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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALBERT MOSLEY</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE BOYNTON</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON HAYNES</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA CASTEEL</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REGINALD COOPWOOD MD</PersonNm>
        <TitleTxt>BOARD OF DIRECTORS</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID NEIGER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>208486</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46875</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY LONG</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>65.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>665284</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52338</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILL CROMER</PersonNm>
        <TitleTxt>EXEC. VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>391764</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40264</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GWYNN WALTERS</PersonNm>
        <TitleTxt>VP FOR RESEARCH/REIM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>189510</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27580</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS CLARK</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>239507</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34779</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE BURCHFIELD</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>222193</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33610</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN METZGER</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>219495</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47862</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL JOLLEY</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184961</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44938</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY LAYNE VAN CLEAVE</PersonNm>
        <TitleTxt>FORMER SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>1335172</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57443</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG BECKER</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>5143823</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25803</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>8800195</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>411492</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AUDACIOUS INQUIRY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5523 RESEARCH PARK DR SUITE 370</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SVCS</ServicesDesc>
        <CompensationAmt>436074</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECRI INSTITUTE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5200 BUTLER PIKE</AddressLine1Txt>
            <CityNm>PLYMOUTH MEETING</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19462</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SVCS</ServicesDesc>
        <CompensationAmt>328125</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HOSP INDUSTRY DATA INSTITUTE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 60</AddressLine1Txt>
            <CityNm>JEFFERSON CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SVCS</ServicesDesc>
        <CompensationAmt>188122</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STROUDWATER ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 CORPORATE CENTRE DRIVE SUITE</AddressLine1Txt>
            <CityNm>FRANKLIN</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>182000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONRAD CONSTRUCTION CO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2610 WINFORD AVE</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOF REPLACEMENT</ServicesDesc>
        <CompensationAmt>123414</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4713026</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>24146</AllOtherContributionsAmt>
      <TotalContributionsAmt>4737172</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSP ASSESS. FEES - RELATED</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>5991982</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5991982</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DUES-RELATED</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>5268591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5268591</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DATA BASE INCOME/HIN - RELATED</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>1581833</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1581833</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTING INCOME - RELATED</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>217101</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>217101</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOSP ASSESS. FEES - UNRELATED</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>114198</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>114198</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>60692</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>60692</UnrelatedBusinessRevenueAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>13234397</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>566453</TotalRevenueColumnAmt>
        <ExclusionAmt>566453</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>244609</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>244609</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>244609</TotalRevenueColumnAmt>
        <ExclusionAmt>244609</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>35335032</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>31908706</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>3426326</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3426326</TotalRevenueColumnAmt>
        <ExclusionAmt>3426326</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>368254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>368254</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ADMINISTRATIVE SERVICE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>228270</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>228270</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ADT SALES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>96440</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>96440</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>692964</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22901921</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>499600</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4237388</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>3892605</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>50000</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1609294</TotalAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>4227831</TotalAmt>
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      <PensionPlanContributionsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>453995</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>27722</TotalAmt>
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        <TotalAmt>1326893</TotalAmt>
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        <TotalAmt>2170</TotalAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>601439</TotalAmt>
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      <TravelGrp>
        <TotalAmt>69353</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>18942</TotalAmt>
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      <InsuranceGrp>
        <TotalAmt>759836</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>UNRELATED BUSINESS INCO</Desc>
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      <OtherExpensesGrp>
        <Desc>GRANT EXPENSES</Desc>
        <TotalAmt>1059093</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>EXCISE TAX</Desc>
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      <OtherExpensesGrp>
        <Desc>BUILDING SERVICES</Desc>
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      <AllOtherExpensesGrp>
        <TotalAmt>493947</TotalAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>2567795</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>147960</EOYAmt>
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        <EOYAmt>1265788</EOYAmt>
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        <EOYAmt>116674</EOYAmt>
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        <EOYAmt>6987175</EOYAmt>
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        <EOYAmt>3298244</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>4506650</EOYAmt>
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        <EOYAmt>484993</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1071844</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>5227792</BOYAmt>
        <EOYAmt>8157581</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>37594780</BOYAmt>
        <EOYAmt>45568261</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>37594780</BOYAmt>
        <EOYAmt>45568261</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>42822572</BOYAmt>
        <EOYAmt>53725842</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>6257312</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1061363</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>654806</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>5307551</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>584369</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>177169</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>761538</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>424823</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>336715</CarriedOverAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>184875473</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>6781493</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>153341950</DistributionsDuringYearAmt>
      <EndingBalanceAmt>38315016</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1344800</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1344800</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6391681</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1162994</DepreciationAmt>
        <BookValueAmt>5228687</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1599817</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1186129</DepreciationAmt>
        <BookValueAmt>413688</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6987175</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN SUBSIDIARY</Desc>
        <BookValueAmt>3298244</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>3298244</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>26118087</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1061363</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>654803</OtherRevenueAmt>
      <RevenueNotReportedAmt>1716166</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24401921</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-1500000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-1500000</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>22901921</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18144609</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>1500000</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1500000</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16644609</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16644609</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THA SERVES AS ADMINISTRATOR FOR HOSPITALS STATEWIDE FOR THE TENNESSEE HOSPITAL ASSOCIATION UNEMPLOYMENT COMPENSATION FUND AND THE HOSPITAL ASSESSMENT PROGRAM. THE FUNDS ARE MAINTAINED SEPARATELY FROM THE ORGANIZATION'S OPERATING FUNDS. USE OF THE FUNDS IS RESTRICTED BY THE MEMBERS PARTICIPATING IN THE RESPECTIVE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THA PROVIDES ACCOUNTING SERVICES FOR ITS AFFILIATED PROFESSIONAL HEALTH ORGANIZATIONS AND MEMBER DISTRICTS AS THEY DO NOT HAVE THE RESOURCES OR EXPERTISE TO DO SO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION RECOGNIZES THE TAX BENEFITS OF UNCERTAIN TAX POSITIONS ONLY WHERE THE POSITION IS "MORE LIKELY THAN NOT" TO BE SUSTAINED ASSUMING EXAMINATION BY TAX AUTHORITIES. MANAGEMENT HAS ANALYZED THE ASSOCIATION'S TAX POSITIONS AND HAS CONCLUDED THAT NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS SHOULD BE RECORDED RELATED TO UNCERTAIN TAX POSITIONS TAKEN ON RETURNS FILED FOR THE OPEN TAX YEARS (2017-2019), OR EXPECTED TO BE TAKEN IN THE ASSOCIATION'S 2020 TAX RETURNS. THE ASSOCIATION IDENTIFIES ITS MAJOR TAX JURISDICTIONS AS THE U.S. FEDERAL AND THE STATE OF TENNESSEE. HOWEVER, THE ASSOCIATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ASSOCIATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. THE ASSOCIATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME FROM THA CENTER FOR INNOVATIVE SOLUTIONS, INC. 654,803. &amp; SUBSIDIARY, A NON-EXEMPT 100% OWNED SUBSIDIARY ACCOUNTED FOR BY THE EQUITY METHOD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE SHARE INCLUDED IN SCHEDULE D PART XII LINE 2D -1,500,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE SHARE INCLUDED ON SCHEDULE D PART XI LINE 4B 1,500,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1818 PATTERSON ST</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37203</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAPTIST MEMORIAL HEALTH CARE CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>350 N HUMPHREYS BLVD</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38120</ZIPCd>
        </USAddress>
        <RecipientEIN>581521475</RecipientEIN>
        <CashGrantAmt>242114</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KINDRED HOSPITAL-CHATTANOOGA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>709 WALNUT ST</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37402</ZIPCd>
        </USAddress>
        <RecipientEIN>522085561</RecipientEIN>
        <CashGrantAmt>10150</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAURY REGIONAL HEALTHCARE SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1224 TROTWOOD AVE</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38401</ZIPCd>
        </USAddress>
        <RecipientEIN>626002623</RecipientEIN>
        <CashGrantAmt>61224</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NASHVILLE GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1818 ALBION ST</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37208</ZIPCd>
        </USAddress>
        <RecipientEIN>202844893</RecipientEIN>
        <CashGrantAmt>27961</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OREGON ASSOCIATION OF HOSPITALS RESEARCH &amp; EDUCATION FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4000 KRUSE WAY PLACE 2-100</AddressLine1Txt>
          <CityNm>LAKE OSWEGO</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97035</ZIPCd>
        </USAddress>
        <RecipientEIN>943098610</RecipientEIN>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PERRY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2718 SQUIRREL HOLLOW DR</AddressLine1Txt>
          <CityNm>LINDEN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37096</ZIPCd>
        </USAddress>
        <RecipientEIN>621630463</RecipientEIN>
        <CashGrantAmt>21193</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SISKIN HOSPITAL FOR PHYSICAL REHAB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE SISKIN PLAZA</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37403</ZIPCd>
        </USAddress>
        <RecipientEIN>621220402</RecipientEIN>
        <CashGrantAmt>16460</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SWEETWATER HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>304 WRIGHT ST</AddressLine1Txt>
          <CityNm>SWEETWATER</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37874</ZIPCd>
        </USAddress>
        <RecipientEIN>620544855</RecipientEIN>
        <CashGrantAmt>11507</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST TENNESSEE HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>620 SKYLINE DR</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38301</ZIPCd>
        </USAddress>
        <RecipientEIN>626010402</RecipientEIN>
        <CashGrantAmt>239510</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WILLIAMSON MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4321 CAROTHERS PKWY</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37067</ZIPCd>
        </USAddress>
        <RecipientEIN>621501534</RecipientEIN>
        <CashGrantAmt>49453</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5959 PARK AVE</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38119</ZIPCd>
        </USAddress>
        <RecipientEIN>752522262</RecipientEIN>
        <CashGrantAmt>88989</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE - CLEVELAND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2305 CHAMBLISS AVE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>373113847</ZIPCd>
        </USAddress>
        <RecipientEIN>621281627</RecipientEIN>
        <CashGrantAmt>65246</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BALLAD HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>303 MED TECH PARKWAY STE 300</AddressLine1Txt>
          <CityNm>JOHNSON CITY</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>376043645</ZIPCd>
        </USAddress>
        <RecipientEIN>620476284</RecipientEIN>
        <CashGrantAmt>419993</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAPTIST MEMORIAL HOSPITAL - MEMPHIS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6019 WALNUT GROVE ROAD</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381202173</ZIPCd>
        </USAddress>
        <RecipientEIN>620123940</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLOUNT MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>907 EAST LAMAR ALEXANDER PARKWAY</AddressLine1Txt>
          <CityNm>MARYVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>378045016</ZIPCd>
        </USAddress>
        <RecipientEIN>620505512</RecipientEIN>
        <CashGrantAmt>56527</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRISTOL REGIONAL MEDIAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 MEDICAL PARK BOULEVARD</AddressLine1Txt>
          <CityNm>BRISTOL</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>376207434</ZIPCd>
        </USAddress>
        <RecipientEIN>621636465</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHI MEMORIAL HEALTH CARE SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2525 DESALES AVENUE</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>374043322</ZIPCd>
        </USAddress>
        <RecipientEIN>620532345</RecipientEIN>
        <CashGrantAmt>78737</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLAIBORNE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1850 OLD KNOXVILLE ROAD</AddressLine1Txt>
          <CityNm>TAZEWELL</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>378793625</ZIPCd>
        </USAddress>
        <RecipientEIN>464420358</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COOKEVILLE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 MEDICAL CENTER BOULEVARD</AddressLine1Txt>
          <CityNm>COOKEVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>385014294</ZIPCd>
        </USAddress>
        <RecipientEIN>626002166</RecipientEIN>
        <CashGrantAmt>45954</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COVENANT HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 FT SANDERS WEST BLVD</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>379223353</ZIPCd>
        </USAddress>
        <RecipientEIN>621646734</RecipientEIN>
        <CashGrantAmt>384849</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CRESTWYN BEHAVIORAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9485 CRESTWYN HILLS COVE</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381258515</ZIPCd>
        </USAddress>
        <RecipientEIN>900933893</RecipientEIN>
        <CashGrantAmt>14977</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CUMBERLAND MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>421 SOUTH MAIN STREET</AddressLine1Txt>
          <CityNm>CROSSVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>385555031</ZIPCd>
        </USAddress>
        <RecipientEIN>620790132</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CUMBERLAND RIVER HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 OLD JEFFERSON STREET</AddressLine1Txt>
          <CityNm>CELINA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38551</ZIPCd>
        </USAddress>
        <RecipientEIN>842336390</RecipientEIN>
        <CashGrantAmt>7978</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DELTA SPECIALTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3000 GETWELL ROAD</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381182299</ZIPCd>
        </USAddress>
        <RecipientEIN>621650705</RecipientEIN>
        <CashGrantAmt>41502</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST TENNESSEE CHILDRENS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 15010</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>379015010</ZIPCd>
        </USAddress>
        <RecipientEIN>626002604</RecipientEIN>
        <CashGrantAmt>28332</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ERLANGER BEHAVIORAL HEALTH HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>804 HOLTZCLAW AVENUE</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>374041235</ZIPCd>
        </USAddress>
        <RecipientEIN>815407918</RecipientEIN>
        <CashGrantAmt>16460</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ERLANGER HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>975 EAST THIRD STREET</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>374032112</ZIPCd>
        </USAddress>
        <RecipientEIN>626000101</RecipientEIN>
        <CashGrantAmt>167169</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARDIN MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>935 WAYNE ROAD</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>383721937</ZIPCd>
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        <RecipientEIN>626002428</RecipientEIN>
        <CashGrantAmt>11371</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HENRY COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 TYSON AVENUE</AddressLine1Txt>
          <CityNm>PARIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>382424544</ZIPCd>
        </USAddress>
        <RecipientEIN>626007078</RecipientEIN>
        <CashGrantAmt>26477</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOLSTON VALLEY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 238</AddressLine1Txt>
          <CityNm>KINGSPORT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>376620238</ZIPCd>
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        <RecipientEIN>621636465</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JACKSON-MADISON COUNTY GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>620 SKYLINE DRIVE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>383013923</ZIPCd>
        </USAddress>
        <RecipientEIN>626010402</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOHNSON CITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 N STATE OF FRANKLIN RD</AddressLine1Txt>
          <CityNm>JOHNSON CITY</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>376046094</ZIPCd>
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        <RecipientEIN>620476282</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LAKESIDE BEHAVIORAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2911 BRUNSWICK ROAD</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381334199</ZIPCd>
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        <RecipientEIN>233044425</RecipientEIN>
        <CashGrantAmt>58568</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LIFEPOINT HEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>330 SEVEN SPRINGS WAY</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>370274536</ZIPCd>
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        <RecipientEIN>621779581</RecipientEIN>
        <CashGrantAmt>172640</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LINCOLN MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 637</AddressLine1Txt>
          <CityNm>FAYETTEVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>373340637</ZIPCd>
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        <RecipientEIN>626000718</RecipientEIN>
        <CashGrantAmt>10150</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MACON COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 378</AddressLine1Txt>
          <CityNm>LAFAYETTE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>370830378</ZIPCd>
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        <RecipientEIN>620988604</RecipientEIN>
        <CashGrantAmt>6893</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAURY REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1224 TROTWOOD AVENUE</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>384014802</ZIPCd>
        </USAddress>
        <RecipientEIN>626002623</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEMORIAL HEALTHCARE SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2525 DESALES AVENUE</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37404</ZIPCd>
        </USAddress>
        <RecipientEIN>620532345</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>METHODIST LEBONHEUR HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1211 UNION AVENUE SUITE 700</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381046652</ZIPCd>
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        <RecipientEIN>581454711</RecipientEIN>
        <CashGrantAmt>299701</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>METHODIST UNIVERSITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7691 POPLAR AVENUE</AddressLine1Txt>
          <CityNm>GERMANTOWN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381383983</ZIPCd>
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        <RecipientEIN>620479367</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHCREST MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTHCREST DRIVE</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37172</ZIPCd>
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        <RecipientEIN>621046595</RecipientEIN>
        <CashGrantAmt>20563</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PARKWEST MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9352 PARK WEST BOULEVARD</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>379234325</ZIPCd>
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        <RecipientEIN>581897274</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGIONAL ONE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>877 JEFFERSON AVENUE</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381032897</ZIPCd>
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        <RecipientEIN>621113169</RecipientEIN>
        <CashGrantAmt>131072</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIDGEVIEW PSYCH HOSP &amp; CTR INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>240 WEST TYRONE ROAD</AddressLine1Txt>
          <CityNm>OAK RIDGE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>378306571</ZIPCd>
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        <RecipientEIN>620579512</RecipientEIN>
        <CashGrantAmt>5671</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROLLING HILLS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2014 QUAIL HOLLOW CIRCLE</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>370675967</ZIPCd>
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        <RecipientEIN>205566098</RecipientEIN>
        <CashGrantAmt>24251</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL-BARTLETT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2986 KATE BOND ROAD</AddressLine1Txt>
          <CityNm>BARTLETT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381334003</ZIPCd>
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        <RecipientEIN>752804737</RecipientEIN>
        <CashGrantAmt>36494</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT THOMAS MIDTOWN HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 CHURCH STREET</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>372360002</ZIPCd>
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        <RecipientEIN>620347580</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT THOMAS WEST HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4220 HARDING PIKE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>372052005</ZIPCd>
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        <RecipientEIN>620347580</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST JUDE CHILDREN'S RESEARCH HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>262 DANNY THOMAS PLACE</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>381053678</ZIPCd>
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        <RecipientEIN>620646012</RecipientEIN>
        <CashGrantAmt>14977</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE - HARTON</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1801 N JACKSON STREET</AddressLine1Txt>
          <CityNm>TULLAHOMA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>373882201</ZIPCd>
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        <RecipientEIN>200248018</RecipientEIN>
        <CashGrantAmt>25179</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE - LAFOLLETTE MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1301</AddressLine1Txt>
          <CityNm>LAFOLLETTE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>377661301</ZIPCd>
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        <RecipientEIN>452528273</RecipientEIN>
        <CashGrantAmt>12457</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE - NEWPORT MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>435 SECOND STREET</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>378213799</ZIPCd>
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        <RecipientEIN>452528314</RecipientEIN>
        <CashGrantAmt>13863</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE - NORTH KNOXVILLE MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>7565 DANNAHER WAY</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>378494029</ZIPCd>
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        <RecipientEIN>452535623</RecipientEIN>
        <CashGrantAmt>20170</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE TURKEY CREEK MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10820 PARKSIDE DRIVE</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>379341956</ZIPCd>
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        <RecipientEIN>452535623</RecipientEIN>
        <CashGrantAmt>20727</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE-CLARKSVILLE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 31629</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>370400028</ZIPCd>
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        <RecipientEIN>203500835</RecipientEIN>
        <CashGrantAmt>50220</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE-CLEVELAND WEST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2800 WESTSIDE DRIVE NW</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>373123599</ZIPCd>
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        <RecipientEIN>621281627</RecipientEIN>
        <CashGrantAmt>18686</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE-SHELBYVILLE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2835 HIGHWAY 231 NORTH</AddressLine1Txt>
          <CityNm>SHELBYVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>371607327</ZIPCd>
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        <RecipientEIN>202909388</RecipientEIN>
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        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THREE RIVERS HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>371852149</ZIPCd>
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        <RecipientEIN>261861676</RecipientEIN>
        <CashGrantAmt>6893</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTPOINT HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1009 NORTH THOMPSON LANE</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>371294351</ZIPCd>
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        <RecipientEIN>205850135</RecipientEIN>
        <CashGrantAmt>40389</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITY PSYCHIATRIC CARE - COLUMBIA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1400 ROSEWOOD DRIVE</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>384014878</ZIPCd>
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        <RecipientEIN>273256233</RecipientEIN>
        <CashGrantAmt>5671</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITY PSYCHIATRIC CARE - MEMPHIS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1505 NORTH SECOND STREET</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38107</ZIPCd>
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        <RecipientEIN>621655497</RecipientEIN>
        <CashGrantAmt>5671</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITY PSYCHIATRIC CARE-CLARKSVILLE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 30129</AddressLine1Txt>
          <CityNm>CLARKSVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>370405136</ZIPCd>
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        <RecipientEIN>621527391</RecipientEIN>
        <CashGrantAmt>7028</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITY PSYCHIATRIC CARE-MARTIN</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1006</AddressLine1Txt>
          <CityNm>MARTIN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>382371006</ZIPCd>
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        <RecipientEIN>200663250</RecipientEIN>
        <CashGrantAmt>5671</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TN MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1924 ALCOA HIGHWAY</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>379206999</ZIPCd>
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        <RecipientEIN>311626179</RecipientEIN>
        <CashGrantAmt>136636</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VANDERBILT UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1211 MEDICAL CENTER DRIVE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>372320001</ZIPCd>
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        <RecipientEIN>352528741</RecipientEIN>
        <CashGrantAmt>291612</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEHAVIORAL HEALTH OF ROCKY TOP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23376</AddressLine1Txt>
          <CityNm>ROCKY TOP</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>34933</ZIPCd>
        </USAddress>
        <RecipientEIN>821744979</RecipientEIN>
        <CashGrantAmt>5943</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG SOUTH FORK MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>18797 ALBERTA STREET</AddressLine1Txt>
          <CityNm>ONEIDA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37841</ZIPCd>
        </USAddress>
        <RecipientEIN>462521511</RecipientEIN>
        <CashGrantAmt>6893</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CREEKSIDE BEHAVIORAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1025 EXECUTIVE PARK BLVD</AddressLine1Txt>
          <CityNm>KINGSPORT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37660</ZIPCd>
        </USAddress>
        <RecipientEIN>464567667</RecipientEIN>
        <CashGrantAmt>13492</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOUSTON COUNTY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 489</AddressLine1Txt>
          <CityNm>ERIN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>370610489</ZIPCd>
        </USAddress>
        <RecipientEIN>462490116</RecipientEIN>
        <CashGrantAmt>6893</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JELLICO MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>188 HOSPITAL LANE</AddressLine1Txt>
          <CityNm>JELLICO</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37762</ZIPCd>
        </USAddress>
        <RecipientEIN>833812308</RecipientEIN>
        <CashGrantAmt>10828</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RHEA MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9400 RHEA COUNTY HIGHWAY</AddressLine1Txt>
          <CityNm>DAYTON</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>373217922</ZIPCd>
        </USAddress>
        <RecipientEIN>626014528</RecipientEIN>
        <CashGrantAmt>6893</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNOVA HEALTHCARE - JEFFERSON MEMORIAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>377605281</ZIPCd>
        </USAddress>
        <RecipientEIN>452528414</RecipientEIN>
        <CashGrantAmt>11371</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>481 INTERSTATE DRIVE</AddressLine1Txt>
          <CityNm>MANCHESTER</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>373559201</ZIPCd>
        </USAddress>
        <RecipientEIN>460485169</RecipientEIN>
        <CashGrantAmt>9226</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>74</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>NQSIP STIPEND PAYMENT</GrantTypeTxt>
        <RecipientCnt>10</RecipientCnt>
        <CashGrantAmt>50000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO FEDERAL A-133 AUDIT REQUIREMENTS, THE STATE OF TENNESSEE HAS A SUBRECIPIENT MONITORING PROGRAM IN WHICH THA IS AUDITED AGAINST SPECIFIC DELIVERABLES WITHIN THE TERMS AND CONDITIONS OF THE GRANT. ANOTHER WAY THE PROGRAM MANAGER MONITORS THESE REPORTS IS THROUGH THE RECEIPT OF PROGRAM EVALUATIONS BY INDEPENDENT PARTIES AND ON-SITE VISITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <PersonalServicesInd>X</PersonalServicesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRAIG BECKER</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>36596</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5021831</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>85396</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21152</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4651</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>5169626</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>156673</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>4644099</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY LAYNE VAN CLEAVE</PersonNm>
        <TitleTxt>FORMER SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>31323</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1217793</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>86056</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>34049</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15124</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8270</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1377491</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>15124</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>199997</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>912497</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WENDY LONG</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>649622</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15662</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11351</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12243</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28744</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>705379</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>12243</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILL CROMER</PersonNm>
        <TitleTxt>EXEC. VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>343440</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35700</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12624</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11308</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1212</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27744</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>430816</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1212</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS CLARK</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>167911</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>53355</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18241</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20668</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14111</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>274286</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYAN METZGER</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>154582</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51021</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13892</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20802</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27060</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267357</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE BURCHFIELD</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>153480</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48144</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20569</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19659</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13951</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255803</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID NEIGER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>154256</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40385</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13845</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19815</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27060</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255361</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BILL JOLLEY</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>134662</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36890</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13409</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18023</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26915</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229899</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GWYNN WALTERS</PersonNm>
        <TitleTxt>VP FOR RESEARCH/REIM</TitleTxt>
        <BaseCompensationFilingOrgAmt>150137</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30232</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9141</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17381</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10199</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217090</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TABLE BELOW DETAILS ITEMS REPORTED IN LINE 1A (Y = YES EMPLOYEE DID RECEIVE BENEFIT, TAX = TREATED AS TAXABLE EVENT, NT = NOT TREATED AS TAXABLE EVENT) BECKER COMPANION TRAVEL Y - TAX PERSONAL SERVICE Y - TAX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS - CRAIG BECKER, MARY LAYNE VANCLEAVE, WENDY LONG AND WILL CROMER. TERMS &amp; CONDITIONS- ON THE LAST DAY OF EACH PLAN YEAR, IF THE EMPLOYEE IS AN EMPLOYEE OF THE COMPANY ON SUCH DAY, THE EMPLOYEE SHALL ACCRUE A BENEFIT IN THIS PLAN EQUAL TO A SET AMOUNT. THE COMPANY, IN ITS SOLE DISCRETION, MAY CREDIT ADDITIONAL CONTRIBUTIONS TO THE EMPLOYEE FROM TIME TO TIME. PRIOR TO THE BEGINNING OF ANY PLAN YEAR, THE EMPLOYEE MAY ELECT IN WRITING TO DEFER ANY PORTION OF HIS CASH COMPENSATION TO THE PLAN FOR THE FOLLOWING PLAN YEAR. THE EMPLOYEE MAY ELECT TO DISCONTINUE PARTICIPATION FOR ANY PLAN YEAR AFTER THE FIRST PLAN YEAR FOR THE LAST SIX MONTHS OF SUCH PLAN YEAR BY GIVING THE COMMITTEE WRITTEN NOTICE NO LATER THAN THE LAST BUSINESS DAY OF COINCIDENT WITH OR IMMEDIATELY PRECEDING JUNE 10. UNTIL AND EXCEPT TO THE EXTENT THAT DEFERRED BENEFITS UNDER THE PLAN ARE DISTRIBUTED TO THE EMPLOYEE, TITLE AND OWNERSHIP OF ANY ASSETS WHICH THE COMPANY SETS ASIDE TO MEET ITS OBLIGATIONS OF THE PLAN, SHALL REMAIN IN THE COMPANY. THIS PLAN CONSTITUTES A MERE PROMISE BY THE COMPANY TO MAKE BENEFIT PAYMENTS IN THE FUTURE. THE EMPLOYEE MAY DIRECT THE DEEMED INVESTMENT OF HIS ACCOUNT INTO ONE OR MORE OF THE INVESTMENT FUNDS SELECTED BY THE COMMITTEE. PAYMENT OF BENEFITS ACCRUED HEREUNDER IN THE EMPLOYEE'S ACCOUNT SHALL COMMENCE UPON THE FIRST DAY OF THE MONTH FOLLOWING THE DATE THE EMPLOYEE ATTAINS AN AGREED UPON AGE. IF THE EMPLOYEE DIES BEFORE ALL INSTALLMENTS HAVE BEEN PAID, THE SUM OF ALL REMAINING PAYMENTS SHALL BE PAID TO THE EMPLOYEE'S BENEFICIARY IN A SINGLE LUMP SUM. UPON THE DEATH OF THE EMPLOYEE DURING THE TERM OF HIS EMPLOYMENT, THE EMPLOYEE'S BENEFICIARY SHALL RECEIVE A DEATH BENEFIT EQUAL TO THE ACCOUNT BALANCE ON THE DATE OF DEATH. UPON THE OCCURRENCE OF AN "UNFORESEEABLE EMERGENGY", THE EMPLOYEE MAY REQUEST FROM THE COMMITTEE A HARDSHIP DISTRIBUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THA HAS A HOSPITAL MEMBERSHIP BASE OF APPROXIMATELY 151 MEMBER HOSPITALS AND HUNDREDS OF CORPORATE AND PERSONAL MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS CONTAINED WITHIN THA BYLAWS, THE HOUSE OF DELEGATES MEETS ANNUALLY TO ELECT THA DIRECTORS AND OFFICERS. THE HOUSE OF DELEGATES IS COMPOSED OF ONE VOTING REPRESENTATIVE FROM EACH INSTITUTIONAL MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO SUBMITTING THA'S IRS FORM 990, THA'S CEO FORWARDS A COPY OF THE FORM TO EACH BOARD MEMBER FOR THEIR REVIEW. BOARD MEMBERS ARE ENCOURAGED TO CONTACT THE CEO WITH ANY QUESTIONS THEY MAY HAVE CONCERNING INFORMATION PRESENTED WITHIN THE FORM AND ATTACHED SCHEDULES. WITHIN THE AGENDA OF THE SECOND QUARTER BOARD MEETING, THE BOARD IS SCHEDULED TO DISCUSS THE IRS FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THA HAS A VERY COMPREHENSIVE CODE OF BUSINESS CONDUCT THAT ADDRESSES CONFLICT OF INTEREST AND OTHER STANDARDS OF CONDUCT. IT IS THA'S POLICY THAT CONFLICTS OF INTEREST BE REPORTED AT ANY TIME A CONFLICT PRESENTS ITSELF, NOT JUST ANNUALLY. "IT IS THE POLICY OF THA TO AVOID CONFLICTS OF INTEREST IN APPEARANCE AND IN FACT. IF AN INDIVIDUAL BELIEVES A CONFLICT OF INTEREST EXISTS, IT MUST BE DISCLOSED TO THA. IF AN EMPLOYEE, DISCLOSURE SHALL BE MADE TO HIS/HER SUPERVISOR. IF A DIRECTOR, DISCLOSURE SHALL BE MADE TO THE THA BOARD OF DIRECTORS. ALL OTHER POTENTIAL CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THA'S GENERAL COUNSEL. "ENFORCEMENT OF THE POLICY IS BEST STATED BY THE POLICY ITSELF WHICH READS: "IN THE EVENT A LEGAL OR ETHICAL VIOLATION DOES OCCUR, VIOLATORS SHOULD EXPECT DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION, IF AN EMPLOYEE; REMOVAL, SUSPENSION OR RESCISSION, IF A DIRECTOR OR MEMBER; AND FINES, CIVIL AND CRIMINAL PROSECUTION, AND/OR IMPRISONMENT."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICAL CEO AND COO POSITIONS - THA CONTRACTS WITH AN INDEPENDENT CONSULTANT TO EVALUATE THE COMPENSATION PACKAGE OF THE CEO AND COO POSITIONS. AS PART OF THE ANNUAL REVIEW, THE COMPENSATION OF THESE POSITIONS ARE COMPARED TO OTHER STATE HOSPITAL ASSOCIATION CEOS AND COOS IN THE TOP TWENTY-FIVE (25) ASSOCIATIONS ACROSS THE COUNTRY. THE COMPARISONS ARE BASED UPON TOTAL STATE ASSOCIATION REVENUES, CONSIDERING THE AGGREGATE ASSOCIATION REVENUES, AS WELL AS THEIR SUBSIDIARY CORPORATION REVENUES. THE RESULTS OF THIS REVIEW ARE SENT TO THE THA CHAIRMAN. THE COMPENSATION COMMITTEE CONSISTING OF THE CHAIRMAN, THE CHAIR-ELECT, AND THE IMMEDIATE PAST CHAIR THEN MEET TO DISCUSS THE RESULTS AND APPROVE THE COMPENSATION AND BENEFITS FOR THESE POSITIONS FOR THE UP COMING YEAR. MINUTES FOR THESE MEETINGS ARE PREPARED BY THE CEO AND MAINTAINED BY HIS EXECUTIVE SECRETARY. COMPENSATION PROCESS FOR OFFICERS- THA CONTRACTS WITH A DIFFERENT INDEPENDENT CONSULTANT TO EVALUATE THE SALARY OF OTHER OFFICERS. THE CONSULTANT MATCHES EACH POSITION TO COMPARABLE POSITIONS IN SEVERAL SALARY SURVEYS TO DETERMINE A MARKET MEDIAN SALARY. NEXT THE CONSULTANT DETERMINES AN APPROPRIATE SALARY GRADE FOR EACH POSITION. THE FINAL RESULTS ARE MADE AVAILABLE TO THE CEO AND COO AND SERVE AS A GUIDE TO HELP DETERMINE THE SALARY FOR EACH OFFICER. ULTIMATELY SALARY INCREASES ARE DETERMINED BY THE COO AND CEO AND MAY NOT MATCH RESULTS RECEIVED FROM THE CONSULTANT. MERIT INCREASES MAY ALSO BE AWARDED IF THE RESPONSIBILITIES OF AN OFFICER HAVE INCREASED SINCE THE LAST SURVEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE THA BYLAWS, CODE OF BUSINESS CONDUCT, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME FROM THA CENTER FOR INNOVATIVE SOLUTIONS, INC. &amp; SUBSIDIARY, A NON-EXEMPT 100% OWNED SUBSIDIARY ACCOUNTED FOR BY THE EQUITY METHOD 654,803. REVENUE SHARE INCLUDED ON SCHEDULE D PART XII LINE 2D 1,500,000. REVENUE SHARE INCLUDED ON SCHEDULE D PART XI LINE 4B -1,500,000. ADJUSTMENT RELATED TO THA'S ADOPTION OF ASC 606 ROUNDING 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AMENDING THE 2020 FORM 990 TO INCLUDE ADDITIONAL INFORMATION FOR SCHEDULE I. BELOW ARE THE FOLLOWING ORGANIZATIONS PREVIOUSLY LISTED ON SCHEDULE I AND THE AMOUNT OF THE CASH GRANT CHANGES: BAPTIST MEMORIAL HEALTH CARE CORPORATION CHANGED FROM $176,063 TO $242,114. KINDRED HOSPITAL-CHATTANOOGA CHANGED FROM $7,574 TO $10,150. MAURY REGIONAL HEALTHCARE SYSTEM CHANGED FROM $43,392 TO $61,224. NASHVILLE GENERAL HOSPITAL CHANGED FROM $20,356 TO $27,961. PERRY COMMUNITY HOSPITAL CHANGED FROM $18,418 TO $21,193. SISKIN HOSPITAL FOR PHYSICAL REHAB CHANGED FROM $11,942 TO $16,460. SWEETWATER HOSPITAL ASSOCIATION CHANGED FROM $8,433 TO $11,507. WEST TENNESSEE HEALTHCARE CHANGED FROM $172,229 TO $239,510. WILLIAMSON MEDICAL CENTER CHANGED FROM $25,106 TO $49,453. BELOW ARE THE FOLLOWING NEW ORGANIZATIONS BEING REPORTED ON SCHEDULE I: SAINT FRANCIS HOSPITAL TENNOVA HEALTHCARE-CLEVELAND BALLAD HEALTH BAPTIST MEMORIAL HOSPITAL - MEMPHIS BLOUNT MEMORIAL HOSPITAL BRISTOL REGIONAL MEDICAL CENTER CHI MEMORIAL HEALTH CARE SYSTEM CLAIBORNE MEDICAL CENTER COOKEVILLE REGIONAL MEDICAL CENTER COVENANT HEALTH CRESTWYN BEHAVIORAL HEALTH CUMBERLAND MEDICAL CENTER CUMBERLAND RIVER HOSPITAL DELTA SPECIALTY HOSPITAL EAST TENNESSEE CHILDRENS HOSPITAL ERLANGER BEHAVIORAL HEALTH HOSPITAL ERLANGER HEALTH SYSTEM HARDIN MEDICAL CENTER HENRY COUNTY MEDICAL CENTER HOLSTON VALLEY MEDICAL CENTER JACKSON-MADISON COUNTY GENERAL HOSPITAL JOHNSON CITY MEDICAL CENTER LAKESIDE BEHAVIORAL HEALTH SYSTEM LIFEPOINT HEALTH, INC. LINCOLN MEDICAL CENTER MACON COMMUNITY HOSPITAL MAURY REGIONAL MEDICAL CENTER MEMORIAL HEALTHCARE SYSTEM METHODIST LEBONHEUR HEALTHCARE METHODIST UNIVERISTY HOSPITAL NORTHCREST MEDICAL CENTER PARKWEST MEDICAL CENTER REGIONAL ONE HEALTH RIDGEVIEW PSYCH. HOSP. &amp; CTR. INC. ROLLING HILLS HOSPITAL SAINT FRANCIS HOSPITAL-BARTLETT SAINT THOMAS MIDTOWN HOSPITAL SAINT THOMAS WEST HOSPITAL ST. JUDE CHILDREN'S RESEARCH HOSPITAL TENNOVA HEALTHCARE - HARTON TENNOVA HEALTHCARE - LAFOLLETTE MEDICAL CENTER TENNOVA HEALTHCARE - NEWPORT MEDICAL CENTER TENNOVA HEALTHCARE - NORTH KNOXVILLE MEDICAL CENTER TENNOVA HEALTHCARE TURKEY CREEK MEDICAL CENTER TENNOVA HEALTHCARE - CLARKSVILLE TENNOVA HEALTHCARE - CLEVELAND WEST TENNOVA HEALTHCARE - SHELBYVILLE THREE RIVERS HOSPITAL TRUSTPOINT HOSPITAL UNITY PSYCHIATRIC CARE - COLUMBIA UNITY PSYCHIATRIC CARE - MEMPHIS UNITY PSYCHIATRIC CARE - CLARKSVILLE UNITY PSYCHIATRIC CARE - MARTIN UNIVERISTY OF TN MEDICAL CENTER VANDERBILT UNIVERSITY MEDICAL CENTER ALSO, 10 INDIVIDUALS RECEIVED $50,000 OF NQSIP STIPEND PAYMENT GRANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX - STATEMENT OF FUNCTIONAL EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>990 AMENDED RETURN CHANGES: GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS CHANGED FROM $3,942,605 TO $3,892,605 GRANTS AND OTHER ASSISTANCE TO DOMESTIC INDIVIDUALS CHANGED FROM $0 TO $50,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <TransactionTypeTxt>A</TransactionTypeTxt>
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