﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-11-13T18:13:00-06:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Sorren Inc</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>102 N CASCADE AVENUE SUITE 400</AddressLine1Txt>
        <CityNm>COLORADO SPRINGS</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80903</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>840469270</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Colorado West Healthcare System</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% PETE YOUNG</InCareOfNm>
      <BusinessNameControlTxt>COLO</BusinessNameControlTxt>
      <PhoneNum>9702566321</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2351 G Road</AddressLine1Txt>
        <CityNm>Grand Junction</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>81505</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CHRISTIAN THOMAS</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>9702566321</PhoneNum>
      <SignatureDt>2025-11-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>DOREEN B MERZ</PreparerPersonNm>
      <PTIN>P00841439</PTIN>
      <PhoneNum>7196301186</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <PrincipalOfficerNm>CHRISTIAN THOMAS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2351 G Road</AddressLine1Txt>
        <CityNm>Grand Junction</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>81505</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>312781642</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.yourcommunityhospital.com</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1956</FormationYr>
      <LegalDomicileStateCd>CO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Improve the health and quality of life of the individuals and communities we serve.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1702</TotalEmployeeCnt>
      <TotalVolunteersCnt>60</TotalVolunteersCnt>
      <TotalGrossUBIAmt>-100870</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>3037837</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1166606</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>264905216</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>310217362</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>586589</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1122012</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>279539</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-38642</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>268809181</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>312467338</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>122764767</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>137599465</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>139812162</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>167867867</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>262576929</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>305467332</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>6232252</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>7000006</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>252521143</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>260468667</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>185402072</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>186234645</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>67119071</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>74234022</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF COLORADO WEST HEALTHCARE SYSTEM AND COMMUNITY HOSPITAL IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>235140078</ExpenseAmt>
      <RevenueAmt>310279590</RevenueAmt>
      <Desc>Community Hospital provides inpatient, outpatient, emergency, urgent, and primary health care services to communities in western Colorado which has been identified as a physician shortage area. During the tax year ended December 2024, Community Hospital had 13,065 patient days, 22,459 emergency room visits, 18,662 urgent care visits, 66,270 primary care visits, 12,366 oncology infusions and performed 5,076 surgeries. During the tax year, the Hospital was able to provide charity care services to those who could not otherwise afford necessary medical care. The Hospital provides care to persons covered by governmental programs at/or below cost and to individuals who are unable to pay.</Desc>
      <TotalProgramServiceExpensesAmt>235140078</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="IRS990ScheduleC">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRS990ScheduleD">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="IRS990ScheduleH">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="BinaryAttach">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="IRS990ScheduleL">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="IRS990ScheduleL">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="IRS990ScheduleR">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>298</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>1702</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>true</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>true</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>PETE YOUNG</PersonNm>
        <PhoneNum>9702576295</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2351 G ROAD</AddressLine1Txt>
          <CityNm>GRAND JUNCTION</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81505</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christian Thomas</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.8</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1209058</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>112496</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Rose</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>935713</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>89945</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Shorten</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>831796</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68656</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kirk Clifford</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>756285</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>77319</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Rawlings</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>700357</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>72874</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Enrique Orellana Jr</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>696672</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49015</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Tobin</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>619542</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>87930</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joe Gerardi</PersonNm>
        <TitleTxt>COO/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>416185</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66131</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pete Young</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>341200</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46137</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Skillicorn</PersonNm>
        <TitleTxt>Chief of Physician Practices</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>310347</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64828</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amy Jordan</PersonNm>
        <TitleTxt>Chief Human Resources Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>210132</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52836</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Martsolf</PersonNm>
        <TitleTxt>CHIEF MARKETING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>215878</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30421</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tawny Espinoza</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>184734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54734</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Boon Lowry</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>170302</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48468</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Smith</PersonNm>
        <TitleTxt>VP Revenue Cycle(Feb-Nov 2024)</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>184387</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26191</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Harrington</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dan Rubinstein</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nina Andersen</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.8</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Todd Young</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Janet Brink</PersonNm>
        <TitleTxt>Prior Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Justin Kaptuch</PersonNm>
        <TitleTxt>Chief of Staff (To 02/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jack Ryan Bagley</PersonNm>
        <TitleTxt>Chief of Staff (From 02/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jenna Noem</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JJ Stroh</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dean Havilik</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dale Rooks</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Todd Hegstrom</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Florian Seeberger</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Grant Roper</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7782588</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>947981</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>212</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Community Anesthesia Consultants</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1236 N 7TH ST</AddressLine1Txt>
            <CityNm>GRAND JUNCTION</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Anesthesia Services</ServicesDesc>
        <CompensationAmt>2371841</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Nexus Spine LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2825 E Cottonwood Parkway Suite 3</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Spinal Implants</ServicesDesc>
        <CompensationAmt>1357449</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Renovo Solutions LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4 Executive Circle Suite 185</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>asset mgt &amp; surgical</ServicesDesc>
        <CompensationAmt>1922223</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>VARIAN MEDICAL SYSTEMS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3100 HANSEN WAY</AddressLine1Txt>
            <CityNm>PALO ALTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94304</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SYSTEM</ServicesDesc>
        <CompensationAmt>3060736</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NUQUEST INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1048 INDEPENDENT AVE 108</AddressLine1Txt>
            <CityNm>GRAND JUNCTION</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Radiopharmaceticals</ServicesDesc>
        <CompensationAmt>1323534</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>41</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1000000</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>166606</AllOtherContributionsAmt>
      <TotalContributionsAmt>1166606</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>286979510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>286979510</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROVIDER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>10717161</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10717161</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CANYON VIEW ASC LLC SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>6259965</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6259965</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>4039273</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4039273</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1120438</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1120438</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1101015</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1101015</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>310217362</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1310040</TotalRevenueColumnAmt>
        <ExclusionAmt>1310040</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>123652</SecuritiesAmt>
        <OtherAmt>2624</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>129213</SecuritiesAmt>
        <OtherAmt>185091</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-5561</SecuritiesAmt>
        <OtherAmt>-182467</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-188028</TotalRevenueColumnAmt>
        <ExclusionAmt>-188028</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>PASS-THROUGH K-1/EQUITY PROGRAM INVEST SUBS.</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>-38642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>62228</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-100870</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>-38642</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>312467338</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>310279590</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-100870</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1122012</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4451938</TotalAmt>
        <ManagementAndGeneralAmt>4451938</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>103954</TotalAmt>
        <ProgramServicesAmt>36272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67682</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>108996117</TotalAmt>
        <ProgramServicesAmt>91498470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17497647</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>3560659</TotalAmt>
        <ProgramServicesAmt>915995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2644664</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>13438901</TotalAmt>
        <ProgramServicesAmt>3128920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10309981</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>7047896</TotalAmt>
        <ProgramServicesAmt>1627763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5420133</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>16188573</TotalAmt>
        <ProgramServicesAmt>9008388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7180185</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>42450</TotalAmt>
        <ProgramServicesAmt>42450</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>16912006</TotalAmt>
        <ProgramServicesAmt>16263374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>648632</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3684215</TotalAmt>
        <ProgramServicesAmt>3239221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>444994</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>70643</TotalAmt>
        <ProgramServicesAmt>70643</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>9018718</TotalAmt>
        <ProgramServicesAmt>7880144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1138574</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>6027283</TotalAmt>
        <ProgramServicesAmt>6027283</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>12621676</TotalAmt>
        <ProgramServicesAmt>12621676</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2238228</TotalAmt>
        <ProgramServicesAmt>680297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1557931</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>67236816</TotalAmt>
        <ProgramServicesAmt>61732987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5503829</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>15816164</TotalAmt>
        <ProgramServicesAmt>15816164</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>10704773</TotalAmt>
        <ProgramServicesAmt>4509769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6195004</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>7266060</TotalAmt>
        <ManagementAndGeneralAmt>7266060</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>40262</TotalAmt>
        <ProgramServicesAmt>40262</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>305467332</TotalAmt>
        <ProgramServicesAmt>235140078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70327254</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>19424982</BOYAmt>
        <EOYAmt>33534926</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>34919829</BOYAmt>
        <EOYAmt>41592173</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>5703581</BOYAmt>
        <EOYAmt>6347580</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3846998</BOYAmt>
        <EOYAmt>4910412</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>232779327</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>73099207</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>164901837</BOYAmt>
        <EOYAmt>159680120</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>10000</BOYAmt>
        <EOYAmt>10000</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>123652</BOYAmt>
        <EOYAmt>125178</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>995244</BOYAmt>
        <EOYAmt>348126</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>22595020</BOYAmt>
        <EOYAmt>13920152</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>252521143</BOYAmt>
        <EOYAmt>260468667</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>27537429</BOYAmt>
        <EOYAmt>40343640</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>571428</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>135764239</BOYAmt>
        <EOYAmt>144817273</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>21528976</BOYAmt>
        <EOYAmt>1073732</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>185402072</BOYAmt>
        <EOYAmt>186234645</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>67119071</BOYAmt>
        <EOYAmt>74234022</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>67119071</BOYAmt>
        <EOYAmt>74234022</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>252521143</BOYAmt>
        <EOYAmt>260468667</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>7000006</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>166349</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-51404</PriorPeriodAdjustmentsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </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">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>4233</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>4233</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>0</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1, Lobbying Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization pays dues to the Colorado Hospital Association and a portion of the money is used for lobbying activities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4041532</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4041532</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>140601919</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>24951700</DepreciationAmt>
        <BookValueAmt>115650219</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>11468267</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1738667</DepreciationAmt>
        <BookValueAmt>9729600</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>76089467</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>46408840</DepreciationAmt>
        <BookValueAmt>29680627</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>578142</OtherCostOrOtherBasisAmt>
        <BookValueAmt>578142</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>159680120</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY RECEIVABLE</Desc>
        <BookValueAmt>1699149</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>457 ASSETS</Desc>
        <BookValueAmt>11119558</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ROU OPERATING LEASES</Desc>
        <BookValueAmt>1073732</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSTS</Desc>
        <BookValueAmt>27713</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>13920152</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ROU OPERATING LEASES</Desc>
        <Amt>1073732</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1073732</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>296831776</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>166349</OtherRevenueAmt>
      <RevenueNotReportedAmt>166349</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>296665427</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>15801911</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>15801911</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>312467338</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>289665421</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>289665421</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>15801911</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>15801911</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>305467332</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule d, part x, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Other: $166,349. SUBSIDIARIES' EQUITY -method income / losses reported within revenue on the audited financial statements and reclassified to other change in net assets for tax return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE: PROVISION FOR BAD DEBTS RECLASSIFIED FROM REVENUE TO EXPENSE FOR TAX RETURN: $ 15,801,911.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE: PROVISION FOR BAD DEBTS RECLASSIFIED FROM REVENUE TO EXPENSE FOR TAX RETURN: $ 15,801,911.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>150.</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>487677</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>487677</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00160</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>39174230</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>35991518</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3182712</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01040</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>39661907</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>35991518</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3670389</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01200</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>479495</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>479495</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00160</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>479495</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>479495</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00160</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>40141402</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>35991518</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4149884</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01360</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2035784</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>41911150</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>48657677</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-6746527</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Physicians Choice</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Property Rental</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.67647</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.0</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.32353</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Real Estate LLC</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Healthcare Mgt LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>insurance liaison</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.1943</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.0</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.8057</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Providers Org</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Community Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2351 G Road</AddressLine1Txt>
          <CityNm>Grand Junction</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81505</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>http://www.yourcommunityhospital.com/</WebsiteAddressTxt>
        <StateLicenseNum>011119</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Community Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <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>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Line 7d</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Line 7d</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Line 7d</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>150.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, line 16j</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, line 16j</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, line 16j</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Sch H, Part V, Section B, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Hospital was an active participant in the CHNA collaboration with the Mesa County Community Health Department and a number of other local hospitals and organizations in Mesa County. A Community Hospital representative worked with the CHNA planning committee and the Mesa County Community Transformation Group to determine what data needed to be gathered. Community Hospital provided aggregate health screening reports for its contracted employer groups to Mesa County Health Department. The healthcare partners of our community met regularly to put together a timeline and action plan to implement the Strategy Report and ensure no duplication of efforts. Community Hospital utilized previous assessments to guide interventions and collaborations. Primary data was collected from subject matter experts and community members through focus groups, informal interviews, and electronic surveys.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Sch H, Part V, Section B, Line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA was conducted with the following other hospital facilities: Family Health West, Monument Health, LLC, St. Mary's Regional Hospital, and The VA Western Colorado Health Care System Center.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch H, Part V, Section B, Line 6b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Mesa County Public Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch h, Part V, Section B, Line 7d:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Website: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm Other Website: health.mesacounty.us Implementation Strategy: https://cdn.yourcommunityhospital.com/files/CHGJ+2025+CHNA+Implementation+ Plan.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch h, Part V, Section B, Line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>A Community Health Needs Assessment (CHNA) is part of the required documentation of "Community Benefit" under the Affordable Care Act for 501(c)(3) hospitals and fulfills requirements for accreditation for many health and public health entities. However, regardless of status, a CHNA provides many benefits to an organization. At Community Hospital, we work to inspire and support people to be healthier in all aspects of their lives, building happier, healthier, and stronger communities. We actively participate in the development of a CHNA every three years with Mesa County Public Health and a number of other local hospitals and organizations. This effort demonstrates that Community Hospital makes an ongoing commitment to improve the health of Mesa County residents. The CHNA is a fundamental tool of public health practice which aims to describe the health of the community by presenting information on the widespread health status and health problems. The CHNA process helps Community Hospital and other local organizations to develop strategies aimed at making long-term, sustainable change. It also facilitates the strengthening of relationships and partnerships between health-related organizations that are working together to improve community health. develop strategies aimed at making long-term, sustainable change. It also facilitates the strengthening of relationships and partnerships between health-related organizations that are working together to improve community health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Community Hospital's Implementation Strategies:</FormAndLineReferenceDesc>
        <ExplanationTxt>This Implementation Strategy is intended to satisfy each of the applicable requirements set forth in proposed regulations released 2021 and serves as Community Hospital's planned response to the needs identified through 2024 Community Health Needs Assessment (CHNA) process. For a full copy of the CHNA report, please visit: https://cdn.yourcommunityhospital.com/files/Mesa+County+Community+Health+N eeds+Assessment+2024-26.pdf Community Health Needs Identified in the CHNA Report The findings from the 2024 CHNA detail five themes based on Social Determinants of Health (SDH). These Social Determinants of Health: economic stability, education, healthcare and access, neighborhood and built environment, and social and community context. Health Needs Community Hospital Plans to Address Building on the criteria used in the CHNA process, Community Hospital has evaluated the knowledge delivered, skills developed, and expertise within our existing service lines, and the knowledge of community efforts and entities that are currently, or may be, addressing the identified needs. Further, Community Hospital is leveraging collaborative initiatives that are addressing and impacting the identified needs. Based on this evaluation, Community Hospital has selected a number of needs from the outlined key determinants of health and from the broader areas of concern to address. This will allow us to maximize our ability to focus resources and have a meaningful impact on community health needs. Key CHNA data points for each inequity that Community Hospital plans to address are summarized below. 1. Economic Stability Community Hospital Services and Programs Committed to Respond to This Need: Community Health Partnership (CHP): A suite of services specifically tailored to improve employee health and control healthcare costs in collaboration with local businesses. This program offers convenient and affordable access for employees to employer-sponsored medical clinics, population health management, health coaching, and additional services. Local Employer: As one of the largest employers in Mesa County, Community Hospital provides stable, well-paying jobs across a wide range of skill levels for over 1,300 employees. Hospital operations generate significant local spending through employee wages, purchased services, and support of broader economic development. Future Goals and Objectives to Address this Significant Health Need: Goal: Strengthen the economic stability of Mesa County by expanding workforce opportunities, supporting local businesses, and enhancing access to cost-effective healthcare services. Objectives: Expand the CHP program to reach additional local employers to improve access to affordable healthcare for the regional workforce. Enhance workforce development through career pathway programs in partnership with local schools and community colleges to support high-demand healthcare roles. Support employee financial well-being through competitive compensation, benefits, and retention initiatives to reduce turnover and enhance long-term economic security for staff. Expected Outcomes: Improved access to affordable healthcare for the local workforce, and A stronger local workforce pipeline. 2. Access to Primary Care Community Hospital Services and Programs Committed to Respond to This Need: Convenient Access to Primary Care: Community Hospital offers multiple convenient locations with a range of providers that offer primary care services including: Grand Valley Pediatrics Grand Valley Primary Care - 28 1/4 Road Grand Valley Primary Care - Patterson Road Grand Valley Primary Care - Fruita Grand Valley Primary Care - Palisade Internal Medicine Associates of the Grand Valley Western Medical Associates of the Grand Valley Future Goals and Objectives to Address this Significant Health Need: Goal: Enhance access to primary care services across Mesa County to reduce unnecessary emergency department visits, increase early intervention, and improve community health outcomes. Objectives: Continue to recruit and retain high-quality primary care providers to Mesa County to increase access and appointment availability. Improve community awareness and education of healthy behaviors, preventive services, and primary care clinic locations to address preventable health outcomes and increase utilization of primary care services. Expected Outcomes: Reduction in preventable emergency department visits and hospital stays, and Improved wait times for appointments through access to additional primary care providers. 3. Behavioral Health Community Hospital Services and Programs Committed to Respond to This Need: Behavioral Health Services: Community Hospital provides access to medication management and counseling support through primary care and offers health coaching services to help patients develop coping mechanisms and support systems aimed at reducing stress, anxiety, and the risk of suicide. Crisis Intervention and Suicide Prevention: All emergency department patients are screened for suicide risk, and those identified as high-risk are placed in a safe environment for evaluation by a Behavioral Health Specialist. Staff coordinate with behavioral health facilities to secure appropriate inpatient placement while ensuring the patient remains safe during the interim. Community Hospital also shares suicide-related data with Mesa County Public Health and participates in the local suicide prevention coalition. Future Goals and Objectives to Address this Significant Health Need: Goal: Improve behavioral health outcomes in Mesa County by strengthening the local behavioral health workforce, crisis intervention services, and community education. Objectives: Expand outpatient behavioral health access through provider recruitment to support primary care integrated behavioral health and health coaching. Strengthen community partnerships to increase community education and awareness of local behavioral health services, stigma reduction, and early intervention. Expected Outcomes: Improved access to behavioral health providers and integration with primary care, and Reduction in suicide mortality through improved prevention and crisis intervention. 4. Health Needs Community Hospital Does Not Intend to Address Community Hospital is committed to addressing many of the priority health needs identified in the CHNA. However, this implementation plan does not focus on housing insecurity and childcare at this time. Based on a review of available resources and potential impact, the hospital has chosen to prioritize other areas of health inequity where it can make the most meaningful contribution. While Community Hospital offers services and support for housing and childcare, there are other community organizations better equipped to lead these efforts.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch h, Part V, Section B, Line 13h:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch h, Part V, Line 16a FAP:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://yourcommunityhospital.com/Billing.cfm</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch H, Part V, Line 16b: FAP Application:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://yourcommunityhospital.com/PDFs/Financial%20Application%20Website.p df</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch h, Part V, Line 16c FAP Plain Language Summary:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://yourcommunityhospital.com/Billing.cfm</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>sch h, Part V, Section B, Line 24:</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>45</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Oncology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>603 28 1/4 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Physician Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Rehabilitation Services</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2004 N 12th St</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation Programs</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Occupational Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2004 N 12th St</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>Employee-related Exam Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Care of the Grand Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1060 Orchard Ave Suite N</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Medical Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CMU WELLNESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1060 Orchard Ave Suite O</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>Student Medical Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Internal Medicine Assoc of the Grand</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>607 28 1/4 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Internal Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Primary Care - Fruita</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 Jurassic Ave Suite C</AddressLine1Txt>
            <CityNm>Fruita</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81521</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley ENT &amp; Facial</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 240</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>ENT &amp; Facial</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Pediatrics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 B 28 1/4 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Pediatrics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Western Orthopedics &amp; Sports Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 100</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Sports Medicine &amp; General Orthopedics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Spine and Pain</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 160</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Sports Medicine &amp; General Orthopedics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Advanced Pulmonary and Critical Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 303</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Pulmonary</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Surgical Associates of the Grand Valley</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 280</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgical and Minimally Invasive Treatments</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley ThoracicVascular</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 270</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Vascular and Thoracic Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Rheumatology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 road suite 202</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnosis and Management of Autoimmune Disease</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Infectious Disease</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 303</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>Infectious Disease</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Canyon View Women's Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 304</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Obstetrics, Gynecology, Nurse- Midwives</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Canyon View Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Rd 180</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Procedure Center &amp; Surgical Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Care of the Grand Valley - Pal</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>731 Iowa Avenue</AddressLine1Txt>
            <CityNm>Palisade</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81526</ZIPCd>
          </USAddress>
          <FacilityTxt>Acute Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Behavioral Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>605A 28 1/4 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Behaviorial Health Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Cardiac Rehabilitatio</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 302</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardio-Pulmonary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Hospitalists</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2351 G Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Hospitalist Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Laboratory</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2351 G Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Medical Imaging (Radi</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2351 G Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging &amp; Mammography</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Pulmonary Rehabilitat</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 302</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardio-Pulmonary Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Radiology Imaging &amp; L</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 140</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory, Imaging &amp; Mammography</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital Respiratory Therapy</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2351 G Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Lung Care &amp; Respiratory Therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital X-Ray</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1060 Orchard Ave</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Hospital X-Ray &amp; Lab Draw - Pa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>731 Iowa Avenue</AddressLine1Txt>
            <CityNm>Palisade</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81526</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging &amp; Laboratory</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Cardiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 301</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Endocrinology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>603 28 1/4 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Endocrinology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Gynecologic Oncology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 201</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Imaging Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 140</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Pediatric Therapy</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>715 Horizon Drive Suite 200</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Therapy Services Pediatric Therapy Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Plastic Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 260</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Plastic Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Primary Care - Palisade</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>731 Iowa Avenue</AddressLine1Txt>
            <CityNm>Palisade</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81526</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care &amp; Pediatrics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Primary Care - Patterson Ro</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2478 Patterson Road Unit 27</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care &amp; Pediatrics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Rehabilitation Services - G</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2373 G Road Suite 130</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Therapy Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Rehabilitation Services - M</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>700 Maldonado Street Suite B</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81501</ZIPCd>
          </USAddress>
          <FacilityTxt>Therapy Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Monument View Medical Plaza Lab Draw</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Surgical Weight Loss Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>605B 28 1/4 Road</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgical Weight Loss</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Western Medical Associates of the Grand</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>743 Horizon Court Suite 100</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care &amp; Pediatrics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Valley Nutrition &amp; Wellness</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>605B 28 1/4 Rd</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81506</ZIPCd>
          </USAddress>
          <FacilityTxt>Nutrition &amp; Diabetes</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Western Colorado Bone Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>688 23 1/2 Road Suite 101</AddressLine1Txt>
            <CityNm>Grand Junction</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>BONE HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch H, Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to FPL, the organization used an asset test in determining eligibility for financial assistance. The organization also took insurance status and medical indigency into consideration. Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Line 7b and 7c were determined using the overall cost to charge ratio. Line 7i is actual expenses from the general ledger.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch, Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Allowance for bad debts is determined monthly by review of contractuals by payor using historical activity and expected collection rates. The amount is reviewed by the CFO and Board. Part III, Line 4: Footnote from Financial Statement: Please see Note 2, Financial Statement, Patient Service Revenue on page 17.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Medicare cost report was used to determine the amount of the Medicare shortfall. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. The organization estimates 100% should be considered a community benefit. If these individuals did not qualify for Medicare, they would qualify for financial assistance, based on the demographics of the community in which we operate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>For patients who qualify for charity and who are cooperating in good faith to resolve their discounted hospital bills, Community Hospital may offer extended payment plans, will not send unpaid bills to outside collection agencies, and will cease all collection efforts. Community Hospital will not impose extraordinary collections actions such as wage garnishments, liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether that patient is eligible for charity care under this financial assistance policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Hospital develops its strategic plan both internally and supported by Quorum Health Resources to assess the healthcare needs of the community it serves. This plan includes market assessment of the service area and local demographic characteristics, clinical service line utilization and projections for inpatient, ambulatory, and provider practices. Clinical foci resulting form the same diabetes, obesity, and primary care access.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Part of the Hospital's written financial assistance and charity care policy provides for financial counselors to meet with all uninsured patients prior to discharge. The Hospital's billing team may also inform patients of the Hospital's financial assistance and charity care program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part IV, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital's primary service area is Western Colorado and the residents of Mesa County. Mesa County's population is approximately 150,000 with 15% of the population being over the age of 65. Community Hospital captures 15.9% of the area's healthcare market for those patients requiring inpatient stays.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>sch h, Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital is governed by a 12-member Board of Trustees composed of seven Mesa County, Colorado, community members and five community medical staff members who are all committed to fulfilling the following mission statement: Community Hospital will improve the health and quality of life of the individuals and communities we serve. The community members use their unique experience and abilities to lead the Hospital in directions that support the needs of the community.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christian Thomas</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>739337</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>200125</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>269596</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>88761</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23735</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1321554</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>259186</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joe Gerardi</PersonNm>
        <TitleTxt>COO/CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>369046</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>42087</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5052</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>49487</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16644</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>482316</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Tobin</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>553269</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>63063</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3210</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>69668</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18262</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>707472</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Skillicorn</PersonNm>
        <TitleTxt>Chief of Physician Practices</TitleTxt>
        <BaseCompensationFilingOrgAmt>272581</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32056</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5710</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>40064</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24764</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>375175</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pete Young</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>302719</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34725</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3756</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43770</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2367</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>387337</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Martsolf</PersonNm>
        <TitleTxt>CHIEF MARKETING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>191685</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21767</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2426</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27707</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2714</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246299</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tawny Espinoza</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>162241</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20255</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2238</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25179</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29555</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>239468</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Jordan</PersonNm>
        <TitleTxt>Chief Human Resources Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>186676</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>22369</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1087</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28552</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24284</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>262968</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Shorten</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>830422</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1374</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43610</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25046</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>900452</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Rose</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>932940</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>475</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2298</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>63340</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26605</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1025658</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kirk Clifford</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>753555</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2730</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>45414</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31905</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>833604</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Enrique Orellana Jr</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>665244</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1428</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19215</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>745687</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Rawlings</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>698529</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>400</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1428</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43284</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29590</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>773231</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Boon Lowry</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>164035</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1267</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24640</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23828</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>218770</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Smith</PersonNm>
        <TitleTxt>VP Revenue Cycle(Feb-Nov 2024)</TitleTxt>
        <BaseCompensationFilingOrgAmt>173598</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>789</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7593</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18598</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210578</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule j, part i, line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Nonqualified retirement plan: The Hospital has a 457(b) plan for senior executives and physicians. The Hospital did not make contributions to the plan for the years ending December 31, 2024. The Hospital has a 457(f) plan for senior executives. The employer's contribution to this plan for the year ended December 31, 2024, for individuals listed on the Form 990, Part VII, are as follows: Chris Thomas, $74,961. Joe Gerardi, $37,285. Thomas Tobin, $55,868. John Skillicorn, $28,389. Pete Young, $30,272. Karen Martsolf, $19,168. Tawny Espinoza, $17,840. Amy Jordan, $19,755. Boon Lowry, $17,600. Peter Shorten, $35,993. James Rose, $49,540. Kirk Clifford, $31,614. Enrique Orelana Jr.$16,000. John Rawlings $33,689. Boon Lowry $17,600. The 457(f) plan terms and conditions: A participant employee becomes fully vested in the portion of his deferred compensation account attributable to employer credits, and any accumulated income/ loss attributable to it, if he or she remains in the service with the employer until the first of the following events occur: (i) death of participant, (ii) disability of participant, and (iii) meeting the vesting schedule and provisions designated by the employer in the adoption agreement. A participant forfeits any deferred compensation account that is not fully vested, upon separation of service from the employer. Distribution of the deferred compensation account is required as a single lump sum payment as soon as it is practicable (but no later than the 15th day of the third month) after such date as the account is fully vested.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule j, part I, line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>non-fixed payments: QUORUM HEALTH RESOURCES, A MANAGEMENT COMPANY, COMPENSATES THE CEO. HIS COMPENSATION INCLUDES A SET AMOUNT PLUS A BONUS IF CERTAIN CRITERIA ARE MET. THE BONUS ELIGIBILITY IS BASED ON A SCORECARD OF THIRTEEN METRICS, FOCUSED AROUND THE PILLARS OF EXCELLENCE-QUALITY, SERVICE, FINANCIAL, GROWTH, AND PEOPLE. PHYSICIAN BONUSES ARE BASED ON RELATIVE VALUE UNITS (RVU) AND LONGEVITY. RVU IS A MEASURE USED IN MEDICARE REIMBURSEMENT FORMULAS FOR PHYSICIAN SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ERICA Skillicorn</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Relative of Officer</RelationshipDescriptionTxt>
        <TransactionAmt>44769</TransactionAmt>
        <TransactionDesc>Hospital employee</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>The Pathology Group</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Board Member owned business</RelationshipDescriptionTxt>
        <TransactionAmt>126000</TransactionAmt>
        <TransactionDesc>Pathology contract</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Diagnostic Radiology Associates</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Board Member owned business</RelationshipDescriptionTxt>
        <TransactionAmt>315707</TransactionAmt>
        <TransactionDesc>Radiology contract</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kiaja Thomas</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Relative of Officer</RelationshipDescriptionTxt>
        <TransactionAmt>34500</TransactionAmt>
        <TransactionDesc>Marketing Contract</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Nicholas Gerardi</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Relative of Officer</RelationshipDescriptionTxt>
        <TransactionAmt>24685</TransactionAmt>
        <TransactionDesc>Painting Contract</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 8a/b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall be composed of the Chairperson, Vice Chairperson, Treasurer, Secretary, Chief of Staff, and the President/CEO. The Executive Committee shall meet upon the call of the Chairperson to: A. Review upcoming Board of Trustee meetings. B. Act on behalf of the Board of Trustees between regular or special meetings of the Board and then report actions to the Board of Trustees. C. Communicate to keep the Board of Trustees, medical staff and administration of the Hospital aware of pertinent actions taken or contemplated by one or the other, and to make recommendations to the Board of Trustees on major expenditures. D. Consider issues affecting medical care that arise in the operation and affairs of the Hospital. E. Perform the annual evaluation of the President/CEO. F. Perform any other actions the Board of Trustees deems necessary, as instructed by the Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by the Hospital's independent CPA firm and reviewed by the Hospital's accounting staff and Administration, including the CEO, Controller, and the Compliance Officer. A preliminary draft is presented to the Board of Directors for detailed review and approval. A final copy of the 990 is provided to all board members prior to the final filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital's conflict of interest policy is maintained and managed by the Chief Compliance Officer on an annual basis. All board members, officers, and key employees are required to complete a conflict of interest disclosure form and submit it to the compliance department. That documentation is reviewed by and retained by the compliance officer. Any conflicts of interest that arise are addressed by the compliance department and the Board of Trustees. All board members, officers, and key employees are required to notify the facility of any changes during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15 A &amp; B:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Hospital is a Quorum Health Resources managed hospital. Quorum conducts national wage surveys to suggest market rates for CEO and CFO salaries based on Hospital revenue. The final salary is determined by the Board based on this information and local market conditions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, policies and procedures, and audited financial statements are made available to the public upon request on a case by base basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part ix, column d</FormAndLineReferenceDesc>
        <ExplanationTxt>the hospital does not have any fundraising functional expenses (column D), as a related organization, community hospital foundation, conducts fundraising activities for the benefit of the hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Canyon View ASC LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2373 G Road Suite 180</AddressLine1Txt>
          <CityNm>Grand Junction</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81505</ZIPCd>
        </USAddress>
        <EIN>455352976</EIN>
        <PrimaryActivitiesTxt>Ambulatory Su</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <TotalIncomeAmt>6640636</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3593126</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Community Ho</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Community Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2351 G Road</AddressLine1Txt>
          <CityNm>Grand Junction</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81505</ZIPCd>
        </USAddress>
        <EIN>742576856</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Community Ho</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Physicians Choice Real Estate</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2012 N 12th Street</AddressLine1Txt>
          <CityNm>Grand Junction</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81501</ZIPCd>
        </USAddress>
        <EIN>841601063</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Community Hospi</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>150721</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>323667</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.67647</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Healthcare Management LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 1929</AddressLine1Txt>
          <CityNm>Grand Junction</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81502</ZIPCd>
        </USAddress>
        <EIN>841238904</EIN>
        <PrimaryActivitiesTxt>Collections</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Community Hospi</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-56488</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1196602</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.22723</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Doctor's Clinic Building</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2351 G RD</AddressLine1Txt>
          <CityNm>Grand Junction</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81505</ZIPCd>
        </USAddress>
        <EIN>840507943</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Community Hospi</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>212223</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>256644</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Doctor's Clinic Building</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>201159</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Doctor's Clinic Building</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>52875</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>YE BALANCE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS CHOICE REAL ESTATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>47161</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS CHOICE REAL ESTATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1636561</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>YE BALANCE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS CHOICE REAL ESTATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>348024</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Doctor's Clinic Building</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>900000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS CHOICE REAL ESTATE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>129148</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>