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        <ManagementAndGeneralAmt>2000</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4595</ProgramServicesAmt>
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        <Desc>OPERATING SUPPLIES</Desc>
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        <ProgramServicesAmt>583322</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASE SERVICES</Desc>
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        <ProgramServicesAmt>193347</ProgramServicesAmt>
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        <Desc>ALL OTHER MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>84826</ProgramServicesAmt>
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        <ProgramServicesAmt>5347514</ProgramServicesAmt>
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        <EOYAmt>987924</EOYAmt>
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        <BOYAmt>631864</BOYAmt>
        <EOYAmt>690499</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>12116359</EOYAmt>
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        <EOYAmt>588686</EOYAmt>
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        <EOYAmt>13302440</EOYAmt>
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        <EOYAmt>25418799</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>920481</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus2YearsAmt>3960</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7110</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2856</CurrentTaxYearAmt>
        <TotalAmt>19321</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>5818787</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5994617</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6149513</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6211707</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>5824182</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5998577</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6156623</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6214563</CurrentTaxYearAmt>
        <TotalAmt>25660192</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>25660192</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>308376</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>214647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>126970</CurrentTaxYearAmt>
        <TotalAmt>755069</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>85897</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>308376</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>214647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>126970</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>6306953</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6371270</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6341533</CurrentTaxYearAmt>
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      <InvestmentIncomeCYPct>0.02860</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02730</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2666368</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>803332</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>3469700</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>-180771</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2666368</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-187646</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2847139</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <ContributionsAmt>3023949</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>10836</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>3034785</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>0.16970</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.83030</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>8659263</BookValueAmt>
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        <BookValueAmt>2555470</BookValueAmt>
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        <BookValueAmt>179772</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>11394505</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>OTHER SECURITIES</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>BOARD DESIGNATED FUND</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>DONOR RESTRICTED FUNDS</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>ESCROW - ELEVATOR</Desc>
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        <Amt>92796</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT SECURITY DEPOSIT AND INTEREST</Desc>
        <Amt>449461</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>112257</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED REVENUE</Desc>
        <Amt>35985</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>690499</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS ARE USED TO ASSIST RESIDENTS WHO HAVE DEPLETED THEIR AVAILABLE RESOURCES OR ARE OTHERWISE UNABLE TO PAY FOR SUCH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "TAX EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS, AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2013."</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>KENNETH FERRON</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>27965</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>402123</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE C PARSONS</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE SCIANNA</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS' BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTICE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS CONCERNING CORPORATE DECISIONS AND BOARD COMPOSITION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISONS AND BOARD COMPOSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARY DISTRIBUTES A CONFLICT OF INTEREST STATEMENT TO BOARD MEMBERS, EMPLOYEES AND OTHER PARTIES TO DETERMINE WHETHER THESE PARTIES HAVE A FINANCIAL OR OTHER INTEREST IN FIRMS IN WHICH THE ORGANIZATION HAS A BUSINESS RELATIONSHIP. THESE FORMS MUST BE SIGNED AND RETURNED TO THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEM'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DAATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORANIZATION PROVIDES FORM 990 AND ACCESS TO GOVENING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO POSTED ON COVENANT HEALTH SYSTEMS' WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>USE OF DONOR RESTRICTED FUNDS FOR BUILDING IMPROVEMENT -772,407. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 803,332. NET ASSETS RELEASED FROM RESTRICTION 192,823.</ExplanationTxt>
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          <AddressLine1>100 AMES POND SUITE 102</AddressLine1>
          <City>TEWKSBURY</City>
          <State>MA</State>
          <ZIPCode>018761293</ZIPCode>
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          <BusinessNameLine1>DUE FROM AFFILIATE-COVENANT HEALTH SYSTEMS INC</BusinessNameLine1>
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          <BusinessNameLine1>MEMBERSHIP FEE-COVENANT HEALTH SYSTEMS INC</BusinessNameLine1>
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