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        <RelatedOrExemptFuncIncomeAmt>4964287</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>116318</TotalAmt>
        <ProgramServicesAmt>116318</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>257126</TotalAmt>
        <ProgramServicesAmt>257126</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>6880</TotalAmt>
        <ProgramServicesAmt>6880</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>184356</TotalAmt>
        <ProgramServicesAmt>184356</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>28774</TotalAmt>
        <ProgramServicesAmt>28774</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>136664</TotalAmt>
        <ProgramServicesAmt>136664</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>350</TotalAmt>
        <ProgramServicesAmt>350</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>91275</TotalAmt>
        <ProgramServicesAmt>91275</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>65494</TotalAmt>
        <ProgramServicesAmt>65494</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>1237</TotalAmt>
        <ProgramServicesAmt>1237</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>226610</TotalAmt>
        <ProgramServicesAmt>226610</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Contract Medical Staff</Desc>
        <TotalAmt>3501881</TotalAmt>
        <ProgramServicesAmt>3501881</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>545240</TotalAmt>
        <ProgramServicesAmt>545240</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Maintenance &amp; Repairs</Desc>
        <TotalAmt>211248</TotalAmt>
        <ProgramServicesAmt>211248</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>14723</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>128585</TotalAmt>
        <ProgramServicesAmt>128585</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>5516761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>86419</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>91419</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>26440</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>197353</BOYAmt>
        <EOYAmt>26440</EOYAmt>
      </TotalLiabilitiesGrp>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>814806</BOYAmt>
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      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <RtnEarnEndowmentIncmOthFndsGrp>
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        <EOYAmt>64979</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>617453</BOYAmt>
        <EOYAmt>64979</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>814806</BOYAmt>
        <EOYAmt>91419</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-552474</ReconcilationRevenueExpnssAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>false</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="1" softwareId="23017709">
      <CommunityTrustInd>X</CommunityTrustInd>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus1YearAmt>207264</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>207264</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus1YearAmt>207264</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>207264</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>207264</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>5603091</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>5603091</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>5810355</TotalSupportAmt>
      <PublicSupportCY170Pct>0.03570</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.03700</PublicSupportPY170Pct>
      <PrivateFoundation170Ind>X</PrivateFoundation170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="2" softwareId="23017709">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="3" softwareId="23017709">
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Kentucky Mountain Health Alliance</Desc>
        <Amt>26440</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>26440</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="4" softwareId="23017709">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MAHC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Owned by Founders</RelationshipDescriptionTxt>
        <TransactionAmt>3501881</TransactionAmt>
        <TransactionDesc>Contract Medical</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <TransactionDesc>personel</TransactionDesc>
      </BusTrInvolveInterestedPrsnGrp>
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    <IRS990ScheduleO documentId="6" softwareId="23017709">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 3a</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>