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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4577</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60197</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL SOFTWARE AND SUPPORT</ServicesDesc>
        <CompensationAmt>394808</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CURTISS DILLON CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>425 LOCKWOOD ROAD</AddressLine1Txt>
            <CityNm>ROCK</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>24747</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR FOR SOUTHERN HIGHLAND'S RYAN</ServicesDesc>
        <CompensationAmt>270000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>J DAN SNEAD &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>BECKLEY</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25801</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>RYAN BROWN PROJECT ARCHITECT</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6716757</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6716757</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>6716757</TotalProgramServiceRevenueAmt>
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      <OtherRevenueTotalAmt>121835</OtherRevenueTotalAmt>
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        <ProgramServicesAmt>36640</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>757204</TotalAmt>
        <ProgramServicesAmt>458069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299135</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>105765</TotalAmt>
        <ProgramServicesAmt>101392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4373</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3224</ManagementAndGeneralAmt>
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        <TotalAmt>196584</TotalAmt>
        <ProgramServicesAmt>110337</ProgramServicesAmt>
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        <ProgramServicesAmt>146406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57716</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>652924</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>302221</TotalAmt>
        <ProgramServicesAmt>302221</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FURNITURE &amp; FIXTURES</Desc>
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        <ProgramServicesAmt>199539</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>5610462</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>903849</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>972770</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus2YearsAmt>335556</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>335556</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>335556</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>32760461</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>648</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2852</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48270</CurrentTaxYearMinus2YearsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>119210</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>1203901</DepreciationAmt>
        <BookValueAmt>49978</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1009909</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>895279</DepreciationAmt>
        <BookValueAmt>114630</BookValueAmt>
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      <TotalRevEtcAuditedFinclStmtAmt>15295540</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>339809</DonatedServicesAndUseFcltsAmt>
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      <RevenueNotReportedFinclStmtAmt>302222</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15257953</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14322770</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>339809</DonatedServicesUseFcltsAmt>
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      <ExpensesNotRptFinclStmtAmt>302222</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF BAD DEBT EXPENSE FOR 990 302,222.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF BAD DEBT EXPENSE FOR 990 302,222.</ExplanationTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>10407</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>7509</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172449</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD BEZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>263767</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10147</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10166</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>284080</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED REGULARLY AND HANDLED ACCORDINGLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>15A: COMPENSATION DICTATED BY CONTRACT ESTABLISHED BY BOARD BASED ON MARKET VALUE AND REVIEWED ANNUALLY. 15B: REVIEWED ANNUALLY BASED ON MARKET VALUE OF POSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FROM 990, PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>