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        <BookValue>2418168</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Goodwill</Description>
        <BookValue>1346898</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Financing</Description>
        <BookValue>21523</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Equity</Description>
        <BookValue>1316456</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>19113681</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Third Party Rate Adj.&amp;Compliance Reserve</Description>
        <Amount>2336050</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2336050</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>$ -78368</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>DRMC's Endowment Fund will be used for purchase of capital items used in patient care.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="11000144" softwareVersion="2011v1.5">
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
        <NameOfEvent1>Golf Tournament</NameOfEvent1>
        <GrossReceiptsEvent1>110669</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>86981</CharitableContributionsEvent1>
        <GrossRevenueEvent1>23688</GrossRevenueEvent1>
        <CashPrizesEvent1>13206</CashPrizesEvent1>
        <RentFacilityCostsEvent1>6245</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>10132</FoodAndBeverageEvent1>
        <GrossReceiptsTotal>110669</GrossReceiptsTotal>
        <CharitableContributionsTotal>86981</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>23688</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>13206</CashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>6245</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>10132</FoodAndBeverageTotalEvents>
        <DirectExpenseSummaryEvents>29583</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-5895</NetIncomeSummary>
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    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="11000144" softwareVersion="2011v1.5">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2979130</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2979130</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01340</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>31591780</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22238858</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9352922</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04200</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>34570910</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22238858</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12332052</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05540</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <NetCommunityBenefitExpense>483703</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00220</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>825024</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>825024</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>568231</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>568231</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00250</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>43309</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>43309</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1920267</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1920267</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00860</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>36491177</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22238858</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14252319</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06400</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2464656</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>60299763</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>60060586</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>239177</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Kidney Care ServicesDuBois</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Dialysis Services</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.69000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.31000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Kidney Care Services LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Dialysis Services</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.74000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.26000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>0</FacilityNumber>
        <Name>
          <BusinessNameLine1>DuBois Regional Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>100 Hospital Avenue</AddressLine1>
          <City>DuBois</City>
          <State>PA</State>
          <ZIPCode>15801</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>DuBois Regional Medical Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.0000</FPGFreePercent>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AttachedToInvoices>X</AttachedToInvoices>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <LienOnResidence>X</LienOnResidence>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>PA</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the Commonwealth, DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. Our combined vision is to be positioned as the premier provider of comprehensive, quality services to our broad region. Providing inpatient and outpatient hospital care represents the largest portion of these services. DRMC's mission in maintaining these services is accomplished by providing access to healthcare services for all, including individuals who are unable to pay for such services. DRMC has a tradition of serving the poor and underprivileged of the area by providing care, programs and services to enhance their quality of life. Beyond the inpatient and outpatient hospital care, there are many other ways in which DRMC and our employees serve our community every day. DRMC has an ongoing commitment to the communities it serves with a range of community outreach programs, such as clinics, support groups, educational programs, health fairs and health screenings. Our employees volunteer their time and talents to improve our community in many ways. In addition to giving to organizations, they provide information on health and safety to the community. They provide direct patient care on a volunteer basis at the local DuBois Free Clinic. The Clinic was established for low-income people who could not afford health insurance. The success and reputation of DRMC is a direct result of the dedicated efforts of our Board of Directors, Administration, Physicians and Staff. With the continued support of the DRMC family and the communities we serve, DRMC will remain a valuable resource to our area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>DRMC's 221 licensed beds are housed in two facilities two miles from one another in DuBois, a small town in West Central Pennsylvania. The combined tradition of providing high quality, compassionate care began with its predecessors, DuBois Hospital and Maple Avenue Hospital in 1897. In 1985, the two organizations joined to create DRMC, and since then, the medical center has grown for the benefit of the entire community. DRMC West, houses acute inpatient care and a full range of ancillary services. In addition DRMC offers access to primary and specialty care health centers in seven communities. DRMC's primary care physicians bring family health care close to home in Brockway, Curwensville, Force, Penn Township (Grampian), Reynoldsville, Sykesville, Punxsutawney, and multiple DuBois locations. As one of the largest private employers in Clearfield County, DRMC is a significant part of the area's economy. We take pride in the role we play in shaping the quality of life for residents of the communities we serve. We also believe that the population we serve is both very proud and greatful to have DRMC as their primary health care provider.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>DRMC posts a "Notice of Charity Care" at all points of registration, including all employed physician practices. The "notices" include a statement as to the availability of charity care and how to apply. DRMC employs a Financial Counselor who meets individually with all inpatients admitted to the facility who indicate no health care coverage. The Financial Counselor interviews the patient, and if appropriate, discusses and educates the patient relative to Medical Assistance, Blue Chip and the hospital's charity care program. The Financial Counselor completes and/or assists the patient with the necessary applications, and follow-thru with the physician and the assigned County Board of Assistance caseworker. The Financial Counselor also contacts other patients with larger dollar account balances to discuss and educate the patient's need for financial assistance. Additionally, DuBois Regional Medical Center employs a credit/collections staff who also contact, educate and offer assistance to other patients with financial need to help with health care costs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>A) The hospital collects data on an ongoing basis regarding patients who travel to outlying areas for services not offered by DRMC. Based on this data, services are added and/or improved upon in order to serve the needs of the community as effectively and efficiently as possible.B) DRMC routinely sends patient satisfaction surveys to those receiving medical services. These surveys allow patients to offer suggestions regarding how the hospital could better serve them as patients and the community as a whole.C) DRMC offers a variety of educational programs that allow employees to interact on a one-on-one basis with the residents of the community as a whole.D) The medical staff of the hospital consistently participates in research and continuing medical education. This knowledge allows the hospital to remain updated on the latest medical news and techniques in order to offer patients the highest and most innovative levels of care.E) DRMC hired an outside firm to assist with conducting a Community Health Needs Assessment (CHNA). The assessment took place between March and August, 2011. The contractor gathered secondary data in Clearfield and surrounding counties; conducted various focus groups with key audiences and users of healthcare/social services to identify areas for perspective improvement within the community. DRMC held a community retreat with community leaders to report and present the findings of the collection phase. The community leaders provided input to help determine and prioritize which issues needed to be addressed within the community. The contractor is currently in the process of developing a master plan of initiatives for DRMC to be posted to its web site.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 13g - Other Means Hospital Facility Publicized the Policy</ReturnReference>
        <Explanation>A notice of availability is posted at all points of registration.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>The hospital offers free charity care to those patients who qualify. A patient with family income at or below 200% of Schedule A of the poverty guidelines, or below this level due to medical indigency, is eligible to receive free medical services provided liquid assets are not in excess of $25,000. See (3) (below) "Patient Education of Eligibility for Assistance" for "Notice of Charity Care" policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)</ReturnReference>
        <Explanation>A discount of 25% is extended to uninsured patients not qualifyig for charity care. Additionally, a 40% discount is offered to uninsured/under-insured patients who have a patient-pay balance exceeding 25% of the family annual income but are not eligible for charity care. A 60% discount is applied for patients with non-covered pharmacy expenses.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
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      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
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        <NamePerson>Robert McKee</NamePerson>
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        <NamePerson>Patricia Cressley</NamePerson>
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        <NamePerson>Dr Rajat Malik</NamePerson>
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        <NamePerson>Dr Norman Hetzler</NamePerson>
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        <NamePerson>Dr Keith Zeliger</NamePerson>
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        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>794615</TotalCompensationFilingOrg>
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        <NamePerson>Dr Jonathan Pope</NamePerson>
        <BaseCompensationFilingOrg>261000</BaseCompensationFilingOrg>
        <BonusFilingOrg>89508</BonusFilingOrg>
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        <NamePerson>Dr John Fabre</NamePerson>
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        <BonusFilingOrg>5265</BonusFilingOrg>
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      </Form990ScheduleJPartII>
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        <NamePerson>Dr Gary Dugan</NamePerson>
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      </Form990ScheduleJPartII>
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        <NamePerson>Dr Alexander Krot</NamePerson>
        <BaseCompensationFilingOrg>659231</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14151</NontaxableBenefitsFilingOrg>
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        <NamePerson>Denise Lucas</NamePerson>
        <BaseCompensationFilingOrg>187613</BaseCompensationFilingOrg>
        <BonusFilingOrg>24234</BonusFilingOrg>
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      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Hospital Authority of Cle</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251718944</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2007-08-22</DateIssued>
        <IssuePrice>9114708</IssuePrice>
        <DescriptionOfPurpose>Capital Purchases</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
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        <AmountRetired>905840</AmountRetired>
        <TotalProceeds>15000000</TotalProceeds>
        <CapitalExpenditures>11971091</CapitalExpenditures>
        <AmountUnspent>3028909</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="11000144" softwareVersion="2011v1.5">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Hospital Authority of City of DuBois</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251718944</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2007-08-22</DateIssued>
        <IssuePrice>9205969</IssuePrice>
        <DescriptionOfPurpose>Refinancing</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Hospital Authority of City of DuBois</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251718944</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2008-12-17</DateIssued>
        <IssuePrice>9770204</IssuePrice>
        <DescriptionOfPurpose>Refinancing</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Clearfield County Ind Dev Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251430476</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2007-08-22</DateIssued>
        <IssuePrice>5155433</IssuePrice>
        <DescriptionOfPurpose>Refinancing</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Hospital Authority of City of DuBois</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251718944</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2007-08-22</DateIssued>
        <IssuePrice>9114708</IssuePrice>
        <DescriptionOfPurpose>Refinancing</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>418076</AmountRetired>
        <CapitalizedInterest>9205969</CapitalizedInterest>
        <CapitalExpenditures>9205969</CapitalExpenditures>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>1403220</AmountRetired>
        <TotalProceeds>9770204</TotalProceeds>
        <CapitalExpenditures>9770204</CapitalExpenditures>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>867380</AmountRetired>
        <TotalProceeds>5155433</TotalProceeds>
        <CapitalExpenditures>5155433</CapitalExpenditures>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>435505</AmountRetired>
        <TotalProceeds>9114708</TotalProceeds>
        <CapitalExpenditures>9114708</CapitalExpenditures>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
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        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="11000144" softwareVersion="2011v1.5">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Andrew Sutika</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>96535</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Douglas Dale</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>29785</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Linda McKee</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>26769</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Jill Zimmerman</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>59805</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Michelle Sutika Bennett</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>109413</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Kristy Yount</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>80120</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Dr Steve Graeca</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>513078</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Women's Care of Western PA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>646424</AmountOfTransaction>
        <DescriptionOfTransaction>Payments for Services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Explanation>(1) Dr. Gary Ott is the owner of Women's Care of Western PA. Dr. Ott is also a DRMC Board Member. DRMC makes payment to Women's Care for medical director services as well as clinical services related to the Health Beginnings Program.(2) Dr. Steven Graeca is an employed physician and also son of Raymond Graeca, DRMC's parent organization's president. (3) Kristy Yount is an employee of DRMC and also daughter of a DRMC Board member, Nancy Micks.(4) Michelle Bennett is an employee of DRMC and also the daughter of DRMC President, John Sutika.(5) Jill Zimmerman is an employee of DRMC and also sister of a DRMC senior management member, Patricia Cressley.(6) Linda McKee is an employee of DRMC and also the wife of a DRMC senior management member, Bob McKee.(7) Doug Dale is an employee of DRMC and also a relative of DRMC President, John Sutika.(8) Andrew Sutika is an employee of DRMC and also the brother of a DRMC President, John Sutika.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII</ReturnReference>
        <Explanation>Raymond A. Graeca, Presidet and CEO and Patricia Cressley, CFO performed management services for Kidney Care Services, LLC and Kidney Care Services, DuBois, both of which are related entities. Each officer dedicates approximately one hour per week for each entity.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The conflict of interest statement and other governing documents are available to the public at the public's request. They are located in a "Public Binder" in the administrative offices of DRMC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>An independant firm is hired to compare, review, and recommend all senior officers' compensation. The Board of Directors provides the final approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Yearly, Board members are required to complete a new conflict of interest statement. At any time, any Board member may question a possible conflict of interest and a thorough review would then be completed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>DRMC will be submitting the Form 990 to meet the May 15th deadline for filing. The complete Form 990 will be provided to the finance committee and board of directors at the May meetings which are on May 20 and 21. At that time, the committees will review the Form 990 and have an opportunity to discuss any information contained within the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Effective October 1, 2011, PHH became the other body of DRMC. It holds certain reserved powers over DRMC, including the power to elect the directors of DRMC (other than ex-officio directors) from a panel of individuals submitted to PHH by DRMC's board and nominated by PHH's Governance/Nominating Committee. The Sisters of Mercy have a right to nominate up to three of its sisters to sit on the DRMC board of directors (subject to certain restrictions). PHH also has the power to remove directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>On October 1, 2011, DuBois Regional Medical Center ("DRMC") made significant amendments to its articles of incorporation and bylaws in connection with the affliation of DRMC and Clearfield Hospital, which became effective on that date. The affiliation resulted in the creation of Penn Highlands Healthcare, a Pennsylvania nonprofit corporation, ("PHH"), which now serves as the parent corporation of the integrated "Penn Highlands Healthcare" system. The significant changes to DRMC's articles of incorporation and/or bylaws include the following:1. PHH was designated as the "other body" of DRMC as such term is defined in section 5103 of the Pennsylvania Nonprofit Corporation Law of 1988, as amended. As such "other body," PHH holds certain reserved powers over DRMC, as described in the responses to Part VI Lines 7a and 7b. Examples of the powers held by PHH include: (a) the authority to initiate and approve amendments do DRMC's bylwas; (b) the authority to elect the directors, the chairperson and the president of DRMC, and (c) the authority to approve certain actions that DRMC takes with respect to its subsidiary organizations.2. References to the Sisters of Mercy of the Americas, New York, Pennsylvania, Pacific West Community, Inc. (The "Sisters of Mercy") and the Maple Association as members of DRMC were removed, although the Sisters of Mercy retained a right to nominate up to three of DRMC's directors.3. New provisions state the DRMC is subject to a system-wide conflict of interest policy and pastoral care program to be developed, implemented and overseen by PHH.4. The dissoluation provision was revised to provide that in the event of dissolution DRMC's remaining assets shall be distributed to PHH if it is still in existence and is a 501(c)(3) entity selected by PHH (instead of as dtermined by the Sisters of Mercy and the Maple Association). 5. The size of the board of directors was reduced from 24 members to 21 members. The composition was changed to no longer require that the president of DRMC Auziliary and three members from the Maple Association be on the board. The board must now include the members nominated by the Sisters of Mercy (up to three), one member nominated by Brookville Hospital (until December 31, 2012), the president of the DRMC medical staff and the president of DRMC.6. The duties of the officers were updated.7. The term limit for the Chair was reduced from three consecutive one-year terms to two consecutive one-year terms.8. The duties of the finance/audit committee, now subject to the oversight of PHH's finance committee, were expanded to include responsibility for the financial information of DRMC's subsidiary organizations.9. The duties of the professional relations and quality oversight committee, now subject to the oversight of PHH's professional relations and quality oversight committee, were expanded to include responsibility for the quality improvement efforts of DRMC's subsidiary organizations.10. The duties of the planning committee, now subject to the overshight of PHH's professional relations and quality oversight sommittee, were expanded to include responsibility for the planning efforts of DRMC's subsidiary organizations.11. A new construction oversight committee was added to oversee, monitor an dapprove significant construction projects undertaken by DRMC.12. The nomination and election process for officers an directors was revised.13. The indemnification provisions were updated and substantialy strengthened.14. The requirement to prepetually provide a natural family planning clinic and a prenatal clinic was removed from the bylaws.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="11000144" softwareVersion="2011v1.5">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Penn Highlands Healthcare</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 Hospital Avenue</AddressLine1>
          <City>DuBois</City>
          <State>PA</State>
          <ZIPCode>15801</ZIPCode>
        </AddressUS>
        <EIN>320345810</EIN>
        <PrimaryActivities>Hospital Mgmt Services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Clearfield Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>809 Turnpike Ave</AddressLine1>
          <City>Clearfield</City>
          <State>PA</State>
          <ZIPCode>16830</ZIPCode>
        </AddressUS>
        <EIN>250979346</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Penn Highlands Healthcare</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Brookville Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 Hospital Road</AddressLine1>
          <City>Brookville</City>
          <State>PA</State>
          <ZIPCode>15825</ZIPCode>
        </AddressUS>
        <EIN>250984595</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Penn Highlands Healthcare</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Nathan D Yingling Cancer Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>815 Doctors Drive</AddressLine1>
          <City>Clearfield</City>
          <State>PA</State>
          <ZIPCode>16830</ZIPCode>
        </AddressUS>
        <EIN>205114093</EIN>
        <PrimaryActivities>Radiation/Oncology</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Clearfield Hospital and DRMC</BusinessNameLine1>
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          <BusinessNameLine1>Kidney Care Services DuBois LLC</BusinessNameLine1>
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          <AddressLine1>635 Maple Ave Suite D</AddressLine1>
          <City>DuBois</City>
          <State>PA</State>
          <ZIPCode>15801</ZIPCode>
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        <EIN>510644566</EIN>
        <PrimaryActivity>Dialysis</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
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        <ShareOfTotalIncome>96343</ShareOfTotalIncome>
        <ShareOfEOYAssets>937967</ShareOfEOYAssets>
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      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>Kidney Care Services LLC</BusinessNameLine1>
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          <AddressLine1>635 Maple Ave Suite D</AddressLine1>
          <City>DuBois</City>
          <State>PA</State>
          <ZIPCode>15801</ZIPCode>
        </AddressUS>
        <EIN>510644566</EIN>
        <PrimaryActivity>Dialysis</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ShareOfTotalIncome>-131306</ShareOfTotalIncome>
        <ShareOfEOYAssets>655766</ShareOfEOYAssets>
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        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.69000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DuBois Medical Risk Retention Group</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Hospital Avenue</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20005</ZIPCode>
        </AddressUS>
        <EIN>200324622</EIN>
        <PrimaryActivity>Insurance Services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Corp</TypeOfEntity>
        <ShareOfTotalIncome>589926</ShareOfTotalIncome>
        <ShareOfEOYAssets>7692807</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DuBois Regional Medical Group</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Hospital Avenue</AddressLine1>
          <City>DuBois</City>
          <State>PA</State>
          <ZIPCode>15801</ZIPCode>
        </AddressUS>
        <EIN>251856569</EIN>
        <PrimaryActivity>Pediatric Services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Corp</TypeOfEntity>
        <ShareOfTotalIncome>-118044</ShareOfTotalIncome>
        <ShareOfEOYAssets>1993675</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DuBois Medical Risk Retention Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>1050000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DuBois Regional Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>1476160</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DuBois Regional Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>56409</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Kidney Care Services DuBois LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>122286</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Kidney Care Services DuBois LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>77901</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Kidney Care Services LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>52352</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Penn Highlands Healthcare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>557311</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Clearfield Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>341479</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Brookville Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>1319950</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Brookville Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>494084</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Brookville Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>213360</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>