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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS MEGILL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NIAZ AHMED</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEROY KORB</PersonNm>
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        <OtherCompensationAmt>35686</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PIERRE-JEAN LATTANZIO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TREVOR OLSEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID THOMAS</PersonNm>
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      <TotalReportableCompFromOrgAmt>5368472</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>434455</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>43</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>2 CRESENT PARK WEST</AddressLine1>
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            <State>PA</State>
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        <ServicesDesc>HEALTHCARE SERVICES</ServicesDesc>
        <CompensationAmt>1040971</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>KINGS MEDICAL COMPANY</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <State>OH</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MRI SERVICES</ServicesDesc>
        <CompensationAmt>624205</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DEERFIELD BEHAVIORAL HEALTH</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <City>ERIE</City>
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        </ContractorAddress>
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        <CompensationAmt>527932</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>MARKET STREET EXTENSION</AddressLine1>
            <City>WARREN</City>
            <State>PA</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LABCORP</PersonNm>
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          <USAddress>
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            <State>NC</State>
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          </USAddress>
        </ContractorAddress>
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      <FundraisingAmt>22581</FundraisingAmt>
      <AllOtherContributionsAmt>1042236</AllOtherContributionsAmt>
      <TotalContributionsAmt>1064817</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>45867215</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45867215</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INPATIENT SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>20766746</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20766746</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621610</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1901518</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>221787</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>92796</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>200877</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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      <RoyaltiesRevenueGrp>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>219866</RelatedOrExemptFuncIncomeAmt>
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      <NetIncomeOrLossGrp>
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        <ExclusionAmt>336578</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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      <MiscellaneousRevenueGrp>
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      <BenefitsToMembersGrp>
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        <ManagementAndGeneralAmt>328868</ManagementAndGeneralAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>19239</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>15002144</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>27607872</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>24116825</BOYAmt>
        <EOYAmt>16116850</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>4364315</BOYAmt>
        <EOYAmt>5896156</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>4741856</BOYAmt>
        <EOYAmt>5231837</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>33222996</BOYAmt>
        <EOYAmt>27244843</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>55524241</BOYAmt>
        <EOYAmt>54852715</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-5247477</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1019226</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-1749902</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </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>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>9106171</BeginningYearBalanceAmt>
        <ContributionsAmt>1001118</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1291010</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>256830</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>13476</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11127993</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9948456</BeginningYearBalanceAmt>
        <ContributionsAmt>99909</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>959373</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1888832</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>12735</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>9106171</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8391676</BeginningYearBalanceAmt>
        <ContributionsAmt>2342897</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-195755</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>577004</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>13358</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>9948456</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7583914</BeginningYearBalanceAmt>
        <ContributionsAmt>336153</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1463868</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>979694</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>12565</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>8391676</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>6796279</BeginningYearBalanceAmt>
        <ContributionsAmt>533678</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>674527</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>410069</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>10531</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>7583884</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.47020</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.52980</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>503941</OtherCostOrOtherBasisAmt>
        <BookValueAmt>503941</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>23419485</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13480900</DepreciationAmt>
        <BookValueAmt>9938585</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3288171</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1359086</DepreciationAmt>
        <BookValueAmt>1929085</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>53330029</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>42788821</DepreciationAmt>
        <BookValueAmt>10541208</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>22912819</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATE</Desc>
        <BookValueAmt>9419</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>2785774</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EQUITY METHOD INVESTMENTS</Desc>
        <BookValueAmt>2296321</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>5091514</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYOR</Desc>
        <Amt>1059663</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED POST RETIREMENT BENEFIT</Desc>
        <Amt>265461</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION COSTS</Desc>
        <Amt>12418214</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>1258806</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>15002144</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>74608052</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1019226</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>1019226</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>73588826</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>115054</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>115054</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>73703880</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>80552759</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>1749902</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1749902</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>78802857</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>148500</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>148500</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>78951357</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TEMPORARILY RESTRICTED FUNDS HELD IN ENDOWMENT ARE RESTRICTED FOR HEALTH CARE SERVICES, THE HOSPITAL'S BUILDING AND EQUIPMENT, AND CONSTRUCTION FOR THE CANCER CENTER BUILDING AND EQUIPMENT. THE PERMANENTLY RESTRICTED FUNDS HELD IN ENDOWMENT ARE RESTRICTED TO SUPPORT THE HOSPITAL'S HEALTH CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ADJUSTMENTS: AUXILIARY/WINDOW BOX INCOME $115,054</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ADJUSTMENTS: TRANSFER TO AFFILIATE: $ 82,197 PENSION RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $1,617,772 POST-RETIREMENT RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $ 49,933 TOTAL TO SCHEDULE D, PART XII, LINE 2D $1,749,902</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ADJUSTMENTS: AUXILIARY / WINDOW BOX EXPENSES: $148,500</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>HOSPITAL BALL</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>31773</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>22581</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>9192</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>6321</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>5137</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>5000</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3921</OtherDirectExpensesEvent1Amt>
        <NameOfEvent2Amt>GOLF OUTING</NameOfEvent2Amt>
        <GrossReceiptsEvent2Amt>22741</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>22741</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>784</NonCashPrizesEvent2Amt>
        <FoodAndBeverageEvent2Amt>6751</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>452</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>54514</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>22581</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>31933</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>784</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>6321</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>11888</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5000</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>4373</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>28366</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>3567</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>195255</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>195255</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00250</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>3063562</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3063562</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03880</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>64043</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>64043</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>3322860</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3322860</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04210</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>83186</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>83186</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00110</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>36000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>36000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>820278</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>820278</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01040</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>18016</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>18016</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>957480</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>957480</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01220</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4280340</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4280340</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05430</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <EconomicDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>10000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>10000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>266511</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>266511</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00340</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>276511</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>276511</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00350</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>1336251</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>133625</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>19250280</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>23447562</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-4197282</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1>PINEGROVE AMBULATORY</BusinessNameLine1>
        </EntityName>
        <PrimaryActivitiesTxt>OUTPATIENT AMBULATORY SURGERY</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.35000</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.11000</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.54000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1>MEDIPAR ASSOCIATES</BusinessNameLine1>
        </EntityName>
        <PrimaryActivitiesTxt>REAL ESTATE FOR MEDICAL BLDG</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.86000</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.14000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1>SENIOR LIVING SVCS</BusinessNameLine1>
        </EntityName>
        <PrimaryActivitiesTxt>OUTPATIENT REHABILITATION</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>Warren General Hospital</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>Two Crescent Park West</AddressLine1>
          <City>Warren</City>
          <State>PA</State>
          <ZIPCode>16365</ZIPCode>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>WARREN GENERAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <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>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.WGH.ORG</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <ExecCommunityWidePlanInd>X</ExecCommunityWidePlanInd>
        <IncludeOperationalPlanInd>X</IncludeOperationalPlanInd>
        <AdoptBudgetInd>X</AdoptBudgetInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <PrioritizeServicesInd>X</PrioritizeServicesInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <UninsuredDiscountInd>X</UninsuredDiscountInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitOtherActionsInd>X</PermitOtherActionsInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DEMOGRAPHIC INFORMATION, SECONDARY DATA STATISTICS, AND RESULTS OF PHYSICIAN SURVEY WERE PROVIDED TO THE GROUP IN THE FORM OF A POWER POINT PRESENTATION. THE PERSONS THE HOSPITAL CONSULTED WITH WERE AS FOLLOWS: Nutrition Education Advisor from Penn State Nutrition Link - Carol Wilcox Senior Income Development Rep from American Cancer Society/Warren County - Marie Costello Executive Director from Warren County Housing Authority - Tonya Mitchell-Weston RNC from PA Dept of Health/Warren County - Barbara White Executive Director of Experience Inc./Area Agency on Aging - Farley Wright Warren County Sheriff - William Gardner Police Lieutenant from Warren Police Department - James Jordan WGH Director of Marketing and Development - George Lilja Psychiatrist from Deerfield Behavioral Health - Mark Beuger, MD VP of Program Evaluation from Beacon Light Behavioral Health - Becky Jensen WGH Diabetes Educator - Nancy Mague Administrator of the Rouse Home - Cindy Walters Superintendent of Warren County School District - Brandon Huffnagel Office Manager and Program Development Specialist at Deerfield Behavioral Health - Susan Teconchuk WGH Director of Patient &amp; Public Relations - Holli Summerville COO of Warren Medical Group - Karen Coombs Executive Director of the Warren County YMCA - Thad Turner Warren General Hospital Alcohol/Drug Counselor - Jessica Uber</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5C</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION ON HOW TO ACCESS THE CHNA WAS PUBLISHED IN THE WGH QUARTERLY NEWSLETTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 14G</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO SPEAKS WITH ELIGIBLE INDIVIDUALS REGARDING OUR FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CONTRACTS WITH A RECEIVABLES MANAGEMENT COMPANY TO HANDLE OUR SELF-PAY ACCOUNTS RECEIVABLE FROM DAY 1 TO 120. AFTER DAY 120 THE ACCOUNTS ARE SENT TO A COLLECTIONS AGENCY WHO AT THAT TIME REPORTS THE INDIVIDUAL(S) TO A CREDIT AGENCY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 18E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO SPEAKS WITH ELIGIBILE INDIVIDUALS REGARDING OUR FINANCIAL ASSISTANCE POLICY. SHE ASSISTS INDIVIDUALS IN APPLYING FOR OUR STATE MEDICAL ASSISTANCE PROGRAM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 20</FormAndLineReferenceDesc>
        <ExplanationTxt>SELF PAY CHARGES ARE SET AT 50% OF GROSS CHARGES, WHICH REPRESENTS AN AVERAGE OF OUR COMMERCIAL INSURANCE REIMBURSEMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CALCULATED AN OVERALL COST TO CHARGE RATIO USING TOTAL GROSS CHARGES AND TOTAL OPERATING COSTS LESS BAD DEBT EXPENSE. THE HOSPITAL THEN REDUCED ITS BAD DEBT TO COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SPEND $266,511 JUST ON THE DIRECT EXPENSE OF RECRUITING PHYSICIANS INTO OUR RURAL MARKET IN FY 2014. THE DIRECT HEALTH BENEFITS AND INDIRECT ECONOMINC BENEFITS OF OUR EMPLOYMENT AND SPENDING ARE SUBSTANTIAL. OUR TRADE ASSOCIATION ESTIMATES THAT THE ECONOMIC IMPACT (DIRECT SPENDING OF THE HOSPITAL PLUS INDIRECT BENEFITS ON OUR COMMUNITY) IS OVER $100 MILLION DOLLARS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S LARGEST GOVERNMENTAL PAYER IS THE FEDERAL MEDICARE PROGRAM. THE HOSPITAL'S COSTS ARE GREATER THAN PROGRAM REIMBURSEMENTS. IT IS CLEARLY A COMMUNITY BENEFIT FOR THE HOSPITAL TO PROVIDE RURAL ACCESS TO MEDICARE BENEFICIARIES IN TERMS OF TIME, DISTANCE, AND WEATHER CONDITIONS ISSUES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL EMPLOYS MANY METHODS TO IDENTIFY THOSE WHO QUALIFY FOR CHARITY CARE OR DISCOUNTED CARE. THE HOSPITAL ALSO EMPLOYS A FULL TIME COUNSELOR WHO ASSISTS FAMILIES WITH CHARITY CARE, MEDICAID APPLICATIONS, AND ADVOCACY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CONDUCTIONS ANNUAL STRATEGIC PLANNING WITH A FOCUS ON COMMUNITY HEALTH NEEDS. THE HOSPITAL USES METRICS SUCH AS "HEALTHY PEOPLE" AND PLANS SERVICES NEEDS ACCORDINGLY. THIS PROCESS IS INTERACTIVE AND HAS RESULTED IN THE EXPANSION OF PRIMARY DENTAL SERVICES IN 2010 AS ONE EXAMPLE. WE ALSO DRIVE OUR DOCTOR RECRUITING PLAN FROM THIS PROCESS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ADVERTISES ITS PROGRAMS IN LOCAL NEWSPAPERS. WE ALSO HAVE BROCHURES AVAILABLE AT OUR SERVICES LOCATIONS AND EMPLOYED DR'S OFFICES. OUR INTAKE STAFF ARE AWARE OF THESE PROGRAMS AND MAKE PATIENTS AWARE OF OUR COUNSELOR AS WELL. THIS FULL TIME PERSON HELPS IDENTIFY AND ASSISTS PATIENTS WITH CHARITY CARE, DISCOUNTED CARE, MEDICAL ASSISTANCE APPLICATIONS, AND ADVOCACY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>WARREN COUNTY HAS A POPULATION OF APPROXIMATELY 40,000. THE COUNTY IS A LARGE GEOGRAPHIC SIZE WITH MANY RURAL AND SMALL COMMUNITIES. Warren County Ranks 13th of 67 counties in Pennsylvania in terms of overall health outcomes Warren County ranks 48th of 67 counties in Pennsylvania in terms of health factors 17.5% of the population is +65 state avg 15.2% 27% adult population smokes*- state avg. 23% 28% adult obesity*-state avg. 28% 16% poor health* - state avg. 14% 12% uninsured adults* - state avg. 12%</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>WE HAVE AN OPEN MEDICAL STAFF, A DIVERSE COMMUNITY BOARD, AND ALL OF OUR SURPLUS IS USED TO SUSTAIN AND REINVEST IN OUR ASSOCIATES AND PLANT AND FUND BALANCE TO ASSURE LONG TERM VIABILITY AND ACCESS IN OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - 7</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>521432</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN PAPALIA</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>399684</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27600</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24159</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>451443</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPOUSAL TRAVEL AND SOCIAL CLUB DUES ARE PAID FOR THE CHIEF EXECUTIVE OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIVE EMPLOYEES LISTED ABOVE ARE PARTICIPANTS OF ACTIVE 457(F) PLANS: VIJAYA K. AGARWALA, M.D.: $16,667 NIAZ AHMED: $20,000 RANDY CALIFORNIA: $14,546 LEROY KORB: $33,333 TREVOR OLSEN: $10,714</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS AN EMPLOYMENT CONTRACT WITH DR. KORB THAT PAYS A BASE SALARY AND ALSO AN INCENTIVE BASED ON COLLECTED REVENUES. IN ADDITION, DR. SUTTON, DR. LATTANZIO, AND DR. THOMAS RECEIVED AN INCENTIVE PAYMENT DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2013 BASED UPON EXCEEDING THEIR SET RVU LEVELS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOPSITAL USES A PAY FOR PERFORMANCE SYSTEM BALANCED SCORECARD FOR INCENTIVE COMPENSATION FOR SOME OF ITS MANAGERS. NET EARNINGS REPRESENTS ONLY ONE COMPONENT OF THE FORMULUA WHICH ALSO HAS PATIENT SATISFACTION, CLINICAL QUALITY, AND PATIENT SAFETY MEASURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>John Papalia</PersonNm>
        <RelationshipWithOrgTxt>CEO</RelationshipWithOrgTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>100000</OriginalPrincipalAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DAVID THOMAS</PersonNm>
        <RelationshipWithOrgTxt>PHYSICIAN</RelationshipWithOrgTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>207000</OriginalPrincipalAmt>
        <BalanceDueAmt>101036</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>TREVOR OLSEN</PersonNm>
        <RelationshipWithOrgTxt>PHYSICIAN</RelationshipWithOrgTxt>
        <LoanPurposeTxt>EDUCATION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>85000</OriginalPrincipalAmt>
        <BalanceDueAmt>36833</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>137869</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TIM BEVEVINO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>138607</TransactionAmt>
        <TransactionDesc>WIFE EMPLOYEED BY WGH</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TIM BEVEVINO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>21817</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES PAID TO FIRM</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>NORTHWEST SAVINGS BANK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>152263</TransactionAmt>
        <TransactionDesc>INTEREST EXPENSE PAID</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JODI BEVEVINO, CORPORATE COMPLIANCE OFFICER, IS A KEY EMPLOYEE AND HER SPOUSE, TIM BEVEVINO IS BOARD MEMBER. PART VI, SECTION A, LINE 6 CARE CORPORATION OF WARREN IS THE SOLE CORPORATE MEMBER OF WARREN GENERAL HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE CORPORATION OF WARREN, THE PARENT COMPANY, APPOINTS THREE OF THE MEMBERS OF THE WARREN GENERAL HOSPITAL BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIFIC DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF CARE CORPORATION OF WARREN, THE PARENT COMPANY OF WARREN GENERAL HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT EMAILED A COPY OF THE FORM 990 TO ALL BOARD MEMBERS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS WHICH MAY CREATE A CONFLICT. EACH BOARD OF DIRECTOR AGREES TO REFRAIN FROM VOTING ON ANY ITEM IN WHICH A CONFLICT MAY EXIST. ANNUALLY, THE CORPORATE COMPLIANCE OFFICER REVIEWS THE POLICY AND AUDITS THE SIGNATURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PARTICIPATES IN THE YAFFEE AND COMPANY HOSPITAL ASSOCIATION OF PENNSYLVANIA COUNCIL OF SMALL HOSPITALS EXECUTIVE COMPENSATION SURVEY. THIS INSTRUMENT SURVEYS HOSPITALS OF LIKE SIZE AND WITHIN OUR GEOGRAPHY. THE HOSPITAL BOARD CHOSE THIS INSTRUMENT DUE TO ITS RELEVANCY TO THE HOSPITAL'S MARKET. THE SURVEY DATA IS USED BY THE HOSPITAL BOARD OF DIRECTORS COMPENSATION COMMITTEE FOR COMPARISONS OF COMPENSATION AND BENEFITS FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE REPORTS ITS FINDINGS AND MAKES RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW, DELIBERATION, AND APPROVAL OR MODIFICATION. THE HOSPITAL BOARD OF DIRECTORS ALSO APPOINTED A COMMITTEE CALLED THE MANAGEMENT TRANSACTION AND AUDIT COMMITTEE TO REVIEW ALL TRANSACTIONS BETWEEN THE HOSPITAL AND PHYSICIANS. THIS BODY REVIEWS SEVERAL PHYSICIAN COMPENSATION SURVEYS (SUCH AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION SURVEY AND THE MERRITT HAWKINS SURVEY) TO ESTABLISH COMPARISONS FOR PHYSICIAN COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN POLICY OR PROCEDURES REGARDING PARTICIPATION IN JOINT VENTURE THE HOSPITAL BOARD OF DIRECTORS MUST ULTIMATELY APPROVE ANY INVESTMENTS IN ANY JOINT VENTURE OR SIMILAR ARRANGEMENT. AS AN ADDITIONAL STEP, THE HOSPITAL BOARD OF DIRECTORS APPOINTED A COMMITTEE CALLED THE MANAGEMENT TRANSACTION &amp; AUDIT COMMITTEE THAT REVIEWS ALL TRANSACTIONS BETWEEN THE HOSPITAL AND PHYSICIANS. AS PART OF ITS GOVERNANCE AND OVERSIGHT ROLE, THE FULL HOSPITAL BOARD ALSO SUBJECTS ANY JOINT VENTURE ARRANGEMENTS TO LEGAL REVIEW PRIOR TO ANY INVESTMENT BY THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR A COMBINED CORPORATE MEETING IS HELD IN WHICH THE PUBLIC IS WELCOME TO ATTEND. IN ADDITION, DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC IF THEY ARE REQUESTED IN PERSON OR IN WRITING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS: TRANSFER TO AFFILIATE: $ 82,197 PENSION RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $1,617,772 POST-RETIREMENT RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $ 49,933 TOTAL TO PART XI, LINE 9: $1,749,902</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTING SERVICES TOTAL FEES:173305</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LINEN SERVICES TOTAL FEES:203522</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL SERVICES TOTAL FEES:3332716</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION AGENCY TOTAL FEES:195452</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIANS FEES TOTAL FEES:8830616</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:4373873</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Care Corporation of Warren</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>2 Crescent Park West</AddressLine1>
          <City>Warren</City>
          <State>PA</State>
          <ZIPCode>16365</ZIPCode>
        </USAddress>
        <EIN>251512016</EIN>
        <PrimaryActivitiesTxt>PARENT CORP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>General Care Services Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>2 Crescent Park West</AddressLine1>
          <City>Warren</City>
          <State>PA</State>
          <ZIPCode>16365</ZIPCode>
        </USAddress>
        <EIN>251512020</EIN>
        <PrimaryActivitiesTxt>HOSPICE SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>CARE CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Group Medical Services Corp</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>2 Crescent Park West</AddressLine1>
          <City>Warren</City>
          <State>PA</State>
          <ZIPCode>16365</ZIPCode>
        </USAddress>
        <EIN>232806359</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>GROUP MEDICAL SERVICES CORPORATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>82197</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>GENERAL CARE SERVICES INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>1</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>GROUP MEDICAL SERVICES CORPORATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2604654</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>GENERAL CARE SERVICES INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>61511</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>GENERAL CARE SERVICES INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>58127</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>