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      <TotalReportableCompFromOrgAmt>1668864</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>205710</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <PersonNm>CRIST PIESCHEL PT</PersonNm>
        </ContractorName>
        <ContractorAddress />
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        <CompensationAmt>782381</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MARYSVILLE ANESTHESIA</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>ANESTHESIOLOGIST</ServicesDesc>
        <CompensationAmt>375966</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NEBRASKA HEART INST</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>CARDIO TESTS</ServicesDesc>
        <CompensationAmt>192722</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SE NE MOBILE DIAG SERVS</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>ULTRASOUND &amp; MAMO</ServicesDesc>
        <CompensationAmt>178262</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CPSI</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>COMPUTER SERVICES</ServicesDesc>
        <CompensationAmt>390720</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>17440</GovernmentGrantsAmt>
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      <TotalContributionsAmt>41961</TotalContributionsAmt>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19442245</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19442245</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Dietary Income</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>109482</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109482</RelatedOrExemptFuncIncomeAmt>
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        <Desc>Other Operating Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>387179</RelatedOrExemptFuncIncomeAmt>
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      </IncmFromInvestBondProceedsGrp>
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      </RoyaltiesRevenueGrp>
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      <BenefitsToMembersGrp>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>10972</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>99731</TotalAmt>
        <ManagementAndGeneralAmt>99731</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>3190</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1233344</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <FSAuditedBasisGrp>
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    </IRS990>
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        <ContributorUSAddress>
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    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
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      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
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      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>20433440</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4645817</DepreciationAmt>
        <BookValueAmt>15787623</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5972189</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4632645</DepreciationAmt>
        <BookValueAmt>1339544</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>248338</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>127735</DepreciationAmt>
        <BookValueAmt>120603</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17329300</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>19208671</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>277935</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>25627</OtherRevenueAmt>
      <RevenueNotReportedAmt>303562</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18905109</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1233344</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1233344</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20138453</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20084838</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>51973</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>51973</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>20032865</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1233344</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1233344</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21266209</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD-DESIGNATED ASSETS LIMITED TO USE OF $985,185 INCLUDE ASSETS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS AND OPERATIONS OVER WHICH THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, SUBSEQUENTLY USE THE ASSETS FOR OTHER PURPOSES. TEMPORARY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME OR PERIOD. PERMANENTLY RESTRICTED ASSETS OF $73,877 HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY CMH IN PERPETUITY WITH THE INCOME TO BE USED FOR SCHOLARSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION REVENUE $ 25,627</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE $ 1,233,344</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION EXPENSES $ 51,973</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE $ 1,233,344</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
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          <BusinessNameLine1>COMMUNITY MEMORIAL HEALTHCARE INC</BusinessNameLine1>
        </BusinessName>
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          <AddressLine1>708 N 18TH STREET</AddressLine1>
          <City>MARYSVILLE</City>
          <State>KS</State>
          <ZIPCode>66508</ZIPCode>
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        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
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          <BusinessNameLine1>COMMUNITY MEMORIAL HEALTHCARE INC</BusinessNameLine1>
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        <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>
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        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>cmhcare.org</OwnWebsiteURLTxt>
        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>150.</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>150.</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Included members of the local school system and community college, religious organizations, local city and county government, public health agencies and medical providers.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>6</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Community Physicians Clinic</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1902 MAY</AddressLine1>
            <City>MARYSVILLE</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Marysville Clinic</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>808 N 19th</AddressLine1>
            <City>Marysville</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Blue Rapids Medical Clinic</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>607 lincoln</AddressLine1>
            <City>BLUE RAPIDS</City>
            <State>KS</State>
            <ZIPCode>66411</ZIPCode>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Community Medical Equipment</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>805 Broadway</AddressLine1>
            <City>Marysville</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </USAddress>
          <FacilityTxt>Durable Medical Equipment</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CMH Home Health</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>805 Broadway</AddressLine1>
            <City>Marysville</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </USAddress>
          <FacilityTxt>Home Health Agency</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>COMMUNITY PHYSICIANS CLINIC - WYMORE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>100 NORTH 7TH</AddressLine1>
            <City>WYMORE</City>
            <State>NE</State>
            <ZIPCode>68466</ZIPCode>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY TO REPORT CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, COLUMN(F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING SCHEDULE H, PART I, LINE 7(F) IS $1,233,334.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>We take a portion of the Medicare, Medicaid and Commercial accounts in A/R that we feel will be patient pay after insurance payments and contractual adjustments have been applied and adding it to any uninsured accounts. We apply a percentage to each aging category balance based on experience, economic outlook and our independant auditor's input to arrive at the amount we feel is uncollectible. This figure is adjusted by balances sent to collection, balances paid through collection, and balances returned from collection as uncollectible, which are then directly written off to bad debt expense along with bankruptcies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A HISTORIC RATE OF SELF-PAY PATIENTS (5%) AND APPLIES IT TO CONTRACTUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CMH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 71% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012, TO 68% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. IN ADDITION, CMH'S WRITE-OFFS DECREASED APPROXIMATELY $18,000 FROM APPROXIMATELY $1,251,000 FOR THE YEAR ENDED DECEMBER 31, 2012, TO APPROXIMATELY $1,233,000 FOR THE YEAR ENDED DECEMBER 31, 2013. CMH REPORTS PATIENT ACCOUNTS RECEIVABLES FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS, AND OTHERS. CMH PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTIVE INFORMATION AND EXISTING ECONOMIC CONDITIONS. THE AMOUNT ON LINE THREE WAS CALCULATED BY TAKING A RATIO OF CHARITY CARE TO NET PATIENT SERVICE REVENUE AND APPLYING THAT RATIO TO BAD DEBT. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COSTING METHODOLOGY USED FOR LINES 2 AND 3 WAS THE COST TO CHARGE RATIO FROM THE 2013 MEDICARE COST REPORT. LINE 3 WAS TAKEN FROM THE MEDICARE BAD DEBT SCHEDULE PREPARED FOR THE 2013 COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS A SHORTFALL RELATING TO THE MEDICARE REVENUE RECEIVED AND RELATED ALLOWABLE MEDICARE COSTS. THE COSTING METHODOLOGY USED TO DETERMINE THESE AMOUNTS CAME FROM THE ORGANIZATION'S MEDICARE COST REPORT. THE SHORTFALL FROM LINE SEVEN REPRESENTS LEGITIMATE EXPENSES/COSTS INCURRED BY THE HOSPITAL TO SERVE MEDICARE PATIENTS. THESE ARE COSTS SIMILAR TO CHARITY CARE IN THAT THE HOSPITAL DID NOT COLLECT THESE FUNDS. AS SUCH THERE IS A DIRECT BENEFIT DERIVED FOR THE COMMUNITY IN THAT THE HOSPITAL WAS ABLE TO PROVIDE CARE FOR THESE PATIENTS. THEREFORE THE ENTIRE SHORTFALL SHOULD BE COUNTED AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>CMH RECOGNIZES THE FACT THAT SOME PATIENTS WILL NEED ASSISTANCE IN MEETING THEIR FINANCIAL OBLIGATIONS ON PATIENT ACCOUNTS. FOR THESE PATIENTS, THE FINANCIAL ASSISTANCE POLICY HAS BEEN ESTABLISHED. THIS POLICY MANDATES THAT NOTICE OF THE POLICY BE POSTED AT INPATIENT, OUTPATIENT, AND CLINIC ADMISSIONS AREAS. IT FURTHER MANDATES THAT "DURING THE COLLECTION PROCESS, CMH WILL AGAIN NOTIFY PATIENTS OF OUR PATIENT FINANCIAL ASSISTANCE POLICY".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to conducting its own research, CMH collaborates through the interagency cooperative council (a collection of county wide not-for-profit agencies) to assess the needs of Marshall County.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The insurance office personnel explain eligibility to patients and will assist with paperwork. The availability of Financial assistance is posted throughout the building (i.e. the business office, the clinics, Emergency department). Patients who are identified either before services are rendered or prior to discharge are contacted by the business office personnel to assess qualification for Medicaid or Financial assistance. Business office personnel attempt to contact patients via phone and mail regarding their bill. Part of the charity care program is to attempt enrollment into the medicaid program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Memorial Healthcare, Inc. is a not-for-profit membership corporation that owns and operates a general acute care hospital. CMH primarily earns revenues by providing inpatient, outpatient, emergency, clinic and home health services to Marysville, Blue Rapids, Beattie, Hanover, Waterville, Washington, Frankfort, Axtell and Home Kansas. These areas are also served by Hanover Hospital (Hanover, KS), Nemaha Valley Community Hospital (Seneca, KS), Mercy Regional Health Center (Manhattan, KS), Bryan LGH Health System (Lincoln, NE), Saint Elizabeth Regional Medical Center (Lincoln, NE), Saint Francis Health Center (Topeka, KS), Stormont-Vail Healthcare (Topeka, KS). As of the 2000 census, the city of Marysville had a total population of 3,271, while Marshall County population was 10,965. BELOW ARE ADDITIONAL MARSHALL COUNTY DEMOGRAPHICS: 22% of the population is over 65 years of age. 28% of the population is between 45-64 years of age. 28% of the population is between the ages of 18-44. Median household income for Marshall county was $48,000 for 2008. Unemployment in Marshall county is 4.6%. 9.2% of the population are living below the poverty level. The hospital is the third largest employer in the county.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MEMORIAL HEALTHCARE PROVIDES PERSONNEL AND SUPPLIES TO TEACH CPR CLASSES FOR A NOMINAL FEE TO THE GENERAL PUBLIC AND LOCAL FIRST RESPONDERS. THE HOSPITAL SPONSORS AN ANNUAL HEALTHFARE FOR THE GENERAL PUBLIC, DRAWING BLOOD AND RUNNING DIAGNOSTIC TESTS. THE HOSPITAL PUBLISHES A MONTHLY ARTICLE IN A LOCAL PAPER ADDRESSING CURRENT HEALTH TOPICS, PARTICIPATES IN THE COMMUNITY BABY BOOMER EXPO PROVIDING HEALTH EDUCATION, CO-SPONSORS PINK LADIE NIGHT PROMOTING BREAST CANCER EDUCATION AND AWARENESS AND HOSTS A MONTHLY LUNCHEON FOR THE OVER-55 POPULATION WITH SPEAKERS ON CURRENT HEALTH TOPICS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JOHN HAEFELE</PersonNm>
        <TitleTxt>DIR OF RT, OT, ST, REF CLINIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>267523</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>318</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19070</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9624</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>296535</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JOHN RYAN</PersonNm>
        <TitleTxt>DIRECTOR OF ER, INF PREV, DISA</TitleTxt>
        <BaseCompensationFilingOrgAmt>274784</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2705</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13871</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8708</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>300068</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JOSEPH HAWKINS</PersonNm>
        <TitleTxt>DIRECTOR OF SLEEP, HHA, PHARM</TitleTxt>
        <BaseCompensationFilingOrgAmt>248832</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14635</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13870</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8624</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>285961</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR KENNETH DUENSING</PersonNm>
        <TitleTxt>DIRECTOR OF PT, NS, SAFETY</TitleTxt>
        <BaseCompensationFilingOrgAmt>227862</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1428</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13666</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9124</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>252080</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR FERNANDO UGARTE</PersonNm>
        <TitleTxt>DIRECTOR OF SURGERY, ANES</TitleTxt>
        <BaseCompensationFilingOrgAmt>170657</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2721</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28555</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10068</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212001</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DR JOSEPH HAWKINS</PersonNm>
        <RelationshipWithOrgTxt>HCE/PHYSICIAN</RelationshipWithOrgTxt>
        <LoanPurposeTxt>MD - TUITION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>70000</OriginalPrincipalAmt>
        <BalanceDueAmt>31530</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>31530</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SEE SCHEDULE L PART V</PersonNm>
        </NameOfInterested>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBER - TRENT MOSER (A) KELLY MOSER (B) SPOUSE (C) $20,060 (D) COMPENSATION (E) NO BOARD MEMBER - ROBERT VOET (A) CYNTHIA VOET (B) SPOUSE (C) $51,582 (D) COMPENSATION (E) NO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MEMORIAL HEALTHCARE, INC. IS A NOT-FOR-PROFIT MEMBERSHIP CORPORATION THAT OWNS AND OPERATES A GENERAL ACUTE CARE HOSPITAL FOR PATIENTS IN MARYSVILLE, KANSAS AND SURROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>LABORATORY SERVICES INPATIENT AND OUTPATIENT - 347,480 TESTS AND 96 BLOOD TRANSFUSIONS IN 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY PERSON, FIRM, ASSOCIATION, CORPORATION, OR BODY POLITIC OR SUBDIVISION THEREOF, MAY BECOME A MEMBER OF THE COMMUNITY MEMORIAL HEALTHCARE, INC. BY: (A) PAYING A MEMBERSHIP FEE OF $100.00; AND (B) AGREEING TO COMPLY WITH AND BE BOUND BY THE ARTICLES OF INCORPORATION AND BYLAWS AND ANY RULES AND REGULATIONS ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A CERTIFICATE OF MEMBERSHIP SHALL ENTITLE THE LEGAL HOLDER TO ONE VOTE UPON MATTERS SUBMITTED TO A VOTE AT A MEETING OF THE MEMBERS. WHERE THE LEGAL HOLDER OF THE CERTIFICATE IS A FIRM, ASSOCIATION, CORPORATION, OR A BODY POLITIC, OR A SUBDIVISION THEREOF, THE PRESIDENT, CHIEF EXECUTIVE OFFICER OR HIS DESIGNEE SHALL CAST THE VOTE. ALL QUESTIONS REQUIRING A VOTE OF THE MEMBERS SHALL BE DECIDED BY A VOTE OF A MAJORITY OF THE MEMBERS PRESENT EXCEPT AS OTHERWISE PROVIDED BY LAW, THE ARTICLES OF INCORPORATION OR THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>1. ANY SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF CORPORATE PROPERTY AND ASSETS OR ANY DISSOLUTION OF THE CORPORATION SHALL BE GOVERNED BY K.S.A. 17-6801 ET SEQ., REQUIRING A MAJORITY VOTE OF THE MEMBERS ENTITLED TO VOTE THEREON AT A DULY CALLED MEETING OF THE MEMBERS. 2. THE BYLAWS MAY NOT BE AMENDED, REVISED, OR REPEALED WITHOUT VOTE BY THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO GATHERS INFORMATION TO PREPARE THE FORM 990 TAX RETURN. THIS INFORMATION IS THEN GIVEN TO AN INDEPENDENT ACCOUNTING FIRM WHO PREPARES AND REVIEWS THE FORM 990. THE INDEPENDENT ACCOUNTING FIRM THEN PROVIDES THE CFO AND FINANCE COMMITTEE A DRAFT OF THE FORM 990 FOR COMMENTS AND APPROVAL. ONCE THE CFO, FINANCE COMMITTEE, AND THE CPA FIRM APPROVE THE FORM 990, A COPY OF THE FORM 990 IS GIVEN TO THE GOVERNING BOARD MEMBERS ALONG WITH A RESPONSE TIME FOR QUESTIONS AND COMMENTS. ALL ISSUES ARE RESOLVED AND THE FORM 990 IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS WILL COMPLETE A DISCLOSURE STATEMENT AT THE BEGINNING OF EACH CMH FISCAL YEAR AND PROVIDE SUCH STATEMENT TO THE CMH COMPLIANCE OFFICER. THE DISCLOSURE STATEMENT SHALL INCLUDE ANY INVESTMENT IN, OR ANY MANAGERIAL, CONSULTING, OR EMPLOYMENT RELATIONSHIP WITH, ANY OUTSIDE ENTITY THAT PROVIDES OR SEEKS TO PROVIDE GOODS OR SERVICES TO CMH, COMPETES WITH, OR INCLUDES CMH AS A JOINT VENTURE OR EQUITY INVESTOR. THE INTERESTED DIRECTOR SHOULD ABSTAIN FROM DISCUSSION AND VOTING ON THE MATTER BY TEMPORARILY LEAVING THE BOARD MEETING WHILE THE DISINTERESTED DIRECTORS DISCUSS AND VOTE. THE DISCLOSURE AND ABSTENTION SHALL BE RECORDED IN THE MINUTES OF THE BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE EXISTS TO DESIGN, IMPLEMENT, AND EVALUATE BONUS CRITERIA FOR THE CEO'S COMPENSATION. FURTHERMORE, THE COMPENSATION COMMITTEE COMPLETES MEDICAL STAFF CONTRACT NEGOTIATIONS, EVALUATES AND COMPARES PERSONNEL WAGES TO INDUSTRY BENCHMARKS, AND PERFORMS THE CEO AND BOARD EVALUATIONS. THE COMPENSATION COMMITTEE CONSISTS OF FOUR MEMBERS OF THE BOARD AND THE COMMITTEE MEETS AT LEAST SEMI-ANNUALLY OR MORE FREQUENTLY AS NECESSARY. THE COMPENSATION REVIEW WAS LAST CONDUCTED IN 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL CONTRACT SERVICES TOTAL FEES:2410094</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:ADMINISTRATIVE CONTRACT SVCS TOTAL FEES:101653</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1>CMH FOUNDATION</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>708 N 18TH STREET</AddressLine1>
          <City>MARYSVILLE</City>
          <State>KS</State>
          <ZIPCode>66508</ZIPCode>
        </USAddress>
        <EIN>320297285</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>