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        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>EXECUTIVE HEALTH RESOURCES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>15 CAMPUS BLVD SUITE 200</AddressLine1>
            <City>NEWTON SQUARE</City>
            <State>PA</State>
            <ZIPCode>19073</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL RECORDS</DescriptionOfServices>
        <Compensation>385560</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>25</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>121019476</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>121019476</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RETAIL PHARMACY</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>2613467</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>2613467</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SPACE LEASED FOR MEDIC</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>1310706</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1310706</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HEALTH RELATED PROGRAM</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>407403</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>407403</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>REFERENCE LAB</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>288201</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>288201</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>646991</TotalRevenueColumn>
        <ExclusionAmount>646991</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>126286244</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1338091</TotalRevenueColumn>
        <ExclusionAmount>1338091</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>34857</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>58267</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>-23410</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>-23410</TotalRevenueColumn>
        <ExclusionAmount>-23410</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>33890545</Securities>
        <Other>9839</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>33610530</Securities>
        <Other>18587</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>280015</Securities>
        <Other>-8748</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>271267</TotalRevenueColumn>
        <ExclusionAmount>271267</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>INTEREST RATE SWAP VAL</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-4504259</TotalRevenueColumn>
        <ExclusionAmount>-4504259</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>-4504259</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>123367933</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>122737585</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2901668</UnrelatedBusinessRevenue>
        <ExclusionAmount>-2271320</ExclusionAmount>
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      <CompCurrentOfficersDirectors>
        <Total>992768</Total>
        <ManagementAndGeneral>992768</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>45588946</Total>
        <ProgramServices>37778894</ProgramServices>
        <ManagementAndGeneral>7810052</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>1992438</Total>
        <ProgramServices>1566210</ProgramServices>
        <ManagementAndGeneral>426228</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>14797060</Total>
        <ProgramServices>11961590</ProgramServices>
        <ManagementAndGeneral>2835470</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <FeesForServicesLegal>
        <Total>188723</Total>
        <ManagementAndGeneral>188723</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>67032</Total>
        <ManagementAndGeneral>67032</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>7957466</Total>
        <ProgramServices>4396323</ProgramServices>
        <ManagementAndGeneral>3561143</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>208624</Total>
        <ProgramServices>139116</ProgramServices>
        <ManagementAndGeneral>69508</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>20619162</Total>
        <ProgramServices>19462943</ProgramServices>
        <ManagementAndGeneral>1156219</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>1339555</Total>
        <ProgramServices>872675</ProgramServices>
        <ManagementAndGeneral>466880</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>3222</Total>
        <ProgramServices>3169</ProgramServices>
        <ManagementAndGeneral>53</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>195978</Total>
        <ProgramServices>137157</ProgramServices>
        <ManagementAndGeneral>58821</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1950126</Total>
        <ProgramServices>1950126</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>6307887</Total>
        <ProgramServices>4932578</ProgramServices>
        <ManagementAndGeneral>1375309</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>994694</Total>
        <ProgramServices>819606</ProgramServices>
        <ManagementAndGeneral>175088</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>5950774</Total>
        <ProgramServices>5950774</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>4395149</Total>
        <ProgramServices>2253627</ProgramServices>
        <ManagementAndGeneral>2141522</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>WI HOSPITAL ASSESSMENT</Description>
        <Total>3142027</Total>
        <ProgramServices>3142027</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>NR/WUPOMS</Description>
        <Total>1303838</Total>
        <ProgramServices>1303838</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>501765</Total>
        <ProgramServices>19040</ProgramServices>
        <ManagementAndGeneral>482725</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>118497234</Total>
        <ProgramServices>96689693</ProgramServices>
        <ManagementAndGeneral>21807541</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>13808201</BOY>
        <EOY>9558740</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>16573250</BOY>
        <EOY>16987656</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>1122477</BOY>
        <EOY>1331597</EOY>
      </ReceivablesFromOfficersEtc>
      <InventoriesForSaleOrUse>
        <BOY>2897259</BOY>
        <EOY>2869974</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>839086</BOY>
        <EOY>1066703</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>114033595</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>61388142</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>51313625</BOY>
        <EOY>52645453</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>50637269</BOY>
        <EOY>59507535</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>1660599</BOY>
        <EOY>2216762</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>1131057</BOY>
        <EOY>1218606</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>139982823</BOY>
        <EOY>147403026</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>9315390</BOY>
        <EOY>10001292</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>39000000</BOY>
        <EOY>37890000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>10788771</BOY>
        <EOY>13204491</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>59104161</BOY>
        <EOY>61095783</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>80547715</BOY>
        <EOY>86090742</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>330947</BOY>
        <EOY>216501</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>80878662</BOY>
        <EOY>86307243</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>139982823</BOY>
        <EOY>147403026</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>4870699</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>557882</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>1</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>8615</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>13500</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>22115</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>PORTION OF AHA ($5,129) AND WHA (3,486) DUES = $8,615. LEGAL FEES SUPPORTING LOBBYING ACTIVITIES = $13,500</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>1658444</OtherCostOrOtherBasis>
        <BookValue>1658444</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>72075194</OtherCostOrOtherBasis>
        <Depreciation>32466664</Depreciation>
        <BookValue>39608530</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2133389</OtherCostOrOtherBasis>
        <Depreciation>1586670</Depreciation>
        <BookValue>546719</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>37849662</OtherCostOrOtherBasis>
        <Depreciation>27334808</Depreciation>
        <BookValue>10514854</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>316906</OtherCostOrOtherBasis>
        <BookValue>316906</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>52645453</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ACCRUED POSTRETIREMENT BENEFITS</Description>
        <Amount>3488766</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>819628</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP VALUATION</Description>
        <Amount>7835610</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATION</Description>
        <Amount>277693</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAM</Description>
        <Amount>782794</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>13204491</TotalOfAmounts>
      <TotalRevenue>123367933</TotalRevenue>
      <TotalExpenses>118497234</TotalExpenses>
      <ExcessOrDeficitForYear>4870699</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-561495</NetUnrealizedGLOnInvestments>
      <OtherAmount>1119377</OtherAmount>
      <TotalAdjustments>557882</TotalAdjustments>
      <ExcessOrDeficitPerFS>5428581</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>122083716</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>-1342483</OtherRevenues>
      <RevenueNotRptdF990>-1342483</RevenueNotRptdF990>
      <RevenueSubtotal>123426199</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-58266</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-58266</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>123367933</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>117213018</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>58266</OtherExpensesIncluded>
      <ExpensesNotRptdF990>58266</ExpensesNotRptdF990>
      <ExpensesSubtotal>117154752</ExpensesSubtotal>
      <OtherExpensesNotIncluded>1342482</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>1342482</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>118497234</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE BAY AREA HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES THAT THE INTERNAL REVENUE SERVICE (IRS) CONSIDERS UNRELATED TO ITS EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, ANNUALLY RESULT IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. THE ORGANIZATION DOES NOT PRESENTLY ANTICIPATE THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRYFORWARDS IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. NO DEFERRED TAX ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL TAX BASIS OF REPORTING THE ORGANIZATION'S ASSETS AND LIABILITIES. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INCREASE IN BENEFICIAL INTEREST IN BAMC FOUNDATION, INC. 49,941. ASSETS RELEASED FROM RESTRICTIONS -231,773. TEMPORARILY RESTRICTED DONATIONS 756,385. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION OTHER THAN EXPENSE 506,179. RECLASSIFICATION OF ACCUMULATED LOSS ON DESIGNATED CASHFLOW HEDGE 38,645. TOTAL TO SCHEDULE D, PART XI, LINE 8: 1,119,377.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>DECREASE IN EQUITY IN NORTHREACH HEALTHCARE LLC AND WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. -1,303,838.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES -58,266.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES 58,266.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>DECREASE IN EQUITY IN NORTHREACH HEALTHCARE LLC AND WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. 1,303,838.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
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      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>1921485</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01710</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <DirectOffsettingRevenue>2477327</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13285152</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11800</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
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        <DirectOffsettingRevenue>2477327</DirectOffsettingRevenue>
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      </TotalCharityCare>
      <CashAndInKindContributions>
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        <DirectOffsettingRevenue>28389</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>87231</NetCommunityBenefitExpense>
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      </CashAndInKindContributions>
      <TotalOtherBenefits>
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        <DirectOffsettingRevenue>28389</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>87231</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>17799584</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>15293868</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13590</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2558582</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>25327562</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>28213371</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-2885809</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
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        <Name>
          <BusinessNameLine1>BAY AREA MEDICAL CENTER INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3100 SHORE DRIVE</AddressLine1>
          <City>MARINETTE</City>
          <State>WI</State>
          <ZIPCode>54143</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>BAY AREA MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>200.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: BAY AREA UTILIZES A COST TO CHARGE RATIO.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: TWIN COUNTIES FREE CLINIC</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5950774.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.ACCOUNTS RECEIVABLE ARE RECORDED IN THE CONSOLIDATED BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: AMOUNTS ABOVE USE STANDARD MEDICARE DETERMINATION OF ALLOWABLE AND UNALLOWABLE DEPARTMENTS, STANDARD/RECOMMENDED MEDICARE ALLOCATION OF ADMINISTRATION AND GENERAL DEPARTMENTS COSTS TO ALLOWABLE AND UNALLOWABLE DEPARTMENTS BY THE USE OF BAY AREA MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT WAS CACLULATED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO FOLLOWS THE REGULATIONS FOR FILING THE MEDICARE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: BAY AREA MEDICAL CENTER WILL PROVIDE NEEDED HOSPITAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. COMMUNITY CARE IS ALLOCATED TO PATIENTS BASED ON SET GUIDELINES ESTABLISHED BY THE ORGANIZATION. A FULL OR PARTIAL ADJUSTMENT WILL BE DETERMINED BY COMPARING THE PATIENT'S FINANCIAL STATUS TO A SLIDING FEE SCHEDULE BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES.IT IS THE POLICY OF BAY AREA MEDICAL CENTER TO WRITE-OFF BOTH PARTIAL AND FULL PATIENT BALANCES FOR ACCOUNTS THAT QUALIFY FOR COMMUNITY CARE. THERE ARE NO FURTHER COLLECTIONS EFFORTS RELATED TO THOSE WHO QUALIFY FOR A FULL COMMUNITY CARE WRITE-OFF. PATIENTS THAT HAVE HAD PARTIAL WRITE-OFFS THAT DO NOT COOPERATE WITH COLLECTION EFFORTS ON THE BALANCES REMAINING WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY. IF STILL UNCOLLECTIBLE, THE PATIENT ACCOUNT WILL BE WRITTEN OFF TO BAD DEBT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAY AREA MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A FINANCIAL BROCHURE IS OFFERED TO PATIENTS UPON REGISTRATION AND BILLING STATEMENTS REFERENCE THE POLICY BUT DO NOT INCLUDE DETAIL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAY AREA MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: IT MACHES OR EXCEEDS THE COMMERCIAL INSURANCE RATE PAID BY THE GREATEST NUMBER OF OUR NEGOTIATED COMMERCIAL INSURANCE MANAGED CARE PLANS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: BAY AREA MEDICAL CENTER USES A BI-ANNUAL COMMUNITY SURVEY AND ALSO PARTICIPATES IN THE MARINETTE &amp; MENOMINEE COUNTY HEALTH ASSESSMENT INITIATIVES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: - BROCHURES ARE PROVIDED TO EVERY PATIENT.- THE INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.- ONE ON ONE MEETINGS WITH FINACIAL ADVISORS ARE ALSO AVAILABLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: BAY AREA MEDICAL CENTER SERVES MARINETTE COUNTY, WI AND MENOMINEE COUNTY, MI. THERE ARE NO OTHER HOSPITALS LOCATED IN THESE COUNTIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: - THE BAMC BOARD IS MADE UP ENTIRELY OF RESIDENTS OF THE TWO COUNTIES IT SERVES. IN FACT EACH MEMBER MUST BE RATIFIED BY THE COUNTY BOARD OF THEIR RESIDENCE. - BAMC HOSTS QUARTERLY MEETINGS WITH LOCAL MENTAL HEALTH PROFESSIONALS TO SUPPORT THIS INITIATIVE. WE ARE ALSO MEMBERS OF THE MICHIGAN HEALTHCARE CONSORTIUM IN THE UPPER PENINSULA.- ANY SURPLUS FUNDS ARE USED FOR IMPROVEMENTS TO THE FACILITY, EQUIPMENT, STAFF DEVELOPMENT AND PATIENT CARE. - BAMC PROVIDES DIRECT FINANCIAL SUPPORT TO THE TWIN COUNTIES FREE CLINIC. - BAMC HAS WORKING ARRANGEMENTS WITH A TWO YEAR TECHNICAL SCHOOL AND TWO YEAR COLLEGE TO OFFER NURSING AND OTHER MEDICAL PROFESSIONAL STUDENTS INTERNSHIPS IN THEIR PREPARATION FOR HEALTH CARE CAREERS. - BAMC PROVIDES SUPPORT TO LOCAL AREA VOLUNTEER RESCUE SQUAD UNITS THAT WORK WITH THE HOSPITAL-BASED AMBULANCE SERVICE.WHILE THERE IS A GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THIS IS A WORK IN PROGRESS. OUR HOSPITAL PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT, WHICH IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY-CARE THAT WITHOUT OUR HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY.BEYOND INPATIENT HOSPITALIZATIONS, WE PROVIDE LOCAL ACCESS TO MANY HEALTH SERVICES: AMBULANCE SERVICES, BIRTHING CENTER, DIALYSIS CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INPATIENT CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH &amp; REHABILITATION SERVICES, SURGICAL SERVICES AND WOMENS' SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
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      <Form990ScheduleJPartII>
        <NamePerson>BERNADINE VAN COURT</NamePerson>
        <BaseCompensationFilingOrg>202435</BaseCompensationFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>C DANIEL CARLSON</NamePerson>
        <BaseCompensationFilingOrg>194881</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>EDWARD HARDING</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>THOMAS LEOW MD</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL KARKKAINEN MD</NamePerson>
        <BaseCompensationFilingOrg>391900</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>616325</BonusFilingOrg>
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        <TotalCompensationFilingOrg>1319731</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MOHAMED EL-JACK MD</NamePerson>
        <BaseCompensationFilingOrg>397665</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>649032</BonusFilingOrg>
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        <OtherCompensationFilingOrg>245168</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>11100</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>22069</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDGAR MASSABNI MD</NamePerson>
        <BaseCompensationFilingOrg>647540</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>243100</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRANDON SCHARER MD</NamePerson>
        <BaseCompensationFilingOrg>172665</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>516939</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20581</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11100</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>22069</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>743354</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>391337955</IssuerEIN>
        <CUSIPNumber>97710V7Q5</CUSIPNumber>
        <DateIssued>2008-02-20</DateIssued>
        <IssuePrice>40000000</IssuePrice>
        <DescriptionOfPurpose>TO FUND PURCHASE OF HOSPITAL BUILDINGS, FIXTURES, AND CAPITAL EQUIPMENT.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>40000000</TotalProceeds>
        <IssuanceCostsFromProceeds>738720</IssuanceCostsFromProceeds>
        <CapitalExpenditures>25583420</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00470</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.00470</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>PIPER JAFFRAY</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>30.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>DAVID A OLSON</NamePerson>
        <PurposeOfLoan>EXECUFLEX LIFE INSURANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>33514</OriginalPrincipalAmount>
        <BalanceDue>30546</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>DAN CARLSON</NamePerson>
        <PurposeOfLoan>EXECUFLEX LIFE INSURANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>17069</OriginalPrincipalAmount>
        <BalanceDue>18282</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>MICHAEL KARKKAINEN</NamePerson>
        <PurposeOfLoan>EXECUFLEX LIFE INSURANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>922967</OriginalPrincipalAmount>
        <BalanceDue>1037213</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>THOMAS LEOW</NamePerson>
        <PurposeOfLoan>EXECUFLEX LIFE INSURANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>148927</OriginalPrincipalAmount>
        <BalanceDue>179917</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>ED HARDING</NamePerson>
        <PurposeOfLoan>EXECUFLEX LIFE INSURANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>0</OriginalPrincipalAmount>
        <BalanceDue>41166</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>BRANDON SCHARER</NamePerson>
        <PurposeOfLoan>EXECUFLEX LIFE INSURANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>10470</OriginalPrincipalAmount>
        <BalanceDue>24473</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>1331597</TotalBalanceDue>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>MARINETTE COUNTY, WISCONSIN AND MENOMINEE COUNTY, MICHIGAN RATIFY BAMC BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW AT A BOARD MEETING PRIOR TO WHEN THE FORM 990 IS FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>COPIES OF THE POLICY ARE PROVIDED TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD OF DIRECTOR'S COMPENSATION COMMITTEE REVIEWS COMPARABLE COMPENSATION INFORMATION ON OTHER HOSPITALS AND ESTABLISHES BAMC'S EXECUTIVE COMPENSATION LEVELS. MEMBERS OF THE COMPENSATION COMMITTEE DO NOT HAVE A CONFLICT OF INTEREST AND THE CONCLUSIONS ARE SUBSTANTIATED. THE REVIEW PROCESS TAKES PLACE AT LEAST ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY PROVIDING THEM TO MARINETTE COUNTY, WISCONSIN AND MENOMINEE COUNTY, MICHIGAN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -561,495. INCREASE IN BENEFICIAL INTEREST IN BAMC FOUNDATION, INC. 49,941. ASSETS RELEASED FROM RESTRICTIONS -231,773. TEMPORARILY RESTRICTED DONATIONS 756,385. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION OTHER THAN EXPENSE 506,179. RECLASSIFICATION OF ACCUMULATED LOSS ON DESIGNATED CASHFLOW HEDGE 38,645. TOTAL TO FORM 990, PART XI, LINE 5: 557,882.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGE IN PROCESS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS OF OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMBINED AUDIT</Identifier>
        <ReturnReference>FORM 990, PART IV, LINE 12</ReturnReference>
        <Explanation>BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A COMBINED AUDIT. BAMC ASSETS MADE UP 99% OF TOTAL ASSETS IN THE COMBINED AUDIT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMBINED AUDIT</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 2B AND 2C</ReturnReference>
        <Explanation>BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A COMBINED AUDIT. SEE EXPLANATION TO PART IV, LINE 12.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAY AREA MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3100 SHORE DRIVE</AddressLine1>
          <City>MARINETTE</City>
          <State>WI</State>
          <ZIPCode>54143</ZIPCode>
        </AddressUS>
        <EIN>392020734</EIN>
        <PrimaryActivities>FUNDRAISING FOR BAMC, INC.</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501 (C) 3</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BAY AREA MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>