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        <TitleTxt>CHIEF HUMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE DUKE</PersonNm>
        <TitleTxt>CHIEF REV CY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26479</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON YOUNT</PersonNm>
        <TitleTxt>CHF MARKETIN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>209555</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19521</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA E MCELHOE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>76225</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22243</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY D KENNETT MD MACC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>13750</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAYEED ALI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE ANN BRINK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM DURYEA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY E GILLESPIE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN PROTHRO HOUSE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY D KOONTZ</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM BILL METZINGER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER J NIEMANN</PersonNm>
        <TitleTxt>VICE-CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK R SHARKEY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>6204356</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>657681</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORVIS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 200870</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SVCS</ServicesDesc>
        <CompensationAmt>1281607</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEYFARTH SHAW LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3807 COLLECTIONS CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>569388</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADVANCE PHYSICAL THERAPY</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>SPORTS MEDICINE LLC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>160 PROGRESS RD 11</AddressLine1Txt>
            <CityNm>HANNIBAL</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICAL THERAP</ServicesDesc>
        <CompensationAmt>493488</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPECIALISTS IN MEDICAL IMAGING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3272</AddressLine1Txt>
            <CityNm>INDIANAPOLIS</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGY SVCS</ServicesDesc>
        <CompensationAmt>418750</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARENT FOX LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972633</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>392172</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>22</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>18564225</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>159223</GovernmentGrantsAmt>
      <TotalContributionsAmt>18723448</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CORPORATE FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>22321364</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22321364</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN PRACTICE REVENUE</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>17010301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17010301</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADMIN. FEES - CLINICS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1408974</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1408974</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DIAGNOSTIC SERVICE REVENUE</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>996752</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>996752</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>41737391</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7632</TotalRevenueColumnAmt>
        <ExclusionAmt>7632</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-644905</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-644905</TotalRevenueColumnAmt>
        <ExclusionAmt>-644905</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>570974</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>570974</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5898</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5898</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BROWN DRUG</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>-1086227</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-1086227</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>-720541</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-720541</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>-1229896</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>58593670</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41593722</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-1086227</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-637273</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>140228</TotalAmt>
        <ProgramServicesAmt>140228</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4785337</TotalAmt>
        <ProgramServicesAmt>4436007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>349330</ManagementAndGeneralAmt>
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        <TotalAmt>26445801</TotalAmt>
        <ProgramServicesAmt>24475751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1970050</ManagementAndGeneralAmt>
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        <TotalAmt>4938667</TotalAmt>
        <ProgramServicesAmt>4005698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>932969</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4570369</TotalAmt>
        <ProgramServicesAmt>3820590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>749779</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>4745222</TotalAmt>
        <ProgramServicesAmt>1837930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2907292</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>653330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164822</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>60884</ProgramServicesAmt>
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        <ProgramServicesAmt>21857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>17430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28895</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1755855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>594953</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>83481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7820</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>6158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1123</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>429022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22580</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>441459</ProgramServicesAmt>
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        <ProgramServicesAmt>348939</ProgramServicesAmt>
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        <ProgramServicesAmt>4763197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287917</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSES</Desc>
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        <ProgramServicesAmt>781952</ProgramServicesAmt>
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        <ProgramServicesAmt>2030337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193218</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>991918</ProgramServicesAmt>
        <ManagementAndGeneralAmt>155142</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1546125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>715373</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>64561536</TotalAmt>
        <ProgramServicesAmt>52648148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11913388</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>807859</EOYAmt>
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        <EOYAmt>2860351</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>9213</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>125737</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>40831</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>200787</BOYAmt>
        <EOYAmt>62658</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2559309</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1243265</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3640165</BOYAmt>
        <EOYAmt>1316044</EOYAmt>
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        <BOYAmt>38266301</BOYAmt>
        <EOYAmt>14157393</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>5309663</BOYAmt>
        <EOYAmt>5541427</EOYAmt>
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        <BOYAmt>58294053</BOYAmt>
        <EOYAmt>24921513</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2362854</BOYAmt>
        <EOYAmt>2805052</EOYAmt>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>19249000</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>5152188</BOYAmt>
        <EOYAmt>5075554</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>27256598</BOYAmt>
        <EOYAmt>27129606</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>31005768</BOYAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MAUREEN KAHN (RETIRED 7/1/23) 0 173,252 0 RONALD S. KOELLIKER 392,266 16,186 0 IRSHAD SIDDIQUI, M.D. 469,759 58,316 0 PATRICK M. GERVELER 0 100,044 0 KATHLEEN E. HULL 0 42,933 0 JASON YOUNT 123,683 0 0</ExplanationTxt>
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        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
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        <AssetsDistriOrExpnssPaidDesc>FIXED ASSETS</AssetsDistriOrExpnssPaidDesc>
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        <AssetsDistriOrExpnssPaidDesc>ACCOUNTS RECEIVABLE</AssetsDistriOrExpnssPaidDesc>
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        <AssetsDistriOrExpnssPaidDesc>PREPAIDS</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-09-30</DistributionDt>
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        <PersonNm>BLESSING HOSPITAL</PersonNm>
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      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>OTHER RECEIVABLES</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-09-30</DistributionDt>
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        <PersonNm>BLESSING HOSPITAL</PersonNm>
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          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
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      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>DEBT</AssetsDistriOrExpnssPaidDesc>
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        <PersonNm>BLESSING HOSPITAL</PersonNm>
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          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
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        <IRCSectionTxt>501(C)(3)</IRCSectionTxt>
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      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>OTHER LIABILITIES</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-09-30</DistributionDt>
        <FairMarketValueOfAssetAmt>-1559039</FairMarketValueOfAssetAmt>
        <MethodOfFMVDeterminationTxt>BOOK VALUE</MethodOfFMVDeterminationTxt>
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        <PersonNm>BLESSING HOSPITAL</PersonNm>
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          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
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      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>CERTIFICATE OF DEPOSIT</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-04-04</DistributionDt>
        <FairMarketValueOfAssetAmt>200000</FairMarketValueOfAssetAmt>
        <MethodOfFMVDeterminationTxt>BOOK VALUE</MethodOfFMVDeterminationTxt>
        <EIN>370661183</EIN>
        <PersonNm>BLESSING HOSPITAL</PersonNm>
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          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
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        <IRCSectionTxt>501(C)(3)</IRCSectionTxt>
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        <AssetsDistriOrExpnssPaidDesc>FIXED ASSETS</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-09-30</DistributionDt>
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        <MethodOfFMVDeterminationTxt>APPRAISAL</MethodOfFMVDeterminationTxt>
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        <PersonNm>BLESSING HOSPITAL</PersonNm>
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        <IRCSectionTxt>501(C)(3)</IRCSectionTxt>
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      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>PROVIDER/EMPLOYEE LOAN</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-09-30</DistributionDt>
        <FairMarketValueOfAssetAmt>898492</FairMarketValueOfAssetAmt>
        <MethodOfFMVDeterminationTxt>BOOK VALUE</MethodOfFMVDeterminationTxt>
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        <PersonNm>BLESSING HOSPITAL</PersonNm>
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          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
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          <ZIPCd>62301</ZIPCd>
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      <DirectorOfSuccessor2Ind>false</DirectorOfSuccessor2Ind>
      <EmployeeOfSuccessor2Ind>false</EmployeeOfSuccessor2Ind>
      <OwnerOfSuccessor2Ind>false</OwnerOfSuccessor2Ind>
      <ReceiveCompensation2Ind>false</ReceiveCompensation2Ind>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="RetDoc13">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>BLESSING CORPORATE SERVICES, INC. (BCS) IS THE PARENT COMPANY TO THE FOLLOWING ORGANIZATIONS: BLESSING HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN QUINCY, IL. THE BLESSING FOUNDATION, INC. - RAISES, MANAGES, AND DISTRIBUTES CHARITABLE DONATIONS ON BEHALF OF THE BLESSING HEALTH SYSTEM. DENMAN SERVICES, INC. - A TAXABLE CORPORATION THAT IS ENGAGED PRIMARILY IN THE BUSINESS OF SELLING AND RENTING MEDICAL EQUIPMENT AND OPERATING A COMMERCIAL LAUNDRY. THE ENTITY IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. BLESSINGCARE CORPORATION - OWNS AND OPERATES ILLINI COMMUNITY HOSPITAL, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN PITTSFIELD, IL. BLESSING AFFILIATES, INC. (DISSOLVED IN FY 2023) - CURRENTLY INACTIVE. BLESSINGCARE CORPORATION - MISSOURI (DISSOLVED IN FY 2023)- CURRENTLY INACTIVE. CHS HOLDING COMPANY - A TAXABLE CORPORATION THAT PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. BLESSING PHYSICIAN SERVICES (BPS) - A DIVISION OF BCS THAT OPERATES A PHYSICIAN CLINIC PROVIDING MULTI-SPECIALTY OUTPATIENT SERVICES TO THE REGION. BLESSING WALK-IN CLINIC, LLC DBA BLESSING CONVENIENT CARE (DISSOLVED IN FY 2023) - OPERATES HEALTH CLINICS IN RETAIL FACILITIES. CROSSRIVER QUALITY HEALTH PARTNERS - A CLINICALLY INTEGRATED NETWORK OF REGIONAL PHYSICIANS DEDICATED TO ENHANCING HEALTH CARE QUALITY AND EFFICIENCY ACROSS ILLINOIS, MISSOURI, AND IOWA. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. BLESSING ASSURANCE COMPANY - A WHOLLY OWNED FOREIGN SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. THAT PROVIDES SELF-INSURANCE TO THE AFFILIATED GROUP. THE HANNIBAL CLINIC, INC. - A TAXABLE CORPORATION THAT OPERATES A PHYSICIAN CLINIC PROVIDING MULTI-SPECIALTY OUTPATIENT SERVICES TO THE REGION. IT IS WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. THE BROWN DRUG COMPANY (DISSOLVED IN FY 2023) - A TAXABLE CORPORATION THAT OPERATES A RETAIL PHARMACY KEOKUK HEALTH SYSTEMS, INC. - A PARENT COMPANY TO KEOKUK AREA MEDICAL EQUIPMENT AND SUPPLY, INC., AND FORMERLY A PARENT COMPANY TO KEOKUK AREA HOSPITAL DBA BLESSING HEALTH KEOKUK (INTEREST TRANSFERRED IN 2023), TRI-STATE MEDICAL GROUP, INC. (A TAXABLE ENTITY, DISSOLVED IN 2022), AND KEOKUK AREA HOSPITAL FOUNDATION (DISSOLVED IN 2022). RIVERCROSS DIAGNOSTICS, LLC. (DISSOLVED IN FY 2023) - A LABORATORY THAT SERVES BLESSING HEALTH SYSTEM AND OTHER AREA MEDICAL SERVICE PROVIDERS. THE ENTITY IS A TAXABLE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING FY 2023, THE MAJORITY OF OPERATIONS OF BLESSING PHYSICIAN SERVICES (BPS), A DIVISION OF BLESSING CORPORATE SERVICES, INC. (BCS), WAS TRANSFERRED TO BLESSING HOSPITAL, A RELATED ENTITY. BPS OPERATES A PHYSICIAN CLINIC PROVIDING MULTI-SPECIALITY OUTPATIENT SERVICES TO THE REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT SERVICES - THE ORGANIZATION PROVIDES MANAGEMENT SERVICES TO ITS FOLLOWING TAX EXEMPT SUBSIDIARIES: BLESSING HOSPITAL, THE BLESSING FOUNDATION, INC., BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL, CROSSRIVER QUALITY HEALTH PARTNERS, KEOKUK AREA HOSPITAL AND BLESSING WALK-IN CLINIC, LLC. IT ALSO PROVIDES MANAGEMENT SERVICES TO ITS TAXABLE SUBSIDIARIES: DENMAN SERVICES,INC., CHS HOLDING COMPANY, THE HANNIBAL CLINIC, INC., BLESSING ASSURANCE COMPANY, AND THE BROWN DRUG COMPANY. MANAGEMENT SERVICES PROVIDED INCLUDE STRATEGIC AND BUSINESS DEVELOPMENT, ENGINEERING AND FACILITY DEVELOPMENT, CAPITAL AND INFORMATION TECHNOLOGY DEVELOPMENT, PHYSICIAN PRACTICE OPERATIONS, AND CORPORATE COMPLIANCE. IN ADDITION, BLESSING CORPORATE SERVICES OVERSEES BLESSING AFFILIATES, INC. AND BLESSINGCARE CORPORATION-MISSOURI, BOTH OF WHICH ARE CURRENTLY INACTIVE. THE BLESSING HEALTH SYSTEM'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1) QUALITY OUTCOMES/METRICS AND ZERO HARM GOALS A) REDUCE PATIENT HARM EVENTS BY 15% PER YEAR 2) BEST PLACE TO WORK/EMPLOYEE A) INCREASE EMPLOYEE SATISFACTION TO 80TH PERCENTILE B) REDUCE CONTRACT LABOR BY 80% BY END OF FISCAL YEAR 3) PHYSICIAN/PROVIDER SATISFACTION A) 90TH PERCENTILE 4) ACCESS TO CARE - ALWAYS SAY YES A) INCREASE MARKET SHARE IN MISSOURI BY 15% B) DECREASE OUTMIGRATION C) ENHANCE DIGITAL FRONT DOOR 5) TURNAROUND PLAN EXECUTION 6) FISCAL HEALTH A) CONTROL EXPENSES AND INCREASE REVENUE B) ACHIEVE GREATER THAN 200 DAYS CASH ON HAND C) ACHIEVE GREATER THAN 3.5% OPERATING MARGIN 7) PREPARE FOR ELECTRONIC HEALTH RECORD CHANGE IN 2 YEARS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>CROSSRIVER QUALITY HEALTH PARTNERS IS A CLINICALLY INTEGRATED NETWORK OF REGIONAL PHYSICIANS DEDICATED TO ENHANCING CARE QUALITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CAYMAN ISLANDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF BLESSING CORPORATE SERVICES (BCS) WERE AMENDED THROUGH BOARD APPROVAL ON MAY 31, 2023. THE KEY CHANGES INCLUDE: - UPDATE THE PURPOSES AND DISSOLUTION CLAUSES IN THE ARTICLES AND BYLAWS TO REFLECT THE ELIMINATION OF BLESSING AFFILIATES, INC. - ELEVATE MANAGEMENT RESPONSIBILITY FOR ALL SYSTEM ENTITIES TO BCS. - ADD A REPRESENTATIVE OF THE BLESSING PROVIDER COUNCIL AS A VOTING TRUSTEE. - CREATE A FINANCE COMMITTEE. - CREATE A QUALITY AND SAFETY COMMITTEE AND A COMMUNITY BENEFIT AND ADVOCACY COMMITTEE, WHICH COULD FUNCTION AS SYSTEM-WIDE COMMITTEES. - EXPRESSLY INCLUDE STRATEGIC PLANNING TO THE EXECUTIVE COMMITTEE'S DUTIES. - UPDATE THE INDEMNIFICATION PROVISIONS TO PERMIT, BUT NOT REQUIRE, BCS TO INDEMNIFY EMPLOYEES AND AGENTS UNDER CERTAIN CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION ARE AS FOLLOWS: (A) THOSE PERSONS FROM TIME TO TIME SERVING ON THE BOARD OF TRUSTEES OF THE CORPORATION; (B) THE CHAIRMEN OF BLESSING HOSPITAL, THE BLESSING FOUNDATION, INC., DENMAN SERVICES, INC., AND BLESSINGCARE CORPORATION; (C) NON-TRUSTEE MEMBERS OF STANDING COMMITTEES OF THE CORPORATION; AND (D) FOUR REPRESENTIVES OF BLESSING HOSPITAL, AS SELECTED BY THE BLESSING PROVIDER COUNCIL OF SUCH ORGANIZATION, AND FOUR REPRESENTATIVES OF EACH OF THE FOLLOWING ORGANIZATIONS OF BLESSING HOSPITAL, AS SELECTED BY EACH SUCH ORGANIZATION: MEDICAL-DENTAL STAFF, BLESSING-RIEMAN COLLEGE OF NURSING &amp; HEALTH SCIENCES, AND BLESSING VOLUNTEERS IN PARTNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF BCS ELECT THE APPROPRIATE NUMBER OF TRUSTEES TO FILL THE POSITIONS LEFT VACANT OR TO BE VACANT BY TRUSTEES WHOSE TERMS HAVE EXPIRED OR WILL BE EXPIRING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING MANAGEMENT AND LEGAL REVIEW, FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO BE READ, SIGNED, AND RETURNED TO THE ORGANIZATION. THE SIGNED POLICIES ARE RETAINED IN THE CORPORATE ADMINISTRATIVE FILES. IN ADDITION, EACH OFFICER, DIRECTOR, OR TRUSTEE IS REQUIRED TO DECLARE NO CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH MONTHLY BOARD MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ON A BI-ANNUAL BASIS COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ON A BI-ANNUAL BASIS COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ADOPTION OF ASC 842 2,495 TRANSFER OF CLINIC ASSETS &amp; LIABILITIES -17,200,773 EQUITY EARNINGS IN SUBSIDIARIES -10,079,404 TOTAL -27,277,682</ExplanationTxt>
      </SupplementalInformationDetail>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>FUNDRAISE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSING AFFILIATES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>BROADWAY AT 11TH PO BOX 7005</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>623057005</ZIPCd>
        </USAddress>
        <EIN>371128708</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION DBA ILLINI</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>640 WEST WASHINGTON</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62363</ZIPCd>
        </USAddress>
        <EIN>371396010</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION - MISSOURI</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>431371818</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSING WALK-IN CLINIC LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>814181593</EIN>
        <PrimaryActivitiesTxt>MED SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KEOKUK AREA HOSPITAL DBA BLESSING</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 MORGAN STREET</AddressLine1Txt>
          <CityNm>KEOKUK</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52632</ZIPCd>
        </USAddress>
        <EIN>420710268</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KEOKUK HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 MORGAN STREET</AddressLine1Txt>
          <CityNm>KEOKUK</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52632</ZIPCd>
        </USAddress>
        <EIN>421237361</EIN>
        <PrimaryActivitiesTxt>MGMT SVCS</PrimaryActivitiesTxt>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ILLINI HEALTH SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 40</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>623060040</ZIPCd>
        </USAddress>
        <EIN>470901851</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DENMAN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DENMAN</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CURRENT HEALTH NETWORK LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>811681509</EIN>
        <PrimaryActivitiesTxt>PRVDR NTWK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHS HLDGS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DENMAN SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 40</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62306</ZIPCd>
        </USAddress>
        <EIN>371132117</EIN>
        <PrimaryActivitiesTxt>MED. EQUIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>18759688</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>13727496</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHS HOLDING COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>320481381</EIN>
        <PrimaryActivitiesTxt>GRP HLTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>305446</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>462362</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE HANNIBAL CLINIC INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 MEDICAL DRIVE</AddressLine1Txt>
          <CityNm>HANNIBAL</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63401</ZIPCd>
        </USAddress>
        <EIN>431033473</EIN>
        <PrimaryActivitiesTxt>MED SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>51226151</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2809846</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1159</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <ProvinceOrStateNm>CAYMAN ISLANDS</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981454767</EIN>
        <PrimaryActivitiesTxt>SELF-INSUR</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
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        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE BROWN DRUG COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1121 MAINE STREET</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>370193505</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KEOKUK AREA MEDICAL EQUIP &amp; SUPPLY</BusinessNameLine1Txt>
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          <AddressLine1Txt>420 NORTH 17TH STREET</AddressLine1Txt>
          <CityNm>KEOKUK</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52632</ZIPCd>
        </USAddress>
        <EIN>421237312</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
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        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1028944</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE BLESSING FOUNDATION INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE BLESSING FOUNDATION INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>335881</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>791675</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>70224</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DENMAN SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>105082</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HANNIBAL CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>157593</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>7324388</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>176445</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
