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      <Desc>Inpatient Care - Jameson Memorial Hospital provides inpatient care for all individuals in need who reside within our service area. This includes medical/surgical, skilled nursing, rehabilitation, pediatrics, womens health, critical care and psychiatric care. For Fiscal 2014, Jameson Memorial Hospital had 8630 admissions and 42189 associated patient days.</Desc>
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        <Desc>Nursing and Radiology Schools - Jameson Memorial Hospital's School of Nursing is a two year diploma program accredited by the National League for Nursing Accrediting Commission and approved by the Pennsylvania State Board of Nursing. The school prepares graduates to sit for their RN licensure exam. Since its founding in 1895, the school has educated 2493 students. The Jameson School of Radiography program is a comprehensive 22 month course of study culminating in a certificate in radiologic technology. It provides the sudent with a high quality, customer service oriented competency based didactic and clinical education. The school has educated 86 students since the school's inception in 2001.</Desc>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Outpatient Revenue</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>171899086</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>171899086</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Nursing and Radiology Schools</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>1264158</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1264158</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>296929513</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>442112</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>442112</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>40172</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>40172</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>40172</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>40172</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>33110361</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>31457498</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1652863</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1652863</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1652863</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <OtherRevenueMiscGrp>
        <Desc>Joint Ventures</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1525399</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1525399</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Cafeteria</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>446676</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>446676</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Insurance Proceeds</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>113321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>113321</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>593173</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>473592</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2254728</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2587174</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>74744</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>158623</TotalAmt>
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        <ManagementAndGeneralAmt>158623</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>5003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180316</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>22754965</TotalAmt>
        <ProgramServicesAmt>21011504</ProgramServicesAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>3492900</TotalAmt>
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        <ManagementAndGeneralAmt>3492900</ManagementAndGeneralAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>6309939</TotalAmt>
        <ProgramServicesAmt>3032348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3277591</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>73128</TotalAmt>
        <ProgramServicesAmt>37707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35421</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>28947</TotalAmt>
        <ProgramServicesAmt>7620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21327</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>655623</TotalAmt>
        <ProgramServicesAmt>419599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>236024</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
        <TotalAmt>3653069</TotalAmt>
        <ProgramServicesAmt>2337964</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Contractuals/Bad Debts</Desc>
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        <ProgramServicesAmt>190900027</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Physician Fees</Desc>
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      <OtherExpensesGrp>
        <Desc>Purchased Services</Desc>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1905</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>708714</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1055114</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>32391983</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>86155609</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedBasisGrp>
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    <IRS990ScheduleA documentId="R000002" softwareId="13000241" softwareVersion="v1.00">
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        <ContributorBusinessName>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
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      <TotalLobbyingExpendituresAmt>65263</TotalLobbyingExpendituresAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Jameson Health System contracts with Buchanan, Ingersoll and Rooney to represent them in legislative issues. This includes direct communication and hospitality expenditures for state officials as disclosed on the Pennsylvania disclosure quarterly expense report.</ExplanationTxt>
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        <BookValueAmt>0</BookValueAmt>
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        <Desc>Deferred Charges</Desc>
        <BookValueAmt>8893657</BookValueAmt>
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        <Desc>Insurance Availability</Desc>
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        <Desc>Beneficial Interest in Jameson Healthcare Foundation</Desc>
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        <Desc>Affiliate Payables</Desc>
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      <TotalLiabilityAmt>33056</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>0</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
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      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
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      <InvestmentExpensesNotIncldAmt>158623</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>190899728</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>191058351</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>304347744</TotalRevenuePerForm990Amt>
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      <InvestmentExpensesNotIncld2Amt>158623</InvestmentExpensesNotIncld2Amt>
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      <ExpensesNotRptFinclStmtAmt>191058344</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>301207490</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The use of this endowment fund is to support advanced nursing education for recent graduates of our school of nursing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>All companies included in the consolidated financial statements have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Health System is subject to federal income tax on any unrelated business taxable income. The Health System files tax returns in the US Federal Jurisdiction. With a few exceptions, the Health System is no longer subject to US Federal examinations by tax authorities for years before 2011.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual allowances, bad debts and rounding.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual allowances and bad debts.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Carbis Walker worked together with Lawrence County Community Health Needs Steering Committee to develop a broad list of community leaders to interview. These community members were selected based on their involvement within the community and because they provided distinctive backgrounds and a variety of perspective on the state of the community and health care. Interviews were conducted with a number of directors and staff members from community health centers, members from social service organizations, educational leaders, religious groups and elected officials. The selected participants give an overarching viewpoint of the community and through these interviews the health needs from the perspective of the community were identified. The following individuals were interviewed to understand issues related to health status, needs and resources in Lawrence County: Dennis W. Nebel, Sharon L. Hodge, Judy Thompson, William Lutz, Joseph Venasco, Suzanne Smith, Karen Gentile, Gayle Young, Honorable President Judge Dominick Motto, Linda Nitch, Sandy Copper, Alice Sankey, Sue Ascione, Commissioner Daniel J. Vogler, J. Fred Stoner, David Copper, Drew Pierce, Mary Lynn Reid, Michelle Kielar, Sheryl Pieri, Charlane Verdi, Rochelle Rashid-Nebel, Sharon Peterson, Kathy DeCaprio, Jodie Dubrasky, Kristi Garma, Joseph Ciocca, H. Jordan Garber, Della Stabryla, Linda Werner, Cathy Small, Michelle Harding, Dr. David J. Simon and Jason Barnot. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Carbis Walker worked together with Lawrence County Community Health Needs Steering Committee to develop a broad list of community leaders to interview. These community members were selected based on their involvement within the community and because they provided distinctive backgrounds and a variety of perspective on the state of the community and health care. Interviews were conducted with a number of directors and staff members from community health centers, members from social service organizations, educational leaders, religious groups and elected officials. The selected participants give an overarching viewpoint of the community and through these interviews the health needs from the perspective of the community were identified. The following individuals were interviewed to understand issues related to health status, needs and resources in Lawrence County: Dennis W. Nebel, Sharon L. Hodge, Judy Thompson, William Lutz, Joseph Venasco, Suzanne Smith, Karen Gentile, Gayle Young, Honorable President Judge Dominick Motto, Linda Nitch, Sandy Copper, Alice Sankey, Sue Ascione, Commissioner Daniel J. Vogler, J. Fred Stoner, David Copper, Drew Pierce, Mary Lynn Reid, Michelle Kielar, Sheryl Pieri, Charlane Verdi, Rochelle Rashid-Nebel, Sharon Peterson, Kathy DeCaprio, Jodie Dubrasky, Kristi Garma, Joseph Ciocca, H. Jordan Garber, Della Stabryla, Linda Werner, Cathy Small, Michelle Harding, Dr. David J. Simon and Jason Barnot. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 4-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Ellwood City Hospital. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 4-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Jameson Memorial Hospital - Ellwood City Hospital. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA identified a total of five priority health needs. All health needs have undertaken initial steps to address those identified. However, our organization does not have all of the expertise or the financial resources to fully address these needs. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Jameson Memorial Hospital - The CHNA identified a total of five priority health needs. All health needs have undertaken initial steps to address those identified. However, our organization does not have all of the expertise or the financial resources to fully address these needs. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>There is a 50% discount given to patients without insurance upon payment of account. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20-Jameson Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Jameson Memorial Hospital - There is a 50% discount given to patients without insurance upon payment of account. This comment is applicable to facility 1 and 2.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>9</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson &amp; UPMC Cancer Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>2602 Wilmington Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16105</ZIPCode>
          </USAddress>
          <FacilityTxt>Outpatient cancer treatment facility.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Lawrence County MRI</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>2526 Wilmington Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16105</ZIPCode>
          </USAddress>
          <FacilityTxt>Outpatient radiology center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson at College Fields</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>130 Enclave Drive</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16101</ZIPCode>
          </USAddress>
          <FacilityTxt>Outpatient radiology center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson Rehabilitation Center of Neshannock</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>3410 Wilmington Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16105</ZIPCode>
          </USAddress>
          <FacilityTxt>Outpatient rehabilitation center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson Diagnostic Services</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>2520 Wilmington Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16105</ZIPCode>
          </USAddress>
          <FacilityTxt>Diagnostic center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson Diagnostics at Mayzon</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>3124 Wilmington Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16105</ZIPCode>
          </USAddress>
          <FacilityTxt>Diagnostic center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson Community Health Center - New Wilmington</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>138 South Market Street</AddressLine1>
            <City>New Wilmington</City>
            <State>PA</State>
            <ZIPCode>16142</ZIPCode>
          </USAddress>
          <FacilityTxt>Diagnostic center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson Community Health Center - Mohawk</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>341 Mohawk School Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16102</ZIPCode>
          </USAddress>
          <FacilityTxt>Diagnostic center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Jameson Community Health Center - Shenango</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>2655 Ellwood Road</AddressLine1>
            <City>New Castle</City>
            <State>PA</State>
            <ZIPCode>16101</ZIPCode>
          </USAddress>
          <FacilityTxt>Diagnostic center.</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>We used patient care costs to charge ratios.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>We used patient care costs to charge ratios.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>We used patient care costs to charge ratios.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>We used patient care costs to charge ratios. Bad debt expense at cost was derived from worksheet 2. The provision for bad debts footnote is as follows and is located on page 9 of the audited financials. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of public charity, Jameson and other organizations provide an open door policy for all care. All patients are provided medical care without regard to their ability to pay or insurance coverage. Due to economic conditions and the population that Jameson services, bad debt expense continues to increase at a rate much faster than inflation. We must consider all expenses in our budgeting process in our ability to remain financially solvent. Bad debt, due to its growth, and Medicare and Medical Assistance shortfalls have required Jameson as well as other hospitals to focus more of our time and capabilities on preserving our profitability.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital charity care information is available at all registration areas and the Business Office. Our first patient statement informs the patient that charity care or assistance in finding low cost or no cost insurance is available by contacting the facillity's Business Office. We also attempt to visit all inpatients and short stay patients to offer assistance with completing a Medical Assistance application or charity care application.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Jameson Memorial Hospital annually reviews a market study that reviews the diagnosis and services that the constituents of Lawrence Coutny have used and what services that they cannot get in our county to evaluate future needs. We participate with the Lawrence County Chamber of Commerce on the annual community assessment to review the socio-economic needs of the community. These studies are then put into action through our internal strategic planning process to ensure we continue to develop our continuum to serve the community. We interview our entire Board membership to develp an understanding of issues that the business leaders of our community feel would enhance the community both socially and medically. From these groups, we have also developed focus groups to help develop and implement action plans to coordinate the activities of the System to serve the community needs. We have developed programs with our school districts to promote the health and welfare of our children. These programs have focused on self-image, healthy eating, exercise programs and personal development. We have identified preventative care as a need for our elderly and economically challenged community. We then developed free screening programs that are provided in conjunction with schools, churches and other community based agencies. Annually we interview a large portion of our medical staff to gather their opinions on current community health and needs in both physician recruitment and healthcare. This data is also used as we develop our strategic paln for the current year as well as the three to five year plan.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital charity care information is available at all registration areas and the Business Office. Our first patient statement informs the patient that charity care or assistance in finding low or no cost insurance is available by contacting the facility Business Office. We also attempt to visit all inpatients and short stay patients to offer assistance with completing a Medical Assistance application or charity care application.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Jameson services a population in Western Pennsylvania which is known to be one of the most aged populations in the country. 19.6% of the population in Lawrence County is over the age of 65. This is above the state average of 16.4% according to the 2013 Census Bureau statistics. Currently over 52% of Jameson's revenue is generated by this segment of our community. The number of persons in Lawrence County below the poverty level, according to the 2013 Census Bureau statistics is 14.4%. The state average is 13.3%. Due to Jameson serving both a high percentage of Medicare and Medical Assistance patients and the corresponding revenue accounting for 68% of our revenues, makes the losses experienced in treating these patients a financial hardship for this organization and other in the surrounding area.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>Douglas Danko</PersonNm>
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        <PersonNm>Muhammad Arif</PersonNm>
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        <PersonNm>Angel Toca</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Aubel</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>195414</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Douglas Danko - Supplemental non qualified retirement plan $30072.28; James Aubel - Supplemental non qualified retirement plan $11882.22.</ExplanationTxt>
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        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>19952317</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>297219</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>20464</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
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        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
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        <AdvanceRefundingInd>0</AdvanceRefundingInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
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        <TotalPrivateBusinessUsePct>0</TotalPrivateBusinessUsePct>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c-06/29/2007 20,270,000 Variable Rate Hospital Revenue Bonds Series 2007</FormAndLineReferenceDesc>
        <ExplanationTxt>June 29, 2012</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board authorized a resolution to allow the Officers of Jameson Health System to review the 990 and subsequently approve it for filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are surveyed annually. The surveys are reviewed by management and any discrepancies and or concerns are reviewed and discussed with senior management and legal counsel.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board employs compensation consultants to review job descriptions and duties which are compared to similar positions in the local area within the healthcare industry. Ranges of salaries are gathered and used by the Board to determine compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All of the current finanancial statements and policies are available for review by the public in person within the Administrative Offices or online through Guidestar. The Health System also holds an annual meeting which is open to the general public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension liability - $261071.00; Intercompany transfers - ($4303989.57); PNC interest rate swap - $521716.28; Huntington interest rate swap $22260.53; Grant income - $80393.67; Capital contribution - $345000.00; Change in beneficial interest ($214577.28); Guild pledge - $1054658.00; Change in investment policy - ($175025.00).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <State>PA</State>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
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        </OtherOrganizationName>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>Costs.</MethodOfAmountDeterminationTxt>
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</Return>