIVE PO BOX 12652</AddressLine1Txt>
            <CityNm>RESEARCH TRIANGLE PARK</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27709</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB FEES</ServicesDesc>
        <CompensationAmt>211481</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>77062</AllOtherContributionsAmt>
      <TotalContributionsAmt>77062</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>64323665</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64323665</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACEUTICAL SALES</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>2100654</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2100654</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROVIDER RELIEF FUND REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1929043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1929043</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OUTSIDE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>153671</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>153671</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>68507033</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>838018</TotalRevenueColumnAmt>
        <ExclusionAmt>838018</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>110574</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>97474</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>13100</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>13100</TotalRevenueColumnAmt>
        <ExclusionAmt>13100</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>400044</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-400044</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-400044</TotalRevenueColumnAmt>
        <ExclusionAmt>-400044</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>54383</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>41305</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>13078</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13078</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA INCOME</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>32603</TotalRevenueColumnAmt>
        <ExclusionAmt>32603</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>48</TotalRevenueColumnAmt>
        <ExclusionAmt>48</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>32651</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>69080898</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68520111</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>483725</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>497679</TotalAmt>
        <ProgramServicesAmt>252081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>245598</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>26519368</TotalAmt>
        <ProgramServicesAmt>21215495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5303873</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>877412</TotalAmt>
        <ProgramServicesAmt>701930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175482</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3439433</TotalAmt>
        <ProgramServicesAmt>2751546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>687887</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1892625</TotalAmt>
        <ProgramServicesAmt>1514101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>378524</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>107597</TotalAmt>
        <ManagementAndGeneralAmt>107597</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>13700</TotalAmt>
        <ManagementAndGeneralAmt>13700</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>5413</TotalAmt>
        <ManagementAndGeneralAmt>5413</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>57755</TotalAmt>
        <ManagementAndGeneralAmt>57755</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>7892815</TotalAmt>
        <ProgramServicesAmt>6314250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1578565</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>109745</TotalAmt>
        <ManagementAndGeneralAmt>109745</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>73008</TotalAmt>
        <ProgramServicesAmt>58406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14602</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>717409</TotalAmt>
        <ProgramServicesAmt>573927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143482</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>76562</TotalAmt>
        <ProgramServicesAmt>61250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15312</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>88650</TotalAmt>
        <ProgramServicesAmt>88650</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1469616</TotalAmt>
        <ProgramServicesAmt>1469616</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>449812</TotalAmt>
        <ManagementAndGeneralAmt>449812</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>9563740</TotalAmt>
        <ProgramServicesAmt>9563740</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CORPORATE OVERHEAD ALLO</Desc>
        <TotalAmt>7164800</TotalAmt>
        <ProgramServicesAmt>1791200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5373600</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>5715476</TotalAmt>
        <ProgramServicesAmt>5715476</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1210599</TotalAmt>
        <ProgramServicesAmt>1011527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199072</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>973558</TotalAmt>
        <ProgramServicesAmt>636336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>337222</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>68916772</TotalAmt>
        <ProgramServicesAmt>53719531</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15197241</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3080165</BOYAmt>
        <EOYAmt>3844560</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>30564444</BOYAmt>
        <EOYAmt>36065848</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8273804</BOYAmt>
        <EOYAmt>7469412</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1366345</BOYAmt>
        <EOYAmt>1524251</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>351972</BOYAmt>
        <EOYAmt>600953</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8281868</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3886983</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4677835</BOYAmt>
        <EOYAmt>4394885</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2760562</BOYAmt>
        <EOYAmt>2524757</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>51075127</BOYAmt>
        <EOYAmt>56424666</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>7512533</BOYAmt>
        <EOYAmt>7883059</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>3332035</BOYAmt>
        <EOYAmt>176099</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>31520149</BOYAmt>
        <EOYAmt>37535071</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>42364717</BOYAmt>
        <EOYAmt>45594229</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8700071</BOYAmt>
        <EOYAmt>10820098</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>10339</BOYAmt>
        <EOYAmt>10339</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8710410</BOYAmt>
        <EOYAmt>10830437</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>51075127</BOYAmt>
        <EOYAmt>56424666</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>164126</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1955901</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>5413</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>5413</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION PAYS ANNUAL DUES TO THE NORTH CAROLINA HEALTHCARE ASSOCIATION DURING THE FISCAL YEAR. A PORTION OF THESE DUES ARE ALLOCATED TO LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>107342</DepreciationAmt>
        <BookValueAmt>567074</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>12153</DepreciationAmt>
        <BookValueAmt>27960</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>3767488</DepreciationAmt>
        <BookValueAmt>3747977</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>51874</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4394885</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>35544168</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNEARNED REVENUE</Desc>
        <Amt>4825</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LIABILITY SHORT TERM</Desc>
        <Amt>231158</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LIABILITY LONG TERM</Desc>
        <Amt>1637402</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>117518</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>37535071</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING FOOTNOTE IS REPORTED IN THE ERLANGER HEALTH SYSTEM ("ERLANGER") CONSOLIDATED AUDITED FINANCIAL STATEMENTS. ERLANGER WESTERN CAROLINA HOSPITAL IS INCLUDED IN THE ERLANGER CONSOLIDATED AUDIT. THE PRIMARY HEALTH SYSTEM IS EXEMPT FROM INCOME TAXES AS IT QUALIFIES FOR EXEMPTION FROM FEDERAL INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 115 AS AN INSTRUMENTALITY OF THE STATE OF TENNESSEE. EWCH IS EXEMPT FROM FEDERAL INCOME TAXES AS A 501(C)(3) ORGANIZATION. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN RECOGNIZED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS FOR THE PRIMARY HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>1548716</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1548716</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02450</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>5566685</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4948688</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>617997</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00980</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>7115401</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4948688</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2166713</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03430</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>7115401</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4948688</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2166713</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03430</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>2570</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2570</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>16494</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>16494</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>39499</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>39499</NetCommunityBenefitExpnsAmt>
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      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>58563</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>58563</NetCommunityBenefitExpnsAmt>
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      <BadDebtExpenseAmt>5715477</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2032621</BadDebtExpenseAttributableAmt>
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      <MedicareSurplusOrShortfallAmt>2473991</MedicareSurplusOrShortfallAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
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      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ERLANGER WESTERN CAROLINA HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3990 E US HWY 64 ALT</AddressLine1Txt>
          <CityNm>MURPHY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28906</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>ERLANGER WESTERN CAROLINA HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>20</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.ERLANGER.ORG/MEDIA/FILE/CHNA/2022/_EWCH-FINAL-04-CHNA-2022.PDF</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.ERLANGER.ORG/MEDIA/FILE/CHNA/2022/_EWCH-FINAL-04-CHNA-2022.PDF</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE STATEMENTS</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE STATEMENTS</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE STATEMENTS</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ERLANGER WESTERN CAROLINA HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: LEADERS AT ERLANGER WESTERN CAROLINA HOSPITAL AND MEMBERS OF THE CHNA COMMITTEE IDENTIFIED AND RECRUITED A DIVERSE MIX OF WESTERN CAROLINA COMMUNITY LEADERS TO PARTICIPATE IN A TOWN HALL FOCUS GROUP. HEALTH CARE ISSUES WERE DISCUSSED AND THEN PRIORITIZED THROUGH GROUP VOTING. THE RESULTS OF ALL THE TOWN HALLS WERE COMPILED AND REPORTED TO THE CHNA COMMITTEE. PRIORITIES AND NEXT STEPS FOR 2023-2025 WERE CHOSEN. THE HOSPITAL CONSULTED MEMBERS OF LOCAL BUSINESSES, DEPARTMENTS OF SOCIAL SERVICES, COUNTY HEALTH DIRECTORS, BEHAVIORAL HEALTH, LOCAL FQHC, AND EMERGENCY MANAGEMENT, ETC.THE ORGANIZATION UTILIZED ONLINE SURVEYS OF RANDOM ADULTS IN THE SERVICE AREA AND CONDUCTED A COMMUNITY FOCUS GROUP OF MEDICAL PROFESSIONALS AND PARTICIPANTS FROM LOCAL RESOURCE AGENCIES TO GATHER ADDITIONAL INPUT FROM THE COMMUNITY WHEN CONDUCTING THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ERLANGER WESTERN CAROLINA HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: DURING THE FISCAL YEAR ENDED JUNE 30, 2022, THE HOSPITAL WORKED WITH SEVERAL ORGANIZATIONS IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING ENTITIES PARTICIPATED IN THE PROCESS: GRAHAM COUNTY HEALTH DEPARTMENT, CHEROKEE COUNTY HEALTH DEPARTMENT, CHEROKEE COUNTY EMERGENCY SERVICES, CLAY COUNTY DEPARTMENT OF SOCIAL SERVICES, CHEROKEE COUNTY DEPARTMENT OF SOCIAL SERVICES, AND WNC HEALTH IMPACT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ERLANGER WESTERN CAROLINA HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: BASED ON THE ENTIRE PROCESS, EWCH HAS IDENTIFIED PRIORITIES THAT THE HOSPITAL IS COMMITTED TO PERSUE IN THE NEXT THREEE YEARS. THESE PRIORITIES WERE BASED ON FOUR MAIN CRITERIA:1 - NEED-THERE MUST BE A CLEAR, DOCUMENTED NEED THAT IS SUPPORTED BY DATA, RESEARCH AND COMMUNITY INPUT. 2 - IMPACT-PURSUIT OF THE PRIORITY MUST HAVE A MEANINGFUL IMPACT ON A SIGNIFICANT GROUP OF PEOPLE, ESPECIALLY THOSE PEOPLE WHO ARE DEFINED AS MORE AT-RISK IN THE COMMUNITY.3 - FEASIBILITY-OUR PRIORITIES MUST BE LIMITED TO AREAS WHERE ERLANGER CAN ACT AND MAKE A DIFFERENCE.4 - MISSION-EVERYTHING WE DO MUST BE CONSISTENT WITH ERLANGER'S MISSION, VISION AND VALUES.TO LEARN HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA, GO TO THE URL LINK NOTED BELOW FOR COMPLETE DETAILS.HTTPS://WWW.ERLANGER.ORG/MEDIA/FILE/CHNA/2022/_EWCH-FINAL-04-CHNA-2022.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ERLANGER WESTERN CAROLINA HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: THE FAP, FAP APPLICATION, AND THE FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.ERLANGER.ORG/PATIENT-AND-FAMILY-RESOURCES/BILLING-INSURANCE-INFORMATION/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ERLANGER WESTERN CAROLINA HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20E: PATIENTS ARE SCREENED FOR ELIGIBILITY UPON ADMISSION. THEREFORE, THE ACTIONS AFTER DISCHARGE ABOVE DO NOT APPLY TO PATIENTS FOUND ELIGIBLE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ERLANGER WESTERN CAROLINA HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 23: THE FACILITY USED ALL CHARGES, PAYMENTS, AND CONTRACTUAL ADJUSTMENTS COMPILED FOR MEDICARE, MEDICARE ADVANTAGE, AND PRIVATE INSURANCE (AND MANAGED CARE) AS INDICATED IN THE REGULATIONS, MEDICAID AND VARIOUS STATE AGENCIES WERE EXCLUDED AS WAS SELF PAY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - MURPHY GROUP PRACTICE &amp; URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>183 LEDFORD STREET</AddressLine1Txt>
            <CityNm>MURPHY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28906</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE/URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - MURPHY GROUP PRACTICE - GENERAL SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>145 MEDICAL PARK LANE STE I</AddressLine1Txt>
            <CityNm>MURPHY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28906</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - MURPHY GROUP PRACTICE - FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>146 HWY 64 EAST</AddressLine1Txt>
            <CityNm>HAYESVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28904</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE/EXPRESS CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - MURPHY GROUP PRACTICE - UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>145 MEDICAL PARK LANE STE D</AddressLine1Txt>
            <CityNm>MURPHY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28906</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - MURPHY GROUP PRACTICE - ORTHO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>145 MEDICAL PARK LANE STE B</AddressLine1Txt>
            <CityNm>MURPHY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28906</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - MURPHY GROUP PRACTICE - FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2751 US BUSINESS 19</AddressLine1Txt>
            <CityNm>ANDREWS</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28901</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - MURPHY GROUP PRACTICE - FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>145 MEDICAL PARK LANE STE H</AddressLine1Txt>
            <CityNm>MURPHY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28906</ZIPCd>
          </USAddress>
          <FacilityTxt>GROUP PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UTILIZED THE IRS SCHEDULE H WORKSHEETS IN DETERMINING A COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,715,477.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY SUPPORT:- BLOOD DONATION- RECRUITMENT EFFORTS FOR NEW PHYSICIANS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING IS THE FOOTNOTE FROM THE ERLANGER HEALTH SYSTEM CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDE THE ACTIVITY OF ERLANGER WESTERN CAROLINA HOSPITAL.NET PATIENT SERVICE REVENUE/RECEIVABLES: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT RATES WHICH REFLECT THE AMOUNT EXPECTED TO BE COLLECTED. NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY THIRD-PARTY PAYER PROGRAMS UNDER PAYMENT FORMULAS IN EFFECT. NET PATIENT REVENUE ALSO INCLUDES AN ESTIMATED PROVISION FOR BAD DEBTS BASED UPON MANAGEMENT'S EVALUATION OF COLLECTABILITY BASED UPON THE AGE OF THE RECEIVABLES AND OTHER CRITERIA, SUCH AS PAYER CLASSIFICATION AND MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE. THE PRIMARY HEALTH SYSTEM'S POLICIES DO NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR ACCOUNTS RECEIVABLE, ALTHOUGH THE PRIMARY HEALTH SYSTEM ROUTINELY ACCEPTS ASSIGNMENT OR IS OTHERWISE ENTITLED TO RECEIVE PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>IF PATIENTS MEET THE QUALIFICATIONS IN REGARD TO THE CHARITY CARE POLICY, THEY ARE GIVEN CHARITY CARE. THE ORGANIZATION USES FINANCIAL COUNSELORS TO DETERMINE THIS ELIGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKING WITH WNC HEALTHY IMPACT, LOCAL AND REGIONAL DATA WAS COLLECTED FOR THE PURPOSE OF CONDUCTING THE CHNA. DATA WAS ALSO COLLECTED LOCALLY AND WITH SURVEYS OF A CROSS SECTION OF THE COMMUNITIES WE SERVE. WE ENJOY A CLOSE PARTNERSHIP WITH OUR COUNTY HEALTH DEPARTMENTS IN CHEROKEE, CLAY AND GRAHAM COUNTIES. AS PARTNERS WE MEET ON A REGULAR BASIS TO DISCUSS OUR EFFORTS AND THEIR IMPACT AS WELL AS EMERGING TRENDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS HAVE THE OPPORTUNITY TO VIEW ASSISTANCE POLICIES ON OUR WEBSITE. IN ADDITION, WHEN PATIENTS PRESENT AT REGISTRATION TO OUR FACILITY, THEY ARE INFORMED OF THE POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR COMMUNITY IS DEFINED AS RESIDENTS OF CHEROKEE, GRAHAM AND CLAY COUNTIES IN NORTH CAROLINA. WE SERVE ALL AGES OF THE POPULATION. FOR A COMPREHENSIVE OVERVIEW, PLEASE SEE PAGE 10 OF THE MOST RECENT CHNA FOR ERLANGER WESTERN CAROLINA HOSPITAL, POSTED AT HTTPS://WWW.ERLANGER.ORG/MEDIA/FILE/CHNA/2022/_EWCH-FINAL-04-CHNA-2022.PDF</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>ERLANGER WESTERN CAROLINA HOSPITAL IS INVOLVED IN COMMUNITY HEALTH BY FACILITATING LOCAL BLOOD DRIVES QUARTERLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MALONEY</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNN DEJACO</PersonNm>
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        <PersonNm>TERESA BOWLEG</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC CLARKE MD</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>575740</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS CLAYTON MD</PersonNm>
        <TitleTxt>FAMILY MEDICINE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>334611</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>90748</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6828</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>441337</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY MARTIN MD</PersonNm>
        <TitleTxt>UROLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>484439</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>39488</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>555840</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL NERNEY MD</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>540372</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35641</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11182</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>602445</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN PURVIS DO</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>320268</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>337340</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRMAN OF THE BOARD OF DIRECTORS AS THE CHAIRMAN OF THE COMMITTEE, THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS, AND ONE OTHER MEMBER OF THE BOARD OF DIRECTORS ELECTED TO THE COMMITTEE BY THE BOARD OF DIRECTORS. MEMBERS OF THE EXECUTIVE COMMITTEE SHALL SERVE A TERM OF THE OFFICE OF ONE YEAR WHICH WILL CO-EXTEND WITH THE TERM OF OFFICE OF THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY AND RESPONSIBILITY TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD OF DIRECTORS DURING THE INTERIM BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION TAKEN SHALL NOT CONFLICT WITH POLICIES AND DIRECTIVES PREVIOUSLY ADOPTED BY THE ENTIRE BOARD OF DIRECTORS AND TO HEAR AND ACT UPON FORMAL RECOMMENDATIONS AND COMPLAINTS PRESENTED BY THE MEDICAL STAFF TO THE EXECUTIVE COMMITTEE FOR CONSIDERATION AND ACTION. SHOULD ANY MATTER OF MAJOR IMPORTANCE AND EXTREME URGENCY COME TO THE ATTENTION OF THE EXECUTIVE COMMITTEE BETWEEN REGULAR MEETINGS, IF TIME PERMITS, THE EXECUTIVE COMMITTEE SHALL REFER THAT MATTER TO THE BOARD OF DIRECTORS AND REQUEST THE CHAIRMAN TO CALL A SPECIAL MEETING OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 AND RELATED SCHEDULES WERE PREPARED BY AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM. HOSPITAL ADMINISTRATIVE STAFF REVIEW FORM 990 PRIOR TO FILING. FORM 990 IS ALSO VERBALLY APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING AND WILL BE OFFICIALLY APPROVED BY THE BOARD OF DIRECTORS IN THEIR QUARTERLY MEETING HELD IN JUNE 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES BOARD MEMBERS TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. IT IS THE RESPONSIBILITY OF EACH MEMBER TO DISCLOSE ANY POTENTIAL CONFLICTS AND REMOVE HIMSELF FROM SITUATIONS WITH A POTENTIAL CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION IS DETERMINED BY A MULTITUDE OF FACTORS INCLUDING: PERFORMANCE, OBJECTIVE MEASURES, FEEDBACK GATHERED FROM VARIOUS INTERNAL STAKEHOLDERS (INCLUDING THE BOARD), AVAILABLE COMPENSATION RESOURCES, AND BENCHMARKING PERFORMED BY HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,690,647. MANAGEMENT AND GENERAL EXPENSES 672,663. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,363,310. PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 3,465,099. MANAGEMENT AND GENERAL EXPENSES 866,276. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,331,375. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 158,504. MANAGEMENT AND GENERAL EXPENSES 39,626. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,130.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ERLANGER MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>975 EAST THIRD STREET</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37403</ZIPCd>
        </USAddress>
        <EIN>626000101</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>115</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>
