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        <Desc>INVESTMENT IN SUBSIDIARIES</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ACCOUNT FOR UNCERTAINTY IN INCOME TAXES, THE COMPANY RECOGNIZES IN ITS CONSOLIDATED FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION WHEN THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT BASED ON THE TECHNICAL MERITS OF THE POSITION.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOMINICK BIZZARRO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHIEF MEDICAL OFFICER, CARL CAMERON, RECEIVED A SEVERANCE PAYMENT OF $145,303 IN CALENDAR YEAR 2024; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 4B: DURING THE YEAR, SEVERAL OF THE PERSONS LISTED ON SCHEDULE J PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II, COLUMNS (B)(III) AND (C). WHILE OTHER INDIVIDUALS REPORTED ON THE FORM 990, SCHEDULE J PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED PAYMENTS UNDER THIS SUPPLEMENT NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2024: DOMINICK BIZZARRO: $31,240 CARL CAMERON: $6,093 PART I, LINE 6: RELATIVE TO BONUSES, MVP'S BOARD HAS A COMPENSATION COMMITTEE MADE UP OF FOUR BOARD MEMBERS WHO PROVIDE GOVERNANCE OVERSIGHT PROCEDURES TO ENSURE ADEQUATE BOARD OVERSIGHT OF ITS EXECUTIVE COMPENSATION PROGRAMS. THE COMPENSATION COMMITTEE MEETS AT LEAST TWO TIMES PER YEAR AND MAINTAINS FORMAL MINUTES EVIDENCING THIS OVERSIGHT. ADDITIONALLY, MVP ENGAGES AN INDEPENDENT CONSULTANT TO EVALUATE THE COMPETITIVENESS OF EXISTING REMUNERATION LEVELS FOR PURPOSES OF ATTRACTING AND RETAINING TALENTED STAFF AT ALL LEVELS. MVP PROVIDES BONUS PROGRAMS TO EMPLOYEES THAT TIE VARIABLE PAY AND INDIVIDUAL PERFORMANCE TO THE CORPORATE GOALS OF THE ORGANIZATION. THE PLANS INCLUDE LONG-TERM INCENTIVES FOR EXECUTIVES, MANAGEMENT INCENTIVES FOR MANAGEMENT-LEVEL AND ABOVE PERFORMANCE INCENTIVE FOR THE BALANCE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT (I.E. A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES, AND LEGAL AFFAIRS DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ACCOUNTANTS AT GRANT THORNTON ADVISORS LLC. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE AUDIT COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A TERM AND CONDITION OF EMPLOYMENT/APPOINTMENT, UPON EMPLOYMENT/APPOINTMENT AND ANNUALLY THEREAFTER, EACH EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT THEIR PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: 1) MAKE A DETERMINATION AS TO WHETHER AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, 2) MONITOR WORK ASSIGNMENTS/RESPONSIBILITIES TO AVOID PLACING THE INDIVIDUAL IN A POSITION WHERE THERE MAY BE A QUESTION AS TO OBJECTIVITY AND TO AVOID ANY APPEARANCE OF IMPROPRIETY. EMPLOYEES AND OFFICERS ARE ALSO OBLIGATED TO PROMPTLY NOTIFY THEIR MANAGERS OF ANY CHANGES TO THEIR DISCLOSURES THROUGHOUT THE YEAR. ALSO, THE LEGAL AFFAIRS DEPARTMENT SUBMITS A COPY OF EMPLOYEES' (VP AND HIGHER) COMPLETED DISCLOSURE CONFLICT OF INTEREST FORMS TO THE AUDIT COMMITTEE OF THE BOARD. DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON APPOINTMENT/ELECTION AND ANNUALLY THEREAFTER. DIRECTORS' CONFLICT OF INTEREST DISCLOSURE FORMS ARE SUBMITTED TO THE LEGAL AFFAIRS DEPARTMENT. THE LEGAL AFFAIRS DEPARTMENT TRACKS THESE FORMS TO ENSURE THAT EACH AND EVERY DIRECTOR COMPLETES ONE. THE LEGAL AFFAIRS DEPARTMENT THEN REVIEWS THE DIRECTORS' DISCLOSURES, PREPARES A CHART LISTING EACH ONE AND PROVIDES A COPY OF THE CHART TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND EACH DIRECTOR SO THAT ALL DIRECTORS ARE MADE AWARE OF ALL DIRECTORS' POTENTIAL CONFLICT OF INTEREST. WHEN AN ISSUE COMES BEFORE THE BOARD OF DIRECTORS, THE AFFECTED DIRECTOR MUST RECUSE HIMSELF/HERSELF FROM ALL RELATED VOTES OR APPROVALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONSULTANT WAS HIRED TO EVALUATE THE COMPENSATION ARRANGEMENTS FOR THE CEO AND THE CEO'S DIRECT REPORTS AND COMPARE THEM TO INDUSTRY STANDARDS TO DETERMINE/CONFIRM THAT THE COMPENSATION STRUCTURE IS REASONABLE. SUCH COMPENSATION ARRANGEMENTS ARE SUBJECT TO THE FINAL APPROVAL OF THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. THIS PROCESS MEETS THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION STANDARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC (UPON REQUEST) IN ACCORDANCE WITH APPLICABLE LAW AND REGULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CUMULATIVE CHANGE IN VALUE OF SUBSIDIARY -37,987,358.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <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>
    </IRS990ScheduleR>
  </ReturnData>
</Return>