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        <EOYAmt>379489329</EOYAmt>
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        <EOYAmt>357670651</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3820142</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1813339</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART I:</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION WAS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. THIS ORGANIZATION DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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        <BookValueAmt>1231466</BookValueAmt>
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        <BookValueAmt>67878</BookValueAmt>
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>295309117</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>11362230</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>306671347</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>6974570</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RELATED PARTY COMMITMENT</Desc>
        <Amt>336923102</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM OBLIGATION</Desc>
        <Amt>34043919</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>377941591</TotalLiabilityAmt>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
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        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>941392</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>244451</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>40060</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29940</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1255843</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED ON PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF WASHINGTON TOWNSHIP HEALTHCARE DISTRICT HAS THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY OF WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION'S FORM 990 IS PREPARED BY MOSS ADAMS, LLP WITH INFORMATION PROVIDED BY MANAGEMENT AND IS DISTRIBUTED TO AND REVIEWED BY MANAGEMENT, AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED THROUGH THE COMPLETION OF THE CALIFORNIA STATEMENT OF ECONOMIC INTEREST FORM 700. THESE FORMS ARE FILED AND MONITORED ANNUALLY IN ACCORDANCE WITH THE CORPORATION'S CONFLICT OF INTEREST POLICY. IF A CONFLICT IS DISCOVERED IN THIS PROCESS, THE AFFECTED INDIVIDUALS WOULD NOT PARTICIPATE IN THE ORGANIZATION'S DECISION MAKING PROCESSES IN CONNECTION WITH THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MINORITY INTEREST NET CHANGE -113,597. MISCATEGORIZED FROM MINORITY INTEREST FY2022 ENDING BALANCE -1,849,731. OTHER 149,989.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1Txt>WASHINGTON TOWNSHIP HEALTHCARE DISTRICT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
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          <CityNm>FREMONT</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94538</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>39300 CIVIC CENTER DRIVE SUITE 250</AddressLine1Txt>
          <CityNm>FREMONT</CityNm>
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        </USAddress>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <USAddress>
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          <CityNm>FREMONT</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94536</ZIPCd>
        </USAddress>
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        <DirectControllingEntityName>
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        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
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        <RelatedOrganizationName>
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        </USAddress>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>