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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>376648</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22840</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA FUTRELL</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>308808</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41017</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NABIN AGRAWAL MD</PersonNm>
        <TitleTxt>PHYSICIAN/BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>283163</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50398</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>M NABI SHARIF MD</PersonNm>
        <TitleTxt>PHYSICIAN/BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>162300</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DON TRICARICO JR</PersonNm>
        <TitleTxt>CAO (LEFT 01/19)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>136500</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH GUTIERREZ</PersonNm>
        <TitleTxt>BOARD TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN CATES</PersonNm>
        <TitleTxt>BOARD SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEZLIE WINTER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HOTZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN BERRY</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY DAILEY</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7707478</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>451375</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>188</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CROTHALL HEALTHCARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>955 CHESTERBROOK BLVD</AddressLine1Txt>
            <CityNm>WAYNE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19087</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSIDE MGMT SERVICE</ServicesDesc>
        <CompensationAmt>6381000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AYA HEALTHCARE INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5930 CORNERSTONE CT WEST 300</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING COVERAGE</ServicesDesc>
        <CompensationAmt>7063228</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HAGERMAN INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>510 W WASHINGTON BLVD</AddressLine1Txt>
            <CityNm>FORT WAYNE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTING</ServicesDesc>
        <CompensationAmt>20221234</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SHAMBAUGH SON LP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1287</AddressLine1Txt>
            <CityNm>FORT WAYNE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTING</ServicesDesc>
        <CompensationAmt>10289414</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JJ ELECTRIC OF INDIANA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3180 W STATE ROAD 18</AddressLine1Txt>
            <CityNm>KOKOMO</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTING</ServicesDesc>
        <CompensationAmt>8260072</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>58</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>855187</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>15609</AllOtherContributionsAmt>
      <TotalContributionsAmt>870796</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>192041929</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>192041929</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MED DIRECTOR SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>401065</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>401065</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>VHA DIVIDEND</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>248650</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>248650</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>66532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66532</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ALL OTHER</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>792890</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>792890</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>193551066</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>9762844</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-190610</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9953454</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>714196</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>2802147</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-2087951</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-2087951</TotalRevenueColumnAmt>
        <ExclusionAmt>-2087951</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>53179035</SecuritiesAmt>
        <OtherAmt>100552</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>36377173</SecuritiesAmt>
        <OtherAmt>2080</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>16801862</SecuritiesAmt>
        <OtherAmt>98472</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>16900334</TotalRevenueColumnAmt>
        <ExclusionAmt>16900334</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>5090</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>5090</TotalRevenueColumnAmt>
        <ExclusionAmt>5090</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>BILLING SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>50365</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>50365</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueTotalAmt>50365</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>219052544</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>-140245</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>24770927</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>170079</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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        <ProgramServicesAmt>451598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1965437</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
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        <TotalAmt>54185569</TotalAmt>
        <ProgramServicesAmt>48592130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5593439</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1358635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>223973</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10853023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1789134</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4360318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>718804</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>650212</TotalAmt>
        <ManagementAndGeneralAmt>650212</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>133650</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>33740</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>912645</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>252473</ProgramServicesAmt>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>78459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19615</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2460235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129486</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7304901</ProgramServicesAmt>
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        <ProgramServicesAmt>1168736</ProgramServicesAmt>
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        <ProgramServicesAmt>28560476</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION FOR BAD DEBTS</Desc>
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        <ProgramServicesAmt>8573835</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PHYSICIAN SERVICES</Desc>
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        <ProgramServicesAmt>31116995</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>11193451</TotalAmt>
        <ProgramServicesAmt>8954761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2238690</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>11434658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422114</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>192970732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23046602</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>4075</EOYAmt>
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        <EOYAmt>38264295</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>22547624</EOYAmt>
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        <EOYAmt>118806</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1582713</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2097130</EOYAmt>
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        <EOYAmt>3923142</EOYAmt>
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        <FAPAppAvailableOnWebsiteURLTxt>WWW.MARIONHEALTH.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.MARIONHEALTH.COM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LINK FOR THE CHNA WAS PROVIDED TO SEVERAL EMAIL GROUPS INCLUDING: AREA K-12 SCHOOLS, GRANT BLACKFORD MENTAL HEALTH, FAMILY SERVICE SOCIETY, INC., BRIDGES TO HEALTH, COMMUNITY MEDICAL SERVICES, THE COMMUNITY OPIOID RESONSE ENDEAVOR CONSORTIUM (INCLUDING BEHAVIORAL HEALTH PROVIDERS, TRANSITIONAL HOUSES, AND SOCIAL AGENCIES), THE BREATHE EASY TOBACCO TASK FORCE MEMBERS, AND VARIOUS COMMUNITY ADVISORY GROUPS. THE INDIANA RURAL HEALTH ASSOCIATION UTILIZED INFORMATION ACROSS THE COMMUNITY TO COMPLETE THE EXECUTIVE SUMMARY AND FINAL REPORT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIANA RURAL HEALTH ASSOCIATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE, AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MH SITE. https://www.marionhealth.com/about/for-the-community/ OR DIRECTLY TO https://www.marionhealth.com/documents/Marion-Health-2021-Community-Health -Needs-Assessment.pdf MH HOSTS SEVERAL COMMUNITY MEETINGS AND ATTENDS AREA GATHERINGS TO PRESENT THE COMMUNITY HEALTH PROFILE FINDINGS. ALL OF THE COMMUNITY PARTNERS RECEIVE ACCESS TO THE FINAL REPORT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.MARIONHEALTH.COM/DOCUMENTS/MARION-HEALTH-IMPLEMENTION-PLAN-202 3-2026.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST RECENT CHNA INDICATED AN OVERWHELMING NEED FOR MENTAL HEALTH AND SUBSTANCE USE/MISUSE DISORDER SERVICES AND PROGRAMS. MARION HEALTH OBTAINED FUNDS FROM THE OPIOID SETTLEMENT TO BUILD STRONGER MENTAL HEALTH CARE FOR OUR PRIMARY CARE OFFICES AND THE INPATIENT UNITS. GRANT AWARD MONIES WILL BE USED TO HIRE A SECOND LICENSED CLINICAL PSYCHOLOGIST AND TWO LICENSED THERAPISTS. THIS WILL PROVIDE THE OPPORTUNITY TO DO MENTAL HEALTH SCREENINGS, DEVELOP A DIAGNOSTIC PLAN, AND PROVIDE A WARM HAND-OFF PRIOR TO THE INDIVIDUAL OBTAINING SERVICES THROUGH THE LOCAL MENTAL HEALTH PROVIDERS FOR ON-GOING SUPPORT, THERAPY, AND INTERVENTIONS. POVERTY CONCERNS, SOCIAL DETERMINANTS OF HEALTH, AND THE UNINSURED AND UNDERINSURED SURFACED AS SIGNIFICANT NEEDS IN CHNA. MARION HEALTH HAS A ROBUST PATIENT ASSISTANCE PROGRAM AS WELL AS A MAJOR PARTNER WITH THE FREE CLINIC. CHRONIC ILLNESS CONTINUES TO BE AN AREA OF CONCERN FOR ALL THE COUNTY'S HEALTH PROVIDERS. MARION HEALTH DEVELOPED A CHRONIC DISEASE W-UP WITH PATIENTS UPON DISCHARGE FROM THE HOSPITAL TO ENSURE CONTINUUM OF CARE AND ASSURE DISCHARGE PLANS APPROPRIATE AND TIMELY FOR REGAINING HEALTH. TWO COMMUNITY HEALTH WORKERS HAVE BEEN ADDED TO THE CARDIOVASCULAR TEAM TO INCREASE SUPPORT, EDUCATION, AND MANAGEMENT FOR PATIENTS WITH HEART FAILURE OR OTHER CARDIOVASCULAR ILLNESSES. REMOTE PATIENT MONITORING IS ALSO AVAILABLE FOR APPROPRIATE PATIENTS INCLUDING HIGH RISK MATERNITY PATIENTS. TOBACCO/NICOTINE USE REMAINS A MAJOR RISK FACTOR FOR OUR YOUTH AND ADULT POPULATIONS. A FULL-TIME TOBACCO COORDINATOR IS WORKING WITH PRIMARY PREVENTION IN OUR HIGH SCHOOLS AS WELL AS MULTIPLE COMMUNITY EVENTS TO INCREASE AWARENESS OF THE NEGATIVE IMPACT OF VAPING AND COMBUSTIBLE PRODUCT USE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>24</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 200</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH PEDIATRIC CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 320</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UROLOGY CENTER OF MGH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 350</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARION SURGEONS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 370</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPECIALTY PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 400</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LUNG CENTER OF MGH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 450</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CENTER-MARION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>330 N WABASH AVENUE STE 430</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH SLEEP LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1387 N BALDWIN AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH DIAGNOSTICS-NORTHWOOD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1379 N BALDWIN AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CENTER-NORTHWOOD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1399 N BALDWIN AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH PHYSICAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1393 N BALDWIN AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL, OCCUPATIONAL AND speech therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARION FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1391 N BALDWIN AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH DIAGNOSTICS-SOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1408 W BELLA DRIVE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46953</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB, RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CENTER-SOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1406 W BELLA DRIVE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46953</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OBSTETRICS AND GYNECOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1419 W BELLA DRIVE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46953</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH MEDICAL ONCOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>831 N THEATRE DRIVE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL ONCOLOGY, PHYSICIAN office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH WORK SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>119 S WASHINGTON STREET</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>OCCUPATIONAL MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CENTER-CONVERSE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>308 N JEFFERSON STREET</AddressLine1Txt>
            <CityNm>CONVERSE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46919</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CENTER-SWAYZEE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2651 S 800 W</AddressLine1Txt>
            <CityNm>SWAYZEE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46986</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CENTER-GAS CITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4781 KAY BEE DRIVE</AddressLine1Txt>
            <CityNm>GAS CITY</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46933</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH DIAGNOSTICS-GAS CITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4781 KAY BEE DRIVE</AddressLine1Txt>
            <CityNm>GAS CITY</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46933</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAIRMOUNT MEDICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>157 W 8TH STREET</AddressLine1Txt>
            <CityNm>FAIRMOUNT</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46928</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH DIAGNOSTICS-FAIRMOUNT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>157 W 8TH STREET</AddressLine1Txt>
            <CityNm>FAIRMOUNT</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46928</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MGH EXPRESS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1130 N BALDWIN AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46952</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>MARION GENERAL HOSPITAL, DBA MARION HEALTH (MH), IS COMMITTED TO RESPONDING TO THE FEDERAL DESIGNATIONS THAT GRANT COUNTY IS A MEDICAL PROFESSION SHORTAGE AREA (MPSA) AND MEDICALLY UNDERSERVED AREA (MUSA). ACTIVE RECRUITING AND LOAN FORGIVENESS (AS INCENTIVES) FOR PROVIDER HIRING IS CRITICAL TO SERVE OUR HEALTHCARECOMMUNITIES. A NEWLY ADQUIRED HRSA LOAN FORGIVENESS AND SCHOLARSHIP PROGRAM FOR PHYSICIANS AND NURSE PRACTITIONERS WILL BE A GREAT ASSET TO ENHANCE RECRUITING TO OUR RURAL COMMUNITY. MH IS THE ONLY NON-GOVERNMENTAL HOSPITAL IN OUR COUNTY. THE NEED FOR RECRUITING AND RETAINING PROVIDERS PRESENTS SIGNIFICANT CHALLENGES FOR A SMALL RURAL AREA. NEW EFFORTS ARE UNDERWAY TO PROVIDER TELEHEALTH WITH EXAM TECHNOLOGY FOR PATIENTS AND PROVIDERS TO ACCESS SPECIALTIES THAT ARE NOT LOCALLY AVAILABLE IN OUR COMMUNITY. MARION HEALTH ANTICIPATES OPENING A NEW STATE OF THE ART, INNOVATION CAMPUS TO EXPAND SERVICES TO AN AREA OF IDENTIFIED NEED AND SHORTAGE. REPRESENTATIVES FROM MH SERVE ON THE INDIANA WESLEYAN UNIVERSITY (IWU) SCHOOL OF NURSING COMMUNITY ADVISORY BOARD AND THE COMMUNITY ADVISOTRY BOARD FOR OCCUPATIONAL THERAPY. MH REPRESENTATIVES HAVE BEEN INSTRUMENTAL IN WORKING WITH IWU TO CREATE GRADUATE EDUCATION PROGRAMS THAT MEET COMMUNITY PROVIDER NEEDS. MH FACILITATES A LARGE COMMUNITY TASK FORCE FOR SERVICE PROVIDERS WHOSE CLIENTS ARE IMPACTED BY SUBSTANCE ABUSE DISORDERS. MH ALSO FACILIATES A CORE (COMMUNITY OPIOID RESPONSE ENDEAVOR) CONSORTIUM UNDER MH LEADERSHIP HAS FACILITATED FREE COMMUNITY BASED NARCAN BOXES TO ADDRESS THE HIGH NUMBERS OF OVERDOSES. MH IS THE LARGEST SUPPORTER OF OUR COUNTY'S FREE HEALTH AND DENTAL CLINIC, BRIDGES TO HEALTH. MH HAS BEEN WORKING DILIGENTLY WITH AN FQHC AND IU SCHOOL OF DENTISTRY TO BRING A LOW COST, SLIDING FEE DENTAL CLINIC TO OUR COUNTY. THE OPENING DATE FOR THIS WAS SEPTEMBER 2023. THE HOSPITAL IS ONE OF THE LARGEST DONORS FOR IN-KIND AND MONETARY GIFTS TO LOCAL NONT-FOR-PROFIT ORGANIZATIONS THAT ASSIST IN THE MISSIONS TO IMPROVE THE HEALTH IN GRANT COUNTY. IN THE SUMMER OF 2024, MARION HEALTH IS BEGINNING THE INAUGURAL YEAR OF A FAMILY PRACTICE RESIDENCY PROGRAM, WHERE HOPES ARE TO HOST SIX INDIVIDUALS PER YEAR FOR THE THREE YEAR ACADEMIC REQUIREMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT AT COST IS ESTIMATED BY MULTIPLYING TOTAL PROVISION FOR BAD DEBT FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO AS DERIVED FROM THE FILED MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICIES IS ESTIMATED BASED UPON PAST EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING NET PATIENT SERVICE REVENUE, RELATED RECEIVABLES AND ESTIMATED SETTLEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION B, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED WHEN ATTEMPTING TO REFLECT THE FINANCIAL BENEFIT THAT THE ORGANIZATION PROVIDES TO ITS COMMUNITY. TO THAT END, MH SHOWS THIS AMOUNT SEPARATELY ON ITS ANNUAL COMMUNITY BENEFIT REPORT. SERVICES ARE PROVIDED TO MEDICARE PATIENTS BY MH WHILE, AT THE SAME TIME, WE FULLY EXPECT TO RECEIVE LESS IN REIMBURSEMENT THAN IT COSTS TO PROVIDE THESE SERVICES. WE ARE BENEFITING THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE MEDICARE ALLOWABLE COSTS OF CARE IS TAKEN DIRECTLY FROM THE FILED MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>MARION HEALTH'S COLLECTION POLICY DISTINGUISHES BETWEEN 'FINANCIAL ASSISTANCE' - PATIENTS UNABLE TO PAY, AND 'BAD DEBT' - PATIENTS UNWILLING TO PAY. MH SENDS A STATEMENT ON DAY 1 WITH AN EXPECTED DUE DATE OF THIRTY (30) DAYS FROM THE DATE OF THE STATEMENT. THIRTY (30) DAYS LATER A SECOND STATEMENT IS SENT FOLLOWED BY A LATE PAYMENT CALL. AT SIXTY (60) DAYS ANOTHER STATEMENT IS SENT FOLLOWED BY ANOTHER CALL. BY MONTH FOUR (4) IF NO RESPONSE AN ECA NOTIFICATION IS MAILED TO PATIENT NOTIFYING THEM THAT THE ACCOUNT MAY BE TURNED TO COLLECTION. CALLS ARE DOCUMENTED IN THE AR SYSTEM FOR FURTHER FOLLOW-UP ACTION. PAYMENT IN FULL IS ALWAYS THE PREFERRED METHOD OF RESOLUTION FOR A SELF-PAY BALANCE. IF THIS IS NOT POSSIBLE, THE PATIENT SERVICES REPRESENTATIVE OR FINANCIAL COUNSELOR PROVIDES INFORMATION TO THE PATIENT AND/OR OTHER RESPONSIBLE PARTY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IN A WAY THAT IS EASY TO UNDERSTAND. THE PATIENT SERVICE REPRESENTATIVE OR FINANCIAL COUNSELOR RESPONDS PROMPTLY TO QUESTIONS ABOUT THE PATIENT'S BILLS AND REQUESTS FOR ASSISTANCE. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT REPORTED TO A COLLECTION AGENCY AS LONG AS REQUESTED DOCUMENTATION IS PROVIDED TIMELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MARION GENERAL HOSPITAL DBA MARION HEALTH (MH) FACILITATES A COUNTY -WIDE COMMUNITY HEALTH PROFILE (NEEDS ASSESSMENT) EVERY THREE YEARS. THE SURVEY PROCESS INVOLVES PRIMARY AND SECONDARY DATA. THE SURVEY TOOL USED FOR THE MOST RECENT SURVEY WAS DONE IN PARTNERSHIP WITH INDIANA RURAL HEALTH ASSOCIATION, AND THE QUESTIONS WERE DERIVED FROM FOCUS GROUPS DESIGNATED TO INCLUDE ALL SECTORS OF THE COMMUNITY. THE SURVEY WAS SHARED THROUGHOUT THE COUNTY IN ELECTRONIC FORMAT. FOCUS GROUPS AND COMMUNITY-BASED MEETINGS WERE HELD ON SPECIFIC, IDENTIFIED NEEDS WITHIN THE THREE-YEAR TIME FRAME ADDING ADDITIONAL INFORMATION TO INFORM OUR COUNTY ON EMERGING HEALTH NEEDS AND ISSUES. ADDITIONAL INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS WERE REVIEWED INCLUDING THE GRANT COUNTY HEALTH DEPARTMENT, INDIANA DEPARTMENT OF HEALTH, CDC, COUNTY HEALTH RANKINGS AND ROADMAPS, INDIANA CANCER REGISTRY, INDIANA YOUTH INSTITUTE, AND AREA NEEDS ASSESSMENTS FROM LOCAL ORGANIZATIONS. DATA FROM THE COMMUNITY HEALTH PROFILE (CHNA) AND MARION HEALTH STAFF REGULARLY ASSIST AND INFORM THE NEEDS ASSESSMENTS AND GRANT APPLICATIONS FOR AREA AGENCIES. ONGOING FOCUSED ASSESSMENTS IMPACT PLANNING AND PROGRAM DEVELOPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS A NOT-FOR-PROFIT HOSPITAL, MH HAS SIGNAGE AT ALL REGISTRATION POINTS INTO THE FACILITY AND THE HOSPITAL'S BUSINESS OFFICE ADVISING THEM OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM (FAP). WE HAVE A BROCHURE TITLE 'UNDERSTANDING HOSPITAL BILLS AND INSURANCE' THAT DIRECTS THEM TO CALL US IF THEY DO NOT HAVE INSURANCE OR HAVE THE ABILITY TO PAY THEIR BILL. ALL BEDDED PATIENTS RECEIVE THIS BROCHURE UPON ADMISSION. WE ALSO HAVE A PATIENT NOTICE OF FINANCIAL ASSISTANCE POLICY STATEMENT AVAILABLE AT ALL REGISTRATION LOCATIONS AND THE BUSINESS OFFICE. OUR BILLING STATEMENTS ADVISE OUR PATIENTS THAT WE OFFER FINANCIAL ASSISTANCE AND DIRECTS THEM TO CONTACT US IN THE BUSINESS OFFICE TO GET ADDITIONAL INFORMATION AND AN APPLICATION ON OUR WEBSITE. ONCE A PATIENT IS APPROVED FOR ASSISTANCE, THEY ARE QUALIFIED FOR A PERIOD OF ONE YEAR FROM APPROVAL OF THE APPLICATION. MH ALSO ASSISTS PATIENTS WITH THE COMPLETION OF THE FAP APPLICATION, AS WELL AS, EVALUATION OF THEIR ELIGIBILITY FOR STATE AND FEDERAL GOVERNMENT BENEFIT PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MARION HEALTH IS THE ONLY NON-GOVERNMENT ACUTE CARE HOSPITAL IN RURAL GRANT COUNTY, OUR PRIMARY GEOGRAPHIC LOCATION. GRANT COUNTY DEMOGRAPHICS ARE AS FOLLOWS: WHITE 88.1%, BLACK/AFRICAN AMERICAN 7.7%, MULTI-RACIAL 2.8%, ASIAN 0.9%. LATINO/HISPANIC 4.9%. MEDIAN INCOME IS $50,009, POPULATION IS 66,263, 8.3% ARE WITHOUT HEALTH INSURANCE AND 18.8% OF PERSONS IN POVERTY (WWW.CENSUS.GOV UPDATED ON JULY 1, 2022). THE COMMUNITY HEALTH PROFILE (CHNA EVERY 3 YEARS) IS DESIGNED TO GATHER INFORMATION FROM ALL TOWNSHIPS AND PEOPLE GROUPS. GRANT COUNTY IS IN NORTH CENTRAL INDIANA. THE COUNTY IS DESIGNATED RURAL BY THE U.S. HEALTH RESOURCES &amp; SERVICES ADMINISTRATION AND IS THE THIRTIETH LARGEST COUNTY IN INDIANA AT APPROXIMATELY 414.07 SQUARE MILES IN AREA AND 0.82 SQUARE MILES IN WATER. INTERSTATE 69 RUNS ALONG THE ENTIRE EASTERN BOUNDARY OF THE COUNTY, AND THE MISSISSINEWA RIVER RUNS FROM THE SOUTHEAST TO NORTHWEST THROUGH THE CENTER OF THE COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>MARION HEALTH MAKES A CONCENTRATED EFFORT TO PROVIDE PRIMARY CARE LOCATIONS IN MOST AREAS OF THE COUNTY. THE PRACTITIONER REFERRAL LINE, MARION HEALTH ACCESS, ASSISTS PATIENTS TO SCHEDULE IMMEDIATE PRIMARY CARE APPOINTMENTS. MUCH TIME, EFFORT, AND MONEY ARE USED TO RECRUIT THE NEEDED PHYSICIANS AND TEAM MEMBERS FOR OUR RURAL AREA. STAFF MEMBERS AND LEADERS SERVE ON COUNTLESS BOARDS ACROSS THE COUNTY TO EXTEND THE MISSION, TRANSFORMING THE HEALTH OF OUR COMMUNITY. MARION HEALTH COMMUNITY OUTREACH STAFF OFFERS LUNCH AND LEARNS FOR AREA PROVIDER OFFICES, NOT-FOR-PROFIT ORGANIZATIONS, SCHOOL NURSES, AREA SOCIAL WORKERS, AND MULTIPLE UNIVERSITY STUDENT GROUPS. MARION HEALTH HAS HELPED FACILITATE THE EARLY STATE OF A PROGRAM TITLES HANDLE WITH CARE TO CONNECT LAW ENFORCEMENT AND FIRST RESPONDERS TO SCHOOLS TO PREVENT RE-TRAUMATIZATION OF STUDENTS WHOSE FAMILY HAS BEEN INVOLVED IN AN EVENT. MARION HEALTH HAS A LOAN FORGIVENESS PROGRAM FOR STUDENTS CHOOSING NURSING AND OTHER ALLIED HEALTH FIELDS TO ASSIST WITH RECRUITMENT AND RETENTION OF STAFF. THE PARISH NURSE PROGRAM STAFF PROVIDES PREPARATION, EDUCATION, AND SUPPORT FOR THE FAITH COMMUNITY NURSES (120 NURSES) AND FACILITATES THE BASIC PARISH NURSE EDUCATION PROGRAM EACH YEAR. BRIDGES TO HEALTH, A FREE HEALTH CLINIC, IS PRIMARILY SUPPORTED BY DONATIONS FROM MARION HEALTH PROVIDING FEE DIAGNOSTIC CARE TO BRIDGES PATIENTS WHO ARE UNDER 250% OF FEDERAL POVERTY LEVEL GUIDELINES. APPROXIMATELY 17 COLLEGES AND UNIVERSITIES ARE HOSTED FOR A ROBUST PROGRAM FOR STUDENT ROTATIONS AND PRACTICUMS IN MULTIPLE AREAS OF HEALTH CARE, PROVIDING 46,000 STUDENT ROTATION HOURS. MARION HEALTH HAS PARTNERED WITH SEVERAL STATE AND LOCAL ORGANIZATIONS TO HOUSE AND PROVIDE A CHECK OUT SYSTEM FOR A MOBILE KITCHEN TO PROMOTE HEALTHY COOKING, FOOD PREP AND PLANNING HEALTHY MEALS. MARION HEALTH SERVES AS A RESOURCE FOR NEEDS ASSESSMENTS, EDUCATION, AND GRANT OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIANA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>BRIDGES TO HEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>119 S WASHINGTON STREET</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <RecipientEIN>205405181</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>108250</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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        </RecipientBusinessName>
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          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
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        <RecipientEIN>351058216</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
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        <RecipientEIN>350995975</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>217 S ADAMS</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <RecipientEIN>351850390</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7106</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MARION HEALTH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MARION HEALTH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
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        <BaseCompensationFilingOrgAmt>506263</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>320261</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>855674</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN JACOBS DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>628486</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9848</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22395</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25404</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>695283</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAVITA RAJ DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>284831</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>301359</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>33901</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>43653</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>672894</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>DON TRICARICO RECEIVED SEVERANCE PAY OF $136,500 DURING FY23.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDIANA FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351602316</BondIssuerEIN>
        <BondIssuedDt>2015-07-07</BondIssuedDt>
        <IssuePriceAmt>33000000</IssuePriceAmt>
        <PurposeDesc>NEW MONEY AND CURRENT REFUNDING</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDIANA FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351602316</BondIssuerEIN>
        <CUSIPNum>45471ATE2</CUSIPNum>
        <BondIssuedDt>2020-11-13</BondIssuedDt>
        <IssuePriceAmt>74933215</IssuePriceAmt>
        <PurposeDesc>NEW MONEY AND REFUNDING 2012A BOND</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDIANA FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351602316</BondIssuerEIN>
        <CUSIPNum>45471ATW2</CUSIPNum>
        <BondIssuedDt>2021-04-29</BondIssuedDt>
        <IssuePriceAmt>31066642</IssuePriceAmt>
        <PurposeDesc>CURRENT REFUNDING</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>9950000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>33197594</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>333500</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>15549096</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>17315000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>76098383</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>801959</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>56129540</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>19166884</UnspentAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>550000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>31066642</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>337913</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>30728729</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>true</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>07/01/2019 INVESTMENT EARNING AS SET FORTH BELOW. TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2021 BONDS - $0 2020 BONDS - $1,165,168 2015 BONDS - $197,594</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE THE PRIVATE USE PERCENTAGE FOR EACH BOND ISSUE IS MONITORED TO ENSURE THAT THE PRIVATE USE LIMIT IS NOT EXCEEDED, THE AMOUNT OF PRIVATE PAYMENTS HAS NOT BEEN CALCULATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2021 BONDS WERE ISSUED TO CURRENTLY REFUND THE 2012A BONDS WHICH WERE ISSUED FOR PURPOSES OF (1) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2002 (MARION GENERAL HOSPITAL PROJECT). THE 2015 BONDS WERE ISSUED FOR THE PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S VARIABLE RATE DEMAND REVENUE BONDS SERIES 2008A (MARION GENERAL HOSPITAL PROJECT). THE REBATE COMPUTATION FOR THE 2015 BONDS WERE PERFORMED ON 07/01/2019. THE 2020 BONDS WERE ISSUED TO FINANCE CERTAIN NEW MONEY PROJECTS OF MARION HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>SIRAJABID KHATIB MD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>20000</OriginalPrincipalAmt>
        <BalanceDueAmt>11667</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JAMES ORRELL MD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>10000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>KAREN JACOBS DO</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>20000</OriginalPrincipalAmt>
        <BalanceDueAmt>5000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>SHANKARAN SRIKANTH MD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>12500</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>STEPHEN KELLER MD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>125000</OriginalPrincipalAmt>
        <BalanceDueAmt>11250</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CHARLES COSSELL DO</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>125000</OriginalPrincipalAmt>
        <BalanceDueAmt>68389</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>118806</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>IMG INSURANCE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE COMMENT</RelationshipDescriptionTxt>
        <TransactionAmt>652247</TransactionAmt>
        <TransactionDesc>SEE COMMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>GCA TITLE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE COMMENT</RelationshipDescriptionTxt>
        <TransactionAmt>109639</TransactionAmt>
        <TransactionDesc>SEE COMMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>The son of Tim Dailey, MGH board member, owns &gt;35% of IMG Insurance, a company which conducts business with MGH. MICHAEL HOTZ, MGH BOARD MEMBER, OWNS &gt;35% OF GCA TITLE, A COMPANY WHICH CONDUCTS BUSINESS WITH MGH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NORMALLY 15 MEMBERS OF THE BOARD, 13 OF WHICH ARE VOTING. THERE WAS ONE VACANCY AS OF JUNE 30, 2023, SO THERE WERE 14 MEMBERS OF WHICH 12 WERE VOTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>STEPHANIE HILTON-SIEBERT, DR. STEPHEN KELLER, DR. SIRAJABID KHATIB, DR. NABIN AGRAWAL, DR. JAMES ORRELL, AND DR. JEREMY WILSON ARE COMPENSATED AS EMPLOYEES OF THE ORGANIZATION. DR. M. NABI SHARIF IS COMPENSATED AS AN INDEPENDENT CONTRACTOR. AS A RESULT, ALL THE ABOVE INDIVIDUALS ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. IN ADDITION, DR. KHATIB, DR. SRIKANTH, DR. ORRELL, TIM DAILEY, MICHAEL HOTZ, AND DR. STEPHEN KELLER ARE ALSO CONSIDERED NON-INDEPENDENT DUE TO THE TRANSACTIONS LISTED ON SCH. L.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION INCORPORATES NUMEROUS PARTIES INTO THE PRODUCTION AND REVIEW OF THE FORM 990 AND ASSOCIATED SCHEDULES. FINANCE DEPARTMENT STAFF AND MANAGEMENT COMPLETE THE FORM 990 SCHEDULES. THE FORMS AND SCHEDULES ARE REVIEWED IN DETAIL BY THE FINANCE MANAGER, CHIEF FINANCIAL OFFICER AND PRESIDENT/CEO. THE ORGANIZATION ENGAGES FORVIS LLP TO REVIEW THE COMPLETED FORM 990 AND ASSOCIATED SCHEDULES. PRIOR TO FILING THE RETURN, THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE 990, AND THE BOARD OF DIRECTORS ALSO RECEIVES A COPY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY YEAR EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD OF DIRECTORS DELEGATED POWERS ARE REQUIRED TO SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DETERMINATION IS MADE BY THE REMIANING BOARD OF DIRECTORS OR COMMITTEE MEMBERS IN ATTENDANCE AND WHO ARE ELIGIBLE TO VOTE. IF A CONFLICT DOES INDEED EXIST, THE PERSON IS REQUIRED TO LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE OF, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TO SUPPORT THE MISSION, VISION, AND VALUES OF MARION GENERAL HOSPITAL, INC. (MGH) AND THE CHARITABLE PURPOSE FOR WHICH IT EXISTS, THE EXECUTIVE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED TO ENSURE THAT MGH CAN ATTRACT, RETAIN AND MOTIVATE HIGHLY-TALENTED EXECUTIVES. EXECUTIVES ARE PLACED WITH APPROPRIATE SALARY RANGES BASED ON THE EXECUTIVE'S KNOWLEDGE, COMPETENCIES AND EXPERIENCE, PERFORMANCE, IMPORTANCE OF RETAINING THE EXECUTIVE, INTERNAL EQUITY CONSIDERATIONS AND FINANCIAL RESOURCES AVAILABLE. THE ORGANIZATION USES THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS TO REVIEW COMPENSATION PACKAGES, AND ALSO ENGAGES INDEPENDENT COMPENSATION CONSULTANTS TO PREPARE SURVEYS OR STUDIES TO ENSURE THAT THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. THIS PROCESS IS UNDERTAKEN ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LAST FORMAL REVIEW OF OTHER OFFICERS AND KEY ADMINISTRATIVE DIRECTORS WAS IN 2022, PREPARED BY MERCER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE KEPT ON SITE, AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR THE MARION GENERAL HOSPITAL, INC. BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES $ 2,298,970 NET PERIODIC PENSION COST $-2,189,422 GAIN ON JV $ 410,992 TOTAL $ 520,540</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROGRAM SERVICES ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Part III, Line 4d Marion General Hospital is a not-for-profit, 106-bed, acute care, rural, sole community hospital located in Grant county, Indiana. MGH provides healthcare services throughout Grant County (includes Marion, Fairmount, Upland, Gas City and Swayzee) and in Miami County (Converse), Indiana. Administrators and staff of Marion General Hospital believe everyone should have access to healthcare and continue to address ongoing financial challenges to meet the healthcare needs of our community. Clients and families receive impartial access to treatment, available healthcare accommodations and medically indicated services regardless of race, creed, sex, national origin, or source of payment for care. In addition to the inpatient services, radiology services and room services previously described, Marion General Hospital also provides ambulance, anticoagulation clinic, medical oncology, cardiovascular, cardiac cath lab, CHF clinic, cardiac REHAB, laboratory, observation, neurodiagnostic, surgery, physical, speech and occupational therapy, and wound clinic services. Marion General Hospital continues to provide hospitalist services 24/7, as well as interventional cardiology services performed by St. Vincent Medical Group providers right here at Marion General Hospital.</ExplanationTxt>
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          <BusinessNameLine1Txt>PROGRESSIVE CANCER CARE LLC</BusinessNameLine1Txt>
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