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      <Form990PartVIISectionAGrp>
        <PersonNm>JURGEN STRAUB MD</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SHANDRICK</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>1469132</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>269079</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
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      <GovernmentGrantsAmt>4633980</GovernmentGrantsAmt>
      <TotalContributionsAmt>4633980</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE RE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>4701169</TotalRevenueColumnAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>48815</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE PAYMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>11321</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>60136</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9394277</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4761305</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-1008</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>684208</TotalAmt>
        <ProgramServicesAmt>555636</ProgramServicesAmt>
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        <ProgramServicesAmt>3829310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>883566</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>153218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40574</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>711860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161082</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>391554</TotalAmt>
        <ProgramServicesAmt>307306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84248</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>81732</TotalAmt>
        <ManagementAndGeneralAmt>81732</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>74490</TotalAmt>
        <ManagementAndGeneralAmt>74490</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>19915</TotalAmt>
        <ManagementAndGeneralAmt>19915</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>33513</TotalAmt>
        <ProgramServicesAmt>18776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14737</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>306604</TotalAmt>
        <ProgramServicesAmt>197917</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108687</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>373199</TotalAmt>
        <ProgramServicesAmt>373199</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>367727</TotalAmt>
        <ProgramServicesAmt>283412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84315</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>7989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84506</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>10653</TotalAmt>
        <ProgramServicesAmt>2750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7903</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>1210</TotalAmt>
        <ManagementAndGeneralAmt>1210</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>184409</TotalAmt>
        <ProgramServicesAmt>144907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39502</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>2309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29377</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL &amp; DENTAL SUPPLI</Desc>
        <TotalAmt>755451</TotalAmt>
        <ProgramServicesAmt>755451</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>270124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234778</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT CARE</Desc>
        <TotalAmt>425602</TotalAmt>
        <ProgramServicesAmt>411392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14210</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>260581</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>50009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129780</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>8336146</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3860</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>659174</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>15872</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>367881</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4847271</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>408466</EOYAmt>
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      <OtherAssetsTotalGrp>
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      <TotalAssetsGrp>
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        <EOYAmt>4749172</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>556558</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1937055</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2884425</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>1864747</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>1864747</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4033764</BOYAmt>
        <EOYAmt>4749172</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1165053</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>57580</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>1645697</DepreciationAmt>
        <BookValueAmt>275373</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>1329467</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>1752495</Amt>
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      <TotalLiabilityAmt>1937055</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>9394277</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10559330</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10559330</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY E SOKACH</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>9000</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>35462</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>244462</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGG NOVAK DO</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8102</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>32807</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>230909</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIFFANY L TANKALAVAGE</PersonNm>
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        <DeferredCompensationFlngOrgAmt>8415</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>25236</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220651</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GUNNAR KOSEK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>180000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8100</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27259</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215359</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JURGEN STRAUB MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>190000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7803</DeferredCompensationFlngOrgAmt>
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        <PersonNm>ROBERT SHANDRICK</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <PersonNm>GEORGE D YURKO DO</PersonNm>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION HAS ADDED ANOTHER MEDICAL FACILITY TO THE ORGANIZATIONAL UMBRELLA. LAPORTE MEDICAL CENTER WILL BE OPENED IN THE SPRING OF 2022. IT WAS PREVIOUSLY OWNED BY A FOR PROFIT ORGANIZATION BUT WAS CLOSED IN NOVEMBER OF 2022. THE "CHANGE IN SCOPE" THROUGH HRSA WAS INITIATED IN DECEMBER OF 2022. THE DEADLINE FOR FINAL SUBMISSION IN EHB IS 5/4/22. INITIALLY IT WILL PROVIDE THE SAME SERVICES FOR SULLIVAN COUNTY, AS THE OTHER MEDICAL CENTERS OF RHC. THERE IS THE POSSIBILITY OF EXPANDING SERVICES ONCE THE PRACTICE GETS ESTABLISHED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING DIRECTORS HAVE A FAMILIAL RELATIONSHIP: - RICHARD LOVE AND RYAN LOVE (FATHER AND SON)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED IN CONJUNCTION WITH MCKONLY &amp; ASBURY, LLP AND REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE PRESIDENT/ CEO OF THE CORPORATION THEN REVIEWS AND APPROVES THE FORM 990 FOR FILING WITH THE IRS. BEFORE FILING, A FULL COPY OF THE RETURN IS PROVIDED TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS ARE REQUIRED TO SIGN A DISCLOSURE STATEMENT OF CONFLICT OF INTEREST BEFORE JOINING THE BOARD OF DIRECTORS. THE EXECUTIVE SECRETARY MAINTAINS SIGNED COPIES OF ALL DISCLOSURE STATEMENTS. THE MANAGEMENT STAFF OF THE CORPORATION CONSTANTLY MONITORS THE COMPLIANCE WITH THE POLICY AS IT RELATES TO EMPLOYEE HIRING AND THE SELECTION OF VENDORS THAT THE CORPORATION UTILIZES FOR VARIOUS PURCHASES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO THE BY-LAWS OF THE CORPORATION, THE SALARY SCALES AND BENEFITS FOR ALL EMPLOYEES OF THE CORPORATION ARE REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. BASED UPON THE RECOMMENDATION OF THE PERSONNEL COMMITTEE, THE FULL BOARD OF DIRECTORS THEN APPROVES ALL SALARY SCALES AND BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION ALLOWS ACCESS TO ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AT ITS ADMINISTRATIVE OFFICE. THE PUBLIC IS ADVISED TO GIVE TWO WEEKS NOTICE PRIOR TO GAINING ACCESS TO THE REQUESTED DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION ALLOWS ACCESS TO ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AT ITS ADMINISTRATIVE OFFICE. THE PUBLIC IS ADVISED TO GIVE TWO WEEKS NOTICE PRIOR TO GAINING ACCESS TO THE REQUESTED DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION HAS A COMMITTEE, WHICH PROVIDES OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.</ExplanationTxt>
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    </IRS990ScheduleO>
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</Return>
