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        <ExclusionAmt>1264391</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1229218</TotalRevenueColumnAmt>
        <ExclusionAmt>1229218</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DHN MC SHARED SAVINGS PROGRAM</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>716972</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>716972</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>7379</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>986003</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>4772030</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>366666143</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3388</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4780607</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>794323</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>2489627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7206522</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>135957</ProgramServicesAmt>
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        <ProgramServicesAmt>102037959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7190817</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>5769066</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>2520533</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7490422</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>108987</TotalAmt>
        <ProgramServicesAmt>13998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94989</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>182724</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>355155</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>17804980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5129940</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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        <ProgramServicesAmt>59677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1333212</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>80258403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1599017</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>1928192</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8712001</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>6502469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>325260</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
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        <ProgramServicesAmt>322739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19967</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1765210</TotalAmt>
        <ProgramServicesAmt>814438</ProgramServicesAmt>
        <ManagementAndGeneralAmt>950772</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ProgramServicesAmt>1210413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40006</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>13703913</ProgramServicesAmt>
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      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4168977</TotalAmt>
        <ProgramServicesAmt>4168977</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE</Desc>
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        <ProgramServicesAmt>7290603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>595682</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>7580469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES</Desc>
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        <ProgramServicesAmt>238294</ProgramServicesAmt>
        <ManagementAndGeneralAmt>521839</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE RECRUITMENT</Desc>
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        <ProgramServicesAmt>1908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>582702</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>286625945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44374979</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>38345218</BOYAmt>
        <EOYAmt>53038553</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>40842820</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>6417413</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>4817708</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>331559622</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>186430563</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>145129059</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>69833247</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>3104085</EOYAmt>
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      <OtherAssetsTotalGrp>
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      <TotalAssetsGrp>
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        <EOYAmt>347220841</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <GrantsPayableGrp>
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      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>0</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>209187472</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>138033369</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>42429603</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1124257</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-40095900</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
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      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL INFORMATION THE PRESIDENT AND THE VP OF CORPORATE AFFAIRS of BEEBE MEDICAL CENTER HAVE QUARTERLY BREAKFAST MEETINGS WITH STATE AND LOCAL POLITICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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        <AdministrativeExpensesAmt>321032</AdministrativeExpensesAmt>
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        <AdministrativeExpensesAmt>310452</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>62926250</EndYearBalanceAmt>
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        <ContributionsAmt>17443416</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>88520</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>5108</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>264009</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>56777269</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>39348689</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>416423</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>547</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>249915</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>39514650</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.98500</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.00950</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00550</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
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        <BookValueAmt>10670646</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>154527174</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>83476516</DepreciationAmt>
        <BookValueAmt>71050658</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5727291</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4115033</DepreciationAmt>
        <BookValueAmt>1612258</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>148774029</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>98839014</DepreciationAmt>
        <BookValueAmt>49935015</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>11860482</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11860482</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>145129059</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED FINANCING COSTS</Desc>
        <BookValueAmt>726112</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EQUITY IN BEEBE PHYS. NETWORK</Desc>
        <BookValueAmt>-648770</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INT IN FDN. UNRESTR NET ASSETS</Desc>
        <BookValueAmt>3746504</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INT IN FDN.RESTRICT NET ASSETS</Desc>
        <BookValueAmt>11774927</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TEMPORARILY RESTRICTED FUNDS</Desc>
        <BookValueAmt>604888</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PERMANENTLY RESTRICTED FUNDS</Desc>
        <BookValueAmt>310227</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>WORK COMP &amp; MALP INSURANCE</Desc>
        <BookValueAmt>3398708</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LAND HELD FOR FUTURE SALE</Desc>
        <BookValueAmt>1838339</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PREMIER + DUES FROM FOUNDATION</Desc>
        <BookValueAmt>2287021</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>24037956</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACC. POST RETIREMENT BENEFIT</Desc>
        <Amt>42268702</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION OBLIG.</Desc>
        <Amt>79543</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION NET</Desc>
        <Amt>4475754</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION LIABILITY</Desc>
        <Amt>36984449</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED MEDICAL MALPRACTICE LIABILI</Desc>
        <Amt>4056391</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACC. WORKERS COMP. LIABILITY</Desc>
        <Amt>5527830</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASBESTOS REMOVAL OBLIGATION</Desc>
        <Amt>3620014</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SETTLEMENT LIABILITY</Desc>
        <Amt>986919</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNAMORTIZED BOND PREMIUM</Desc>
        <Amt>339347</Amt>
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      <TotalLiabilityAmt>98338949</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER USES ITS ENDOWMENT FUNDS FOR CAPITAL ASSET ACQUISITIONS AND TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FIN 48 (ASC 740)</FormAndLineReferenceDesc>
        <ExplanationTxt>The System follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a more likely than not threshold. This applies to positions taken or expected to be taken in a tax return. The System does not believe its consolidated financial statements include any material uncertain tax positions. At June 30, 2016, the Systems tax years ended June 30, 2013 through 2016 for the federal tax jurisdiction remain open.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>BEEBE HEALTHY BACK</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>CHRONIC BACK/NECK PAIN THER.</PrimaryActivitiesTxt>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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          <StateAbbreviationCd>DE</StateAbbreviationCd>
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        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
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        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <OwnWebsiteURLTxt>WWW.BEEBEHEALTHCARE.ORG</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Section C</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
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        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
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        <FAPAppAvailableOnWebsiteURLTxt>WWW.BEEBEHEALTHCARE.ORG</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>WWW.BEEBEHEALTHCARE.ORG</FAPSummaryOnWebsiteURLTxt>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
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        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V.B., LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Beebe Healthcare began the comprehensive Community Health Needs Assessment (CHNA) process in the summer of 2015, capturing data from a variety of primary and secondary sources. Utilizing guidelines set forth by the Catholic Health Association of the United States (CHA) in collaboration with Vizient Incorporated, and Healthy Communities Institute. The Beebe CHNA process followed the following steps: Step 1: Plan and Prepare for the Assessment Step 2: Determine the Purpose and Scope of the CHNA Step 3: Identify Data that Describes the Health and Needs of the Community Step 4: Understand and Interpret the Data Step 5: Define and Validate Priorities Step 6: Document and Communicate Results The organization felt it was imperative to collect primary data due to the limitation of servicing a relatively rural population not well characterized by solely secondary data sources. According to the Delaware Health Tracker, inaccurate data on the population at risk in small geographic areas continues to complicate epidemiologic studies in community settings. Census data are less accurate for cities or counties than for states. Therefore, an ideal approach incorporates both primary and secondary data. In order to fully incorporate the primary data elements, the CHNA team conducted focus groups, town hall meetings, stakeholder interviews, and online surveys. By gathering information from local residents and area organizations, the organization hopes to gain a better insight to the priority needs of those living in the service area. Additional data was also collected through completion of a community health survey by area residents, community based organizations and health care providers. In 2015, with the help of the Delaware Division of Social Services Mobile Crisis Unit, a portion of the Sussex county homeless population was surveyed at the local homeless shelters. Lastly, key informant interviews were completed with community stake holders. Beebes Population Health Department staff organized and analyzed the data, and was responsible for collecting current demographic information from the Delaware Population Consortium, U.S. Census Bureau, the Delaware Hospital Association, and the Delaware Health Tracker. Staff also conducted a community assets and resource analysis, which was included in the overall assessment and rationale for prioritized community needs. The final product of the Community Health Needs Assessment reflects the primary data collected via surveys and analyzed for significance, in conjunction with the secondary data obtained from resources such as the Delaware Health Tracker which houses all of the available national data sources. Once this information was synthesized, the Beebe Population and Community Health Committee evaluated the results of the data collection and analysis using the principles of the Robert Wood Johnson Foundation County Health Rankings Model, emphasizing the varied and vast determinants of health. Ultimately, priorities were established by evaluating all of the identified needs in the context of the feasibility, strengths and resources of the Beebe Healthcare system.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V.B, LINE 6A AND 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAYHEALTH MILFORD AND NANTICOKE HEALTH SERVICES. EACH HEALTHCARE SYSTEM PUBLISHED AN INDIVIDUAL REPORT AND IMPLEMENTATION PLAN. SUSSEX COUNTY HEALTH COALITION, SUSSEX COUNTY'S FEDERALLY QUALIFIED HEALTH CENTER - LA RED, MULTIPLE INSURERS, LOCAL UNIVERSITIES AND THE DELAWARE DIVISION OF PUBLIC HEALTH</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V.B, LINE 7B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE ON THE FOLLOWING WEBSITES: WWW.DELAWAREHEALTHTRACKER.COM WWW.HEALTHIERSUSSEXCOUNTY.COM</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V.B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The health needs identified through the 2016 Community Health Needs Assessment were prioritized on the basis of multiple dynamics including primary and secondary data, along with current resources, collaborations and feasibility of effective programming. The prioritization was agreed upon by Beebe Healthcares Population and Community Health Committee and the Healthier Sussex County Task Force. The three highest ranking needs, in order are: (1) Mental Health and Behavioral Health, (2) Obesity / Nutrition / Chronic Disease, (3) Cancer / Prevention &amp; Screening. Note: Access and Availability as well as Education and Information have been identified as Priority Areas in the Community Health Needs Assessment. Beebe Healthcare's Implementation Plan integrates and addresses these needs, as relevant, throughout the 3 Priority Areas: Mental and Behavioral Health, Obesity/Nutrition/Chronic Disease, and Cancer/Prevention &amp; Screening. Beebe Healthcare has implemented the following programs to address the significant needs identified in the CHNA. They are as follows: Priority Area: Mental and Behavioral Health -1) Mental and Behavioral Health Nurse Navigation Services - The Mental and Behavioral Health Nurse Navigator completes behavioral health screenings and assessments to identify tailored care for each individual. The nurse navigator also collaborates with our Telehealth psychiatrists, the patient, family, and any outpatient providers to develop and implement a plan of care. 2) Telepsychiatry Services - Inpatient/Emergency Department/Ambulatory - In 2014 Beebe Health Care introduced Telepsychiatry services for our patients. With the use of a mobile video camera the Telehealth service can be accessed at any time for professional screening of our patients 3) Neonatal Abstinence Syndrome Programming, 4) Women's Health Nurse Navigation services - In an effort to further enhance support provided post- hospital discharge, Beebe Healthcare has hired a nurse practitioner to function as a Nurse Navigator for the Women's Health and Orthopedics Service Lines. This provider serves as a liaison between Beebe and the community to help community members navigate our services. She is available to answer questions and help patients understand what screenings they may need or which physicians they should contact. 5) High School Wellness Centers - Wellness Centers provide free health education, nutritional help, emotional support, and, when appropriate, referrals to students' personal physicians for follow-up care. Priority Area: Obesity, Nutrition, and Chronic Disease - 1) Community Outreach Programs which provide free health screenings and education to the Sussex County community by means of health fairs and through connections with civic organizations and local businesses. 2) Food Prescription Program - This is a partnership between the Food Bank of Delaware and Beebe Healthcare to provide food prescription vouchers to inpatient and outpatient care coordination clients. 3) Beebe Wellness Program which provides a collection of services including exercise, workshops and mind/body relaxation techniques, and one-on-one coaching. 4) Wellness Works Program which is a 4-week seminar covering the basics of healthy living: healthy eating, exercise and movement, stress management and a plan for living well. 5) Health Coaching Program - The Beebe health coach works 1:1 or in small groups, partnering with individuals to help them make lifestyle changes. Working together, the health coach and individual (s) work together to create a personalized health plan to help take a person from where he/she currently is to where he/she wants to be with overall health and wellness goals. This may include healthy eating, weight management/weight loss, movement and exercise or stress management. 6) Diabetes Management &amp; Medical Nutrition Therapy Program - Since 1998, Beebe Healthcares Diabetes Management team has provided outpatient diabetes education for the community. This comprehensive program received national recognition by the American Diabetes Association (ADA) for providing education that meets the national standard for diabetes self-management education programs. 7) Ornish Reversal Program - The program teaches participants to adopt a healthy lifestyle based on the four key elements: a low-fat, whole foods, plant-based diet; at least 30 minutes of exercise each day; a practice of stress management techniques; and active engagement in supportive relationships. This program has been proven to undo heart disease by dealing with the root causes and not just its effects. Priority Area: Cancer, Prevention and Screening - 1) Tunnell Cancer Center Cancer Screening, Education, and Outreach Program - Beebe Healthcares Tunnell Cancer Center launched the Lung Cancer Screening using LowDose Computed Tomography (LDCT) in April 2015. From the onset of the program in April 2015 through May 31, 2016, the Cancer Screening Nurse Navigator pre-screened all patients with provider orders for LDCT. Beginning June 1, 2016, physicians assumed the responsibility of screening their patients for appropriateness for screening. The program also provides education to community residents about smoking cessation and lung cancer screening.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V.B, LINE 16I:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEASURE TO PUBLICIZE: BEEBE CURRENTLY PUBLISHES POLICIES AND PROCEDURES VIA ITS WEBSITE WITH THE ABILITY TO APPLY ONLINE, AT COMMUNITY OUTREACH EVENTS COORDINATED BY POPULATION HEALTH TO INCLUDE ANNUAL HEALTH FAIR AND ONSITE VIA PATIENT FINANCIAL SERVICES. BEEBE ALSO SENDS THE FAP NOTIFICATION TO ALL PATIENTS WITHIN OUR CHARITY RESIDENTIAL AREA TO MAKE THEM AWARE OF THE PROGRAM AS WELL AS EDUCATE THEM VIA PHONE CALLS WHEN MAKING ARRANGEMENTS.</ExplanationTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
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            <CityNm>REHOBOTH BEACH</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19971</ZIPCd>
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          <FacilityTxt>DI, LAB, REHAB, SURG, WC</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>GEORGETOWN HEALTH CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21635 BIDEN AVENUE</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19947</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING CENTER, LAB DRAWS, REHABILITATION THERAPY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MILLVILLE HEALTH CENTER</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>32550 DOCS PLACE UNIT 1</AddressLine1Txt>
            <CityNm>MILLVILLE</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19967</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING CENTER, LAB DRAWS, REHABILITATION THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MILLSBORO HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>28538 DuPONT BLVD</AddressLine1Txt>
            <CityNm>MILLSBORO</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19966</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING CENTER, LAB DRAWS</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEEBE HOME HEALTH</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>232 MITCHELL ST SUITE 200</AddressLine1Txt>
            <CityNm>MILLSBORO</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19966</ZIPCd>
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          <FacilityTxt>HOME HEALTH AGENCY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEEBE ENDOSCOPY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33633 SAVANNAH ROAD</AddressLine1Txt>
            <CityNm>LEWES</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19958</ZIPCd>
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          <FacilityTxt>ENDOSCOPY CENTER</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEEBE SCHOOL OF NURSING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>420 MARKET STREET</AddressLine1Txt>
            <CityNm>LEWES</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19958</ZIPCd>
          </USAddress>
          <FacilityTxt>CERTIFIED NURSING SCHOOL</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MILTON IMAGINGLAB</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>614 MULBERRY STREET</AddressLine1Txt>
            <CityNm>MILTON</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19968</ZIPCd>
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          <BusinessName>
            <BusinessNameLine1Txt>LONG NECK LAB EXPRESS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32060 LONG NECK ROAD</AddressLine1Txt>
            <CityNm>MILLSBORO</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19966</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB DRAWS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GULL HOUSE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>38149 TERRACE ROAD</AddressLine1Txt>
            <CityNm>REHOBOTH BEACH</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19971</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT DAY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7(g) Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES INCLUDES $22,946,978 RELATED TO THE LOSS IN BEEBE PHYSICIAN NETWORK (BPN). BPN IS A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. Part I, Line 7, Costing Methodology RATIO OF COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS. THE ORGANIZAITON'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING PROVISION FOR BAD DEBT EXPENSE ON PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS. BAD DEBT EXPENSE REPRESENTS UNCOLLECTIBLE BALANCES ON PATIENT ACCOUNTS AFTER DEDUCTING DISCOUNTS AND PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER (BMC) SERVES THE COMMUNITY AS A WHOLE. IT IS THE ONLY HOSPITAL WITHIN 23 MILES AND IS THE ONLY TERTIARY HOSPITAL WITHIN 40 MILES. BMC ACCEPTS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA IS RURAL WITH A VERY HIGH MEDICARE POPULATION. MEDICARE REPRESENTS 62% OF HOSPITAL BUSINESS. MEDICARE RATES DO NOT KEEP UP WITH HEALTHCARE COSTS AND WITH THE HIGH PERCENTAGE OF MEDICARE VOLUMES. THE MEDICARE SHORTFALL OF $47,123,194 IS CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 8: RATIO OF COST TO CHARGES WAS USED TO DETERMINE THE AMOUNT ON LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER (BMC) IS A NOT-FOR-PROFIT, COMMUNITY-BASED HEALTHCARE FACILITY. IT IS HOSPITAL POLICY THAT NO ONE WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED UPON THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES. A PUBLIC NOTICE OF THE AVAILABILITY OF FINANCIAL AID IS VISIBLE WITHIN THE HOSPITAL. BEEBE MEDICAL CENTER COMPLIES WITH ALL FEDERAL, STATE AND CONTRACTUAL LAWS, REGULATIONS AND REQUIREMENTS. OBJECTIVE: THE PATIENT OR GUARANTOR HAS THE ULTIMATE FINANCIAL RESPONSIBILITY FOR CARE RECEIVED FROM BEEBE MEDICAL CENTER. BMC COOPERATES WITH AND ASSISTS ALL PATIENTS IN THE FULFILLMENT OF THEIR FINANCIAL RESPONSIBILITY. THIS COOPERATION INCLUDES ASSISTANCE WITH ENROLLMENT IN PUBLIC OR PRIVATE INSURANCE PROGRAMS, CHARITY-BASED PROGRAMS, FINANCIAL ASSISTANCE PROGRAMS, OR OTHER THIRD PARTY PAYMENT PROGRAMS. PATIENTS HAVE THE RESPONSIBILITY TO PROVIDE TIMELY AND ACCURATE INFORMATION WHEN SEEKING CONSIDERATION UNDER THE BMC CHARITY AND FINANCIAL AID POLICY. PROCEDURES: 1. PATIENTS RESIDING IN OUR DESIGNATED RESIDENTIAL AREA WHO MAY QUALIFY FOR OUR CHARITY OR FINANCIAL ASSISTANCE PROGRAM RECEIVE A NOTIFICATION OF OUR PROGRAM (INSURED AND UNINSURED). 2. PATIENT APPLIES AND SUBMITS ALL RELATIVE DOCUMENTATION FOR THE BMC FINANCIAL ASSISTANCE PROGRAM APPLICATION PROCESS. SELF PAY PATIENT RECEIVES SERVICES FROM BMC AND IS REGISTERED AS A SELF PAY WITH NO INSURANCE COVERAGE. A. APPROVAL FOR THE ELIGIBILITY FOR THE BMC FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED IN A LETTER INDICATING THE COVERAGE PERIOD. THE PATIENT MAY RECEIVE 40% TO 100% OF FINANCIAL ASSISTANCE BASED ON FINANCIAL INFORMATION PRESENTED. ALL OUTSTANDING ELIGIBLE ACCOUNTS ARE WRITTEN OFF TO CHARITY OR FINANCIAL ASSISTANCE BASED ON THE APPROVAL LEVEL. B. FINANCIAL ASSISTANCE APPROVALS ARE GOOD FOR UP TO A YEAR AS LONG AS ELIGIBILITY DOES NOT CHANGE. PATIENTS ARE REQUIRED TO REAPPLY ANNUALLY. C. THE PATIENT RECEIVES A FINANCIAL ASSISTANCE CARD INDICATING THE APPLICATION TIME PERIOD AND THE FINANCIAL ASSISTANCE NUMBER. D. THE PATIENT IS INSTRUCTED TO PRESENT THE CARD AT EACH EPISODE OF CARE AT REGISTRATION. FINANCIAL ASSISTANCE IS ENTERED IN THE REGISTRATON IN THE SAME MANNER AS INSURER COVERAGE. 3. PATIENT RETURNS FOR SERVICES PRESENTING WITH THE FINANCIAL ASSISTANCE/CHARITY CARD AT REGISTRATION. A. PATIENT IS REGISTERED AS THE PRIMARY PLAN AND FINANCIAL ASSISTANCE IS REGISTERED AS SECONDARY COVERAGE. B. A WEEKLY REPORT IS GENERATED LISTING ALL PATIENTS THAT VISITED THE HOSPITAL WITH A FINANCIAL ASSISTANCE LISTED IN THE SECONDARY INSURANCE. C. THE REPORT IS REVIEWED BY THE HOSPITAL FINANCIAL COUNSELOR AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO THE ASSISTANCE PROGRAM OF WHICH THE PATIENT IS ELIGIBLE. I. IF PATIENT QUALIFIES FOR THE CHARITY PROGRAM, CHARITY WRITE OFF IS 100% OF CHARGES (UNLESS APPROVED UNDER HEALTH CARE CONNECTION (HCC) FEE FOR SERVICE). PATIENT RECEIVES NO FURTHER STATEMENTS UNLESS OUTSTANDING FEE FOR SERVICE APPROVED UNDER HEALTH CARE CONNECTION (HCC). II. IF PATIENT QUALIFIES FOR THE BMC FINANCIAL ASSISTANCE DISCOUNTED PROGRAM - ACCOUNT IS WRITTEN OFF FOR THE PERCENTAGE OF APPROVED DISCOUNT AMOUNT THAT THE PATIENT QUALIFIED FOR. FINANCIAL ASSISTANCE CAN BE GRANTED FOR UP TO 100% OF CHARGES. 1. PATIENT WILL THEN RECEIVE STATEMENTS FOR THE REMAINING BALANCE ON NON BAD DEBT ACCOUNTS. SYSTEM DOES NOT GENERATE PATIENT STATEMENTS AFTER ACCOUNT IS DEEMED BAD DEBT. 2. THE NEW ACCOUNTS ARE COMBINED WITH EXISTING PAYMENT ARRANGMENTS AND A MONTHLY PAYMENT IS RE-CALCULATED BASED ON QUALIFICATION AND PATIENT ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, ITEM 2 - NEEDS ASSESSMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER HAS VARIOUS METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: - COMMUNITY-BASED BOARD OF DIRECTORS - COMMUNITY HEALTH COMMITTEE OF THE BOARD OF DIRECTORS - NON-DIRECTOR MEMBERS OF THE COMMUNITY HEALTH COMMITTEE, BUILDING AND EQUIPMENT COMMITTEE AND SAFETY AND QUALITY COMMITTEE - CONSUMER PERCEPTION SURVEY - NEIGHBORS' COMMITTEE - PATIENT FAMILY ADVISORY COUNCIL - PRESS-GANEY PATIENT SATISFACTION SURVEY - PUBLIC DATA - COMMUNITY FOCUS GROUPS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, ITEM 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL INPATIENT SELF PAY PATIENTS ARE PRESENTED WITH A FINANCIAL ASSISTANCE INFORMATION PACKAGE DURING THE HOSPITAL STAY. A LETTER IS SENT ON THE 3RD DAY AFTER BILLING, OUTLINING CHARITY ELIGIBILITY GUIDELINES. SELF PAY ACCOUNTS IN WHICH PATIENT IS NOT ELIGIBLE TO PARTICIPATE IN A PAYMENT CONTRACT ARE COUNSELED BY FINANCIAL ASSISTANCE REPRESENTATIVES. CHARITY AND FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL WEBSITE. STATEMENTS ON ACCOUNTS HAVE MESSAGES INFORMING PATIENTS TO CONTACT THE HOSPITAL IF IN NEED OF FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER IS LOCATED IN SUSSEX COUNTY, THE SOUTHERN-MOST OF THREE DELAWARE COUNTIES, WHICH CONSISTS OF 938 SQUARE MILES, OR 48% OF DELAWARE'S ENTIRE LAND AREA. BECAUSE OF ITS CLIMATE AND LOW POPERTY TAXES, SUSSEX COUNTY HAS BECOME AN ATTRACTIVE RETIREMENT COMMUNITY. ALL OF THE COUNTY'S GROWTH OVER THE NEXT DECADE IS PROJECTED TO COME FROM PERSONS MOVING INTO THE COUNTY. TRADITIONALLY, SUSSEX COUNTY HAS BEEN REGARDED AS A RURAL AGRICULTURAL AREA. HOWEVER, THE EASTERN EDGE OF SUSSEX COUNTY THAT FRONTS ON THE DELAWARE BAY AND ATLANTIC OCEAN HAS BECOME A MAJOR TOURIST RESORT AND, MOST RECENTLY, A FAVORED RETIREMENT AREA, RETAIL, AND HOSPITALITY CENTER. EASTERN AND SOUTHEASTERN SUSSEX COUNTY, WHICH IS BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA, IS PARTICULARLY ATTRACTIVE DUE TO ITS PROXIMITY TO THE ATLANTIC OCEAN AND DELAWARE BAY. AS A RESULT, THE MEDICAL CENTER GENERALLY EXPERIENCES A SIGINIFICANT INCREASE IN PATIENT VISITS DURING THE SUMMER PERIODS. ACCORDING TO THE 2010 CENSUS, DELAWARES POPULATION WAS 897,934, WITH 61% LIVING IN NEW CASTLE COUNTY, 21% IN SUSSEX, AND 18% IN KENT COUNTY (DELAWARE HEALTH TRACKER). THERE HAS BEEN NO CENSUS SINCE 2010, BUT THE ESTIMATED POPULATION OF DELAWARE IN 2014 WAS 935,614 (DELAWARE HEALTH TRACKER). THE ESTIMATED POPULATION FOR SUSSEX COUNTY IN 2010 WAS 197,145 WITH A POPULATION OF 41,073 (20.8%) OVER THE AGE OF 65. SUSSEX ALSO HAS A VERY HIGH PERCENTAGE OF MEDICARE RECIPIENTS AT 23.3%. THE PERCENTAGE IN POVERTY IS LISTED AT 13.9%. THE SERVICE AREA POPULATION IS ESTIMATED AT 199,118 WITH A 3-YEAR GROWTH RATE OF 4.6%, APPROXIMATELY 9,197 RESIDENTS. IT IS NOTED THAT OUR SERVICE AREA HAS A 21% POPULATION AGE 65 OR OLDER WHERE THE U.S AVERAGE IS 13%. (BEEBE MEDICAL STAFF DEVELOPMENT PLAN, NOVEMBER 18, 2012). Median household income in Sussex county is $53,751, per capita it is $28,558. In Sussex in 2015, 11.6% of adults and children were uninsured. 3 hospitals serve the area, BayHealth Milford, Nanticoke in Seaford and Beebe Medical Center in Lewes. Sussex is considered a medically underserved area/population and designated as a health professional shortage area (HPSA) for primary care, mental health and dental care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES INCLUDE INTERPRETATION SERVICES TO SUPPORT INCREASING HISPANIC POPULATION. PROVIDING MENTORS IN CONJUNCTION WITH COLLEGES AND HIGH SCHOOLS IN THE AREA FOR STUDENTS PURSUING NURSING/HEALTHCARE CAREERS. RECURITMENT AND RETENTION OF PHYSICIANS IN UDERSERVED AREAS RELATIVE TO COMMUNITY NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER (BMC) IS A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES BEEBE PHYSICIAN NETWORK (BPN), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. BMC IS LOCATED IN A COMMUNITY THAT HAS BEEN DESIGNATED AS A PHYSICIAN UNDER-SERVED AREA SINCE 1976 AND BPN WAS ORGANIZED TO ENCOURAGE PHYSICIANS TO PRACTICE IN THE AREA TO ENSURE ACCESS TO CARE FOR THE SURROUNDING COMMUNITIES. IN OCTOBER 2013 BMC'S HEALTH CARE SYSTEM ADDED BEEBE HEALTHYBACK (BHB), A FOR-PROFIT LIMITED LIABILITY COMPANY, THAT OPERATED A SPECIALIZED CHRONIC BACK AND NECK TREATMENT PROGRAM LOCATED IN CENTRAL SUSSEX COUNTY. AS OF DECEMBER 31, 2015, THIS PARTNERSHIP WAS DISSOLVED AND BMC ABSORBED THE OPERATIONS. IN MAY 2013 BMC'S HEALTH CARE SYSTEM ADDED DELMARVA HEALTHCARE NETWORK, LLC (DHN). DHN IS AN ACCOUNTABLE CARE ORGANIZATION (ACO) WITH BEEBE AS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT - Delaware</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>902 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>Lewes</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <RecipientEIN>510319455</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>794323</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>the medical center only makes grants to its related, tax-exempt foundation beebe medical foundation.</ExplanationTxt>
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        <OtherCompensationFilingOrgAmt>72316</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2183</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>426089</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN D RHONE</PersonNm>
        <TitleTxt>VP PATIENT CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>200643</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21919</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16202</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3614</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24176</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266554</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEX SYDNOR</PersonNm>
        <TitleTxt>VP EXTERNAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>204553</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33120</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>7305</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4013</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30777</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>279768</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOAN THOMAS</PersonNm>
        <TitleTxt>VP CLINICAL &amp; AMBULATORY SVC</TitleTxt>
        <BaseCompensationFilingOrgAmt>218053</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36139</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>40325</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4387</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1830</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>300734</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SRIHARI PERI MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>445299</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>160125</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12218</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31188</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>654130</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MUHAMMAD K SIDDIQUE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>266190</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>132750</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>73448</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>507</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>16665</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>489560</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PORSELVI CHOCKALINGAM MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>398202</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>486</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5300</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>417187</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILOMENA COLUCCI DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>392918</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>5300</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>13057</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>412085</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATALYIA MELNYK MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>253312</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>125000</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>357</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23683</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>407494</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL MINNICK</PersonNm>
        <TitleTxt>COO (Term end 4/1/2014)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>262351</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>9280</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>271631</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>PAUL E. MINNICK RECEIVED $262,351 IN SEVERENCE PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR BONUSES IF THEY MEET SPECIFIC ORGANIZATIONAL OBJECTIVES INCLUDING QUALITY AND SAFETY ISSUES, PATIENT SATISFACTION SCORES, AND CERTAIN FINANCIAL GOALS. FOR VICE PRESIDENTS, 80% OF THEIR ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE GOALS AND 20% IS BASED UPON INDIVIDUAL GOALS. FOR THE CEO, 100% OF THE ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE OR TEAM GOALS. CERTAIN PHYSICIANS ARE ELGIBLE FOR AN INCENTIVE BASED ON THE PHYSICIAN'S INDIVIDUAL PRACTICE NUMBER OF WORKED RVU'S.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DELAWARE HEALTH FACILITIES AUTH SERIES 2005</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510272458</BondIssuerEIN>
        <CUSIPNum>246388NU2</CUSIPNum>
        <BondIssuedDt>2005-09-01</BondIssuedDt>
        <IssuePriceAmt>23450000</IssuePriceAmt>
        <PurposeDesc>FINANCE PORTION OF COST OF EXPANSI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DELAWARE HEALTH FACILITIES AUTH SERIES 2014A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510272458</BondIssuerEIN>
        <BondIssuedDt>2014-06-01</BondIssuedDt>
        <IssuePriceAmt>31020000</IssuePriceAmt>
        <PurposeDesc>REFUND DHFA SERIES 2002A BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DELAWARE HEALTH FACILITIES AUTH SERIES 2014B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510272458</BondIssuerEIN>
        <BondIssuedDt>2014-06-01</BondIssuedDt>
        <IssuePriceAmt>9670000</IssuePriceAmt>
        <PurposeDesc>REFUND DHFA SERIES 2004A BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DELAWARE HEALTH FACILITIES AUTH SERIES 2015A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510272458</BondIssuerEIN>
        <CUSIPNum>246388NU2</CUSIPNum>
        <BondIssuedDt>2015-09-04</BondIssuedDt>
        <IssuePriceAmt>15820000</IssuePriceAmt>
        <PurposeDesc>RFUND DHFA SERIES 2005A BONDS</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
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        <CreditEnhancementAmt>0</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
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        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <CapitalExpendituresAmt>12015000</CapitalExpendituresAmt>
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      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
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        <OtherSpentProceedsAmt>9670000</OtherSpentProceedsAmt>
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      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
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      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00960</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00960</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00960</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00960</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>true</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE A, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: BEEBE MEDICAL CENTER - *MAIN CAMPUS EXPANSION, RENOVATION AND EQUIPMENT. *EXPAND EMERGENCY DEPARTMENT FROM 18 TO 36 BEDS AND RENOVATE EXISTING EMEGENCY DEPARTMENT AREA, PLUS EQUIPMENT. *RELOCATE AND EXPAND (FROM 12 TO 20 BEDS) THE CRITICAL CARE UNIT, PLUS EQUIPMENT. * ADD A 42-BED MEDICAL SURGICAL UNIT, PLUS EQUIPMENT. *RENOVATIONS TO ADD DUAL-CAPABLE ANGIOGRAPHY SUITE AND RENOVATIONS TO THE CARDIAC REHAB SUITE, PLUS EQUIPMENT. BEEBE HEALTH CAMPUS - EXPANSION AND EQUIPMENT: *CONSTRUCTION AND EQUIPPING OF A RADIATION ONCOLOGY CENTER. *CONSTRUCTION AND EQUIPPING A MEDICAL ONCOLOGY FACILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE B, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT REFUNDING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $15,755,000 REVENUE BONDS AND ALSO ISSUED TO FINANCE $15,013,982 IN CAPITAL EQUIPMENT EXPENDITURES. BEEBE MEDICAL CENTER PROJECT SERIES 2014A BONDS OUTSTANDING AS OF 6/1/2015 WAS $22,907,268.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE C, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT REFUNDING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $29,455,000 REVENUE BONDS. BEEBE MEDICAL CENTER PROJECT SERIES 2014B BONDS OUTSTANDING AS OF 6/1/2015 WAS $8,680,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3, COLUMN (A)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND THE ISSUE PRICE REPORTED IN PART I IS INVESTMENT PROCEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2, COLUMN (A)</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE 2005 SERIES BONDS, THE REBATE CALCULATION WAS PERFORMED ON JUNE 1, 2016. SCHEDULE K, PART IV, LINE 2, COLUMN (B) FOR THE 2014A BONDS, THE REBATE CALCULATION WAS PERFORMED ON JUNE 1, 2016. SCHEDULE K, PART IV, LINE 2, COLUMN (C) FOR THE 2014B BONDS, THE REBATE CALCULATION WAS PERFORMED ON JUNE 1, 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SALIBA FAMILY LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE Part V</RelationshipDescriptionTxt>
        <TransactionAmt>245054</TransactionAmt>
        <TransactionDesc>SEE Part V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CARRIE SNYDER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CHILD OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>81978</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JAYME WEBB</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CHILD OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>53979</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, A DIRECTOR OF BEEBE MEDICAL CENTER, IS A MEMBER OF THE LLC. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, SECTION B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, GRANT THORNTON LLP. A COPY OF THE FORM 990 WaS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST STATEMENT FOR ALL BOARD MEMBERS, EXECUTIVES, AND MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD and audit committee FOR THE EXISTENCE OF ANY ADVERSE INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, SECTION B, LINES 15A AND 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF Directors GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING LIKE POSITIONS TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT A RANGE AROUND THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, ON A NATIONAL BASIS. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY LOSSES IN SUBSIDIARIES (23,326,597) EQUITY IN UNCONSOLIDATED AFFILIATE (352,771) INCREASE IN FOUNDATION NET ASSETS 563,715 CHANGE IN BENEFIT PLANS LIABILITY (16,895,174) OTHER CHANGES (59,529) NET ASSETS RELEASED FROM RESTRICTIONS FOR OTHER PURPOSES (28,194) INCREASE IN VALUE OF PERPETUAL TRUST (39,718) LOSS ON REDEMPTION OF BONDS 42,368 ------------- (40,095,900) =============</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DELMARVA HEALTH NETWORK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>424 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>Lewes</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <EIN>462829886</EIN>
        <PrimaryActivitiesTxt>ACO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>716972</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1174557</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beebe Med CT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHERN DELAWARE SURGERY CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>18941 JOHN J WILLIAMS HIGHWAY</AddressLine1Txt>
          <CityNm>Rehobeth</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19971</ZIPCd>
        </USAddress>
        <EIN>571188197</EIN>
        <PrimaryActivitiesTxt>O/P Surgery</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beebe Med CT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 760</AddressLine1Txt>
          <CityNm>Lewes</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <EIN>212011066</EIN>
        <PrimaryActivitiesTxt>Phys Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beebemedical</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>902 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>Lewes</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <EIN>510319455</EIN>
        <PrimaryActivitiesTxt>Fundraiasing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11-Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Beebemedical</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>794323</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>1580531</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>200566</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>44638456</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>22775000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>IDENTIFICATION OF DISREGARDED ENTIITIES: SOUTHERN DELAWARE SURGERY CENTER WAS INACTIVE DURING THE YEARS ENDED JUNE 30, 2012, JUNE 30, 2013, JUNE 30 2014, JUNE 30, 2015 AND June 30, 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>