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        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>278377</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29173</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL M COLLINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT ROBERTSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN THOMPSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM VANDENHOVEN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>172639</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17769</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF LINGERFELT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>276536</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35926</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SEDOVY</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
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        <ReportableCompFromOrgAmt>319689</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18548</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY MCCRAY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>334359</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37493</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY BENBOW</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>342778</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30643</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT CROSBY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>51.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>374160</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37468</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY GALLAGHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>300330</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17157</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2398868</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>224177</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>22</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CPSI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 850309</AddressLine1Txt>
            <CityNm>MOBILE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36685</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING/COLLECTION/EMR</ServicesDesc>
        <CompensationAmt>574305</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHCARE RESOURCE GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12610 E MIRABEAU PKWY</AddressLine1Txt>
            <CityNm>SPOKANE VALLEY</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING &amp; COLLECTION SERVICES</ServicesDesc>
        <CompensationAmt>232630</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ICE TECHNOLOGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>411 SE 9TH STREET</AddressLine1Txt>
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            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50219</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>173259</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIEMENS MEDICAL SOLUTIONS USA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 120001</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIPMENT SERVICES AGREEMENTS</ServicesDesc>
        <CompensationAmt>162095</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MERGE HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 205824</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PACE SYSTEM UPGRADE</ServicesDesc>
        <CompensationAmt>120610</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>905816</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>5748571</AllOtherContributionsAmt>
      <TotalContributionsAmt>6654387</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROFESSIONAL SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>24290536</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24290536</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER NURSING SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>3905645</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3905645</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DAILY PATIENT SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2831883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2831883</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CHARITY CARE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>-154947</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-154947</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTUAL ADJUSTMENTS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>-10582371</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-10582371</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>20290746</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>34451</TotalRevenueColumnAmt>
        <ExclusionAmt>34451</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>20750</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>11218</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>9532</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>9532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9532</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC CAFETERIA AND DIETARY REVENU</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>78099</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>78099</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL TRANSCRIPTS</Desc>
        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2694</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>680</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>680</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>34451</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>1600</ProgramServicesAmt>
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        <ProgramServicesAmt>307550</ProgramServicesAmt>
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        <ProgramServicesAmt>9474087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1450726</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>342514</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1333927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197305</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>661399</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>29612</TotalAmt>
        <ManagementAndGeneralAmt>29612</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>85843</TotalAmt>
        <ManagementAndGeneralAmt>85843</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>655</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>20232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91527</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>39521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16240</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>101463</TotalAmt>
        <ProgramServicesAmt>18309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83154</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>450477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23165</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>61578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2586</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>36403</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1766885</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>829870</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>709734</ProgramServicesAmt>
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        <EOYAmt>5461182</EOYAmt>
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        <EOYAmt>622080</EOYAmt>
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        <EOYAmt>3010058</EOYAmt>
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        <EOYAmt>1394819</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>26813414</BOYAmt>
        <EOYAmt>29113375</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>2299961</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingOtherInd methodOfAccountingOtherDesc="TAX BASIS">X</MethodOfAccountingOtherInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <BookValueAmt>667592</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>28762416</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11176831</DepreciationAmt>
        <BookValueAmt>17585585</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>425141</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>415351</DepreciationAmt>
        <BookValueAmt>9790</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9254335</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6487363</DepreciationAmt>
        <BookValueAmt>2766972</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>644444</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>447362</DepreciationAmt>
        <BookValueAmt>197082</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>21227021</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>27076858</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>11218</OtherRevenueAmt>
      <RevenueNotReportedAmt>11218</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>27065640</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>655</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>4294</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4949</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27070589</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24776896</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>11218</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>11218</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24765678</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>655</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>4295</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>4950</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24770628</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES NETTED AGAINST RECEIPTS 11,218.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER AMOUNTS NETTED ON FINANCIAL STATEMENTS 4,294.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES NETTED AGAINST RECEIPTS 11,218.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER AMOUNTS NETTED ON FINANCIAL STATEMENTS 4,294. ROUNDING 1.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>111799</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00470</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>8873</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3484970</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1436723</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2048247</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08570</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>8873</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3596769</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1436723</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2160046</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09040</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>24954</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>7942299</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5539184</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2403115</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10060</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>24954</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>7942299</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5539184</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2403115</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10060</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>5</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>33827</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>11539068</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6975907</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4563161</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.19100</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>882703</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>9486823</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>10113296</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-626473</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BATH COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>106 PARK DR</AddressLine1Txt>
          <CityNm>HOT SPRINGS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24445</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BATHHOSPITAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>H1827 VA</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BATH COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.BATHHOSPITAL.ORG/COMMUNITY-OUTREACH/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTP://BATHHOSPITAL.HEALTHFORECAST.NET/INDEX-3.HTML</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>0</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.BATHHOSPITAL.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.BATHHOSPITAL.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BATH COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: IN THE SUMMER OF 2021, BATH COUNTY COMMUNITY HOSPITAL (BCCH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE RESIDENTS (APPROXIMATELY 21,000) OF BATH, HIGHLAND AND ALLEGHANY COUNTIES. THE CHNA WAS CONDUCTED WITH ASSISTANCE FROM EIDE BAILLY LLP, AN ACCOUNTING AND CONSULTING FIRM SPECIALIZING IN FINANCIAL, OPERATIONAL, AND HEALTH-NEED CONSULTING WITH HEALTHCARE ORGANIZATIONS.TO ENSURE INPUT FROM PERSONS WITH BROAD KNOWLEDGEE OF THE COMMUNITY, A FOCUS GROUP MEETING WAS HELD ON JULY 29, 2021. INVITATIONS WERE SENT TO INDIVIDUALS REPRESENTING VARIOUS COMMUNITY, BUSINESS, AND EDUCATIONAL ORGANIZATIONS. REPRESENTATIVES FROM LOCAL HEALTHCARE PROVIDERS AND THE COMMUNITY HEALTH DEPARTMENTS WERE INCLUDED TO BRING ADDITIONAL PROFESSIONAL PERSPECTIVES. FOR INVITEES UNABLE TO ATTEND THE FOCUS GROUP SESSIONS, INPUT WAS GATHERED VIA THE COMMUNITY SURVEY.COMMUNITY REPRESENTATION AT THE JULY 29, 2021 FOCUS GROUP INCLUDE THE FOLLOWING ORGANIZATIONS:O NEW RIVER VALLEY COMMUNITY SERVICES - BLACKSBURG, VAO DABNEY S. LANCASTER COMMUNITY COLLEGE - CLIFTON FORGE, VAO BATH COUNTY PUBLIC SCHOOLS - WARM SPRINGS, VAO ALLEGHANY HIGHLANDS KIWANIS CLUB - COVINGTON, VAO FEEDING SOUTHWEST VA - SALEM, VAO GOODWILL - COVINGTON, VAO BATH COMMUNITY HOSPITAL STAFF - HOT SPRINGS, VAO ALLEGHANY COUNTY/COVINGTON HEALTH DEPARTMENT - COVINGTON, VATHE INDIVIDUALS IDENTIFIED TO PARTICIPATE IN THE PROCESS HAVE DIRECT ASSESS TO INDIVIDUALS ACROSS ALL SUBSECTIONS OF THE COMMUNITY AND THEREFORE CAN ADDRESS NEEDS THAT MAY IMPACT THOSE POPULATIONS THAT ARE MEDICALLY UNDERSERVED OR MOST IN NEED.IN ORDER TO OBTAIN INPUT FROM THE BROADER COMMUNITY, AS SURVEY WAS CREATED WITH QUESTIONS TO IDENTIFY HEALTH NEEDS AND CONCERNS IN THE COMMUNITY. THE SURVEY WAS ADMINISTERED FROM JULY 7 TO JULY 16, 2021. THE ONLINE SURVEY LINK WAS MAILED OUT AND MADE AVAILABLE ON THE BCCH WEBSITE, AND POSTED AT:- LOCAL PRINT AND ONLINE NEWSPAPERS AND THEIR SOCIAL MEDIA PAGES- THE ALLEGHANY JOURNAL (REGIONAL ELECTRONIC JOURNAL)- RADIO STATION SOCIAL MEDIA PAGES (WXCF, WKEY, AMR 1370- BCCH WEBSITE AND SOCIAL MEDIA PAGES FOR ALL ENTITIES: BATH COMMUNITY PHYSICIANS GROUP, BATH COMMUNITY REHAB AND WELLNESS, AND THE BISTRO (HOSPITAL CAFETERIA)- PATIENTPOINT SCREENS IN ALL PATIENT WAITING ROOMS THROUGHOUT THE HOSPITAL AND CLINICS- SIGNAGE POSTED THROUGOUT ALL BCCH OUTLETS- PAPER COPIES WERE ALSO MADE AVAILABLE AT BCCH, BATH COMMUNITY PHARMACY, AND ALL BATH COMMUNITY PHYSICIAN GROUP CLINIC LOCATIONS, INCLUDING MILLBORO, COVINGTON AND HOT SPRINGS.- EMAILS WERE SENT TO COMMUNITY ALTERNATIVES FOR POSITIVE PREVENTION (CAPP) MEMBERS WITH REQUEST TO SHARE THE SURVEY LINK.THERE WERE 115 SURVEY RESPONSES. BCCH ACKNOWLEDGES THAT HIGHLAND COUNTY WAS (UNINTENDEDLY) UNDER-REPRESENTED IN THE SURVEY. BCCH WILL MAKE GREATER EFFORTS TO ATTRACT SURVEY RESPONSES FROM HIGHLAND COUNTY RESIDENTS IN THE NEXT CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BATH COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: O NEW RIVER VALLEY COMMUNITY SERVICES - BLACKSBURG, VAO DABNEY S. LANCASTER COMMUNITY COLLEGE - CLIFTON FORGE, VAO BATH COUNTY PUBLIC SCHOOLS - WARM SPRINGS, VAO ALLEGHANY HIGHLANDS KIWANIS CLUB - COVINGTON, VAO FEEDING SOUTHWEST VA - SALEM, VAO GOODWILL - COVINGTON, VAO BATH COMMUNITY HOSPITAL STAFF - HOT SPRINGS, VAO ALLEGHANY COUNTY/COVINGTON HEALTH DEPARTMENT - COVINGTON, VA</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BATH COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: FOCUS GROUPS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BATH COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: SIGNIFICANT NEEDSNUTRITION; PHYSICAL ACTIVITY; OBESITY; DIABETES:LEAD BY EXAMPLE - OFFER HEALTHIER CHOICES TO HOSPITAL STAFF AND THE PUBLIC IN THE HOSPITAL DINING AREA. EDUCATE THE PUBLIC THROUGH 45-MINUTE HEALTH EDUCATION PRESENTATIONS AND INCLUDE PROVIDERS. SHARE MESSAGING PROVIDED THROUGH REGIONAL PREVENTION COALITION FACILITIES, TO SUPPORT THE IMPLEMENTATION OF EXSISTING AND PROVEN SUCCESSFUL PROGRAMS SUCH AS "TOO GOOD FOR DRUGS; AND "ALLEGHANY HIGHLANDS HEALTH YOUTH COALITION". PROMOTE CHRONIC DISEASE MANAGEMENT AVAILABLE TO PATIENTS, INTERNALLY.SUBSTANCE ABUSE:SUPPORT AND PROMOTE EXISTING TREATMENT PROGRAMS AND RESOURCES. BE AN EXTENSION OR ARM FOR DELIVERY OF INFORMATION EXCHANGED. SPONSOR RECOVER FEST IN COVINGTON AND HOST "ARRIVE ALIVE, DRUNK DRIVING AND DISTRACTED DRIVING SIMULATOR". GIVE OUT DRUG DEACTIVATION POUCHES AND LOCKBOXES IN PARTNERSHIP WITH CSB. JOIN THE NARRATIVE; NETWORK WITH COMMUNITY GROUPS SHARING A COMMON GOAL TO IMPROVE ALIGNMENT AND COHESIVENESS.TOBACCO USE/VAPING:DISTRIBUTE AND SHARE EXISTING MATERIALS THROUGH ALL OUTLETS AVAILABLE TO US. SPONSOR EXISTING SCHOOL HEALTH PROGRAMS AND PRESENTATIONS FOR PARENTS AND STUDENTS TO KNOW THE SIGNS OF VAPING AND ASSOCIATED ILLNESS.BEHAVIORAL HEALTH:GROW BEHAVIORAL HEALTH TEAM IN ORDER TO BEST MEET THE NEEDS OF THE COMMUNITY CONTINUE TO OFFER TELEHEALTH OPPORTUNITIES. RECONFIGURE OFFICE LOCATION TO ENSURE PATIENT CONFIDENTIALITY DUE TO STIGMA SURROUNDING MENTAL ILLNESS. EDUCATE THE COMMUNTIY ON AVAILABILITY AND EFFECTIVENESS OF SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - BATH COMMUNITY REHAB &amp; WELLNESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>PO DRAWER Z</AddressLine1Txt>
            <CityNm>HOT SPRINGS</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24445</ZIPCd>
          </USAddress>
          <FacilityTxt>WELLNESS SERVICES, WHICH ARE COHOUSED WITH LICENSED REHAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ALSO CONSIDER ASSETS SUCH AS MONEY IN THE BANK AND ASSETS THAT COULD BE LIQUIDATED INTO CASH, AND WE REVIEW BANK STATEMENTS TO SEE IF MONEY IS FREQUENTLY SPENT ON LUXURY ITEMS INSTEAD OF NEEDED ITEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL FIGURES ARE DERIVED FROM THE FINANCIAL STATEMENTS, WHICH ARE PREPARED ON THE INCOME TAX BASIS. THE COST TO CHARGE RATIO FROM WORKSHEET 2 IS USED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 882,703.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. BALANCES ARE CONSIDERED DELINQUENT WHEN THEY ARE OUTSTANDING FOR 120 DAYS WITH NO ACTIVITY AT WHICH TIME THE BALANCES ARE TRANSFERRED TO A COLLECTION AGENCY AND THE BALANCE IS MOVED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. THE BAD DEBT EXPENSE REPORTED ON SCH H, PART III, LINE 2 IS THE ESTIMATED BAD DEBT ATTRIBUTABLE TO CHARGES ON PATIENT ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE SHOULD BE TREATED AS A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS AS DETERMINED BY FILING OF THE CMS 2552-10 COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAS BEEN DETERMINED, THE BILLS ARE ADJUSTED FOR PATIENTS WHO QUALIFY.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTION OF AN AUDIT COMMITTEE THAT OVERSEES PREPARATION OF FINANCIAL STATEMENTS AND AUDIT PROCESS. THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS IN CURRENT YEAR.</ExplanationTxt>
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</Return>
