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        <TitleTxt>MHN EX OFFICIO PRESIDENT &amp; CEO - STARTED MARCH 202</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN BARR</PersonNm>
        <TitleTxt>MHN INTERIM CFO - STARTED SEPT 2025 - NOT PAID BY</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOYT J BURDICK</PersonNm>
        <TitleTxt>MHN VP CMO</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>738135</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL E SMITH</PersonNm>
        <TitleTxt>MHN CHIEF ADMIN OFFICER-ENDED 9/30/25</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>445711</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA C STUMP</PersonNm>
        <TitleTxt>MHN CHIEF STRATEGY OFFICER - SYSTEM VP</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDUARDO PINO</PersonNm>
        <TitleTxt>MHN CMIO</TitleTxt>
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        <ReportableCompFromOrgAmt>327279</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FAREED AZIZ</PersonNm>
        <TitleTxt>MHN VP OF REVENUE CYCLE MGMT</TitleTxt>
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        <PersonNm>MARK A MORGAN</PersonNm>
        <TitleTxt>MHN VP PHYS SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN T ROBINSON</PersonNm>
        <TitleTxt>MHN CHIEF HUMAN RESOURCES OFFICER - ENDED J</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AARON BLEVINS</PersonNm>
        <TitleTxt>MHN CHIEF PHARMACY OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <PersonNm>REGINA M CAMPBELL</PersonNm>
        <TitleTxt>MHN CHIEF OPERATING OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA E LEASURE</PersonNm>
        <TitleTxt>MHN CHIEF LEGAL OFFICER - SYSTEM VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHADWICK SMITH</PersonNm>
        <TitleTxt>MHN CHIEF POPULATION HEALTH OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <PersonNm>DENNIS LEE</PersonNm>
        <TitleTxt>MHN SYSTEM VP &amp; CHIEF INFORMATION OFFICER</TitleTxt>
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        <PersonNm>CHRISTOPHER HOFFMAN</PersonNm>
        <TitleTxt>MHN VP OF ONCOLOGY SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE AKERS</PersonNm>
        <TitleTxt>MHN VP OF WOMEN/CHILD SERVICE LINE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BETH HAMMERS</PersonNm>
        <TitleTxt>MHN CHIEF ENGAGEMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD S FISHER</PersonNm>
        <TitleTxt>MHN VP OF ORTHOPEDICS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDY MULLINS</PersonNm>
        <TitleTxt>MHN CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH JACKSON</PersonNm>
        <TitleTxt>MHN VP FACILITY &amp; SUPPORT SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MOLLY FRICK</PersonNm>
        <TitleTxt>MHN CHIEF HUMAN RESOURCES OFFICER - STARTED JAN 20</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN K FIFE</PersonNm>
        <TitleTxt>MHN VP SUPPLY CHAIN OPERATIONS</TitleTxt>
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        <PersonNm>NEPAL CHOWDHURY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>DWIGHT SAULLE</PersonNm>
        <TitleTxt>NEUROSURGEON PHYSICIAN</TitleTxt>
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        <PersonNm>MATTHEW WERTHAMMER</PersonNm>
        <TitleTxt>NEUROSURGEON PHYSICIAN</TitleTxt>
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        <PersonNm>NICOLAS PHAN</PersonNm>
        <TitleTxt>SURGEON</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AAMIR CHEEMA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERNER CORPORATION INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 203448</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
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        <ServicesDesc>INFORMATION TECHNOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>4192810</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEDONA LEARNING SOLUTION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 74008556</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
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        <ServicesDesc>CONSULTING FEES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRESIDIO NETWORKED SOLUTIONS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 822169</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19182</ZIPCd>
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        <ServicesDesc>INFORMATION TECHNOLOGY SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEKSYSTEMS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 198568</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
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            <ZIPCd>30384</ZIPCd>
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        <CompensationAmt>1425058</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PINNACLE HEALTH GROUP LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 467902</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31146</ZIPCd>
          </USAddress>
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      <TotalContributionsAmt>569655</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>110124728</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>110124728</TotalProgramServiceRevenueAmt>
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        <Desc>EQUITY INCOME FROM PARTNERSHIP IN</Desc>
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        <TotalRevenueColumnAmt>1492521</TotalRevenueColumnAmt>
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      <OtherRevenueTotalAmt>1492521</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>112186904</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>111617249</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>532431</TotalAmt>
        <ProgramServicesAmt>532431</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>9485100</TotalAmt>
        <ProgramServicesAmt>8062335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1422765</ManagementAndGeneralAmt>
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        <TotalAmt>22981948</TotalAmt>
        <ProgramServicesAmt>19534656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3447292</ManagementAndGeneralAmt>
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        <TotalAmt>253514</TotalAmt>
        <ProgramServicesAmt>215487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38027</ManagementAndGeneralAmt>
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        <TotalAmt>6667862</TotalAmt>
        <ProgramServicesAmt>5667683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1000179</ManagementAndGeneralAmt>
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        <TotalAmt>2152527</TotalAmt>
        <ProgramServicesAmt>1829648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>322879</ManagementAndGeneralAmt>
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        <TotalAmt>3078423</TotalAmt>
        <ProgramServicesAmt>2616660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>461763</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>70499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12441</ManagementAndGeneralAmt>
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        <TotalAmt>34101467</TotalAmt>
        <ProgramServicesAmt>28986247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5115220</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1336669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235883</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>985653</TotalAmt>
        <ProgramServicesAmt>837805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147848</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>20363753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3593604</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>232123</TotalAmt>
        <ProgramServicesAmt>197305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34818</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>94888</TotalAmt>
        <ProgramServicesAmt>80655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14233</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>17836</TotalAmt>
        <ProgramServicesAmt>15161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2675</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES</Desc>
        <TotalAmt>4997791</TotalAmt>
        <ProgramServicesAmt>4248122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>749669</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>331518</TotalAmt>
        <ProgramServicesAmt>281790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49728</ManagementAndGeneralAmt>
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        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MARSHALL HEALTH NETWORK HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS AND TO REMOVE THE SAME WITH OR WITHOUT CAUSE FOR ALL FOUR SUPPORTED ORGANIZATIONS FOLLOWING THE COMPLIANCE REQUIREMENTS SET FORTH IN THE BYLAWS. FOR ALL FOUR SUPPORTED ORGANIZATIONS, MARSHALL HEALTH NETWORK HAS THE POWER TO: 1. CHANGE THE PURPOSES OF THE CORPORATION; 2. AMEND, ALTER, MODIFY, OR REPEAL THE ARTICLES OF INCORPORATION: 3. AMEND, ALTER, MODIFY, OR REPEAL THE BYLAWS; 4. DISSOLVE AND/OR LIQUIDATE THE CORPORATION, TO MERGE OR TO CONSOLIDATE THIS CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM, OR TO AFFILIATE THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION, OR PROGRAM; AND 5. TO REQUIRE A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME. MARSHALL HEALTH NETWORK ALSO HAS TO GIVE WRITTEN CONSENT TO THE FOLLOWING BOARD INITIATED ACTIONS: 1. THE ADOPTION OF THE LONG-TERM STRATEGIC AND BUSINESS PLANS OF THE CORPORATION AND ANY MATERIAL CHANGE TO SUCH PLANS; 2. THE ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; 3. THE APPROVAL OF ANY INCREMENTAL INCREASE OR ADDITIONS TO THE CAPITAL DEBT OF THE CORPORATION OR RENEGOTIATION, MODIFICATION, OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION UNLESS OTHERWISE PERMITTED BY SECTION B.11; 4. THE CREATION OF, ACQUISITION OF, AFFILIATION WITH, PARTNERSHIP WITH (E.G., JOINT VENTURE), MEMBERSHIP IN, OR INVESTMENT IN ANY OTHER ORGANIZATION; 5. THE ADOPTION OF THE MASTER CLINICAL COMPENSATION AND BENEFITS PLANS FOR PROVIDERS EMPLOYED BY OR CONTRACTED WITH THE CORPORATION AND ANY AMENDMENTS TO SUCH MASTER COMPENSATION OR BENEFIT PLANS; 6. THE ADOPTION OF THE PHYSICIAN RECRUITMENT PLAN AND CONTRACTING GUIDELINES FOR PROVIDERS EMPLOYED BY OR CONTRACTED WITH THE CORPORATION AND ANY AMENDMENTS TO SUCH PLAN OR GUIDELINES; 7. THE SALE, LEASE, TRANSFER, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; 8. THE TERMINATION, TRANSFER, OR MATERIAL DECREASE OF SERVICES BY THE CORPORATION OR THE TERMINATION BY THE CORPORATION OF THE EMPLOYMENT OF MULTIPLE CLINICAL FACULTY WITHIN THE SAME SPECIALTY (I.E., A SIGNIFICANT RESIZING OF A PROGRAM), OTHER THAN FOR ANY INSTANCE OF DEMONSTRABLE IMPROPER CONDUCT, IN EACH CASE THAT MAY MATERIALLY ADVERSELY AFFECT THE SCHOOL OF MEDICINE; 9. THE APPOINTMENT OF A PRESIDENT (AS DESCRIBED IN ARTICLE VII) TO SERVE AS CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 10. FINAL APPROVAL OVER (I) THE ADOPTION AND AMENDMENT OF BYLAWS FOR THE PRACTICE OF MEDICINE, DENTISTRY, AND PODIATRY IN THE CORPORATION AND (II) DELINEATION OF APPROVED CATEGORIES OF NON-PHYSICIAN PROVIDERS AND THEIR AUTHORIZED SCOPE OF PRACTICE IN THE CORPORATION. NEITHER THE MEDICAL STAFF, THE CORPORATION, NOR THE CORPORATE MEMBER MAY UNILATERALLY AMEND THE MEDICAL STAFF BYLAWS, RULES OR REGULATIONS; 11. THE APPROVAL OF ANY UNBUDGETED EXPENDITURE, FINANCIAL COMMITMENT, LOAN, GUARANTEE, OR DEBT INDIVIDUALLY OR IN THE AGGREGATE IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); AND 12. THE APPROVAL OF ANY CONTRACT, OTHER THAN FOR THE PURCHASE OF REAL PROPERTY, OF THE CORPORATION WHERE THE AMOUNT OF FUNDS TO BE EXPENDED OR THE OBLIGATION INCURRED IS IN EXCESS OF TWO MILLION DOLLARS ($2,000,000), OR ANY CONTRACT FOR THE PURCHASE OF REAL PROPERTY WHERE THE PURCHASE PRICE OF SUCH REAL PROPERTY, EXCLUSIVE OF FEES, COMMISSIONS, AND CLOSING COSTS, EXCEEDS TWO HUNDRED FIFTY THOUSAND DOLLARS ($250,000); PROVIDED, HOWEVER, THAT NO APPROVAL SHALL BE REQUIRED FOR APPROVED BUDGETED ITEMS OR PHYSICIAN SERVICES AGREEMENTS THAT ARE CONSISTENT WITH THE THEN CURRENT MASTER CLINICAL COMPENSATION AND BENEFITS PLAN, THE THEN CURRENT PHYSICIAN RECRUITMENT PLAN AND PROVIDER CONTRACTING GUIDELINES, AND THE APPROVED OPERATING AND CAPITAL BUDGETS OF THE CORPORATION.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL FOUR SUPPORTED ORGANIZATIONS, MARSHALL HEALTH NETWORK HAS THE POWER TO: 1. CHANGE THE PURPOSES OF THE CORPORATION; 2. AMEND, ALTER, MODIFY, OR REPEAL THE ARTICLES OF INCORPORATION; 3.AMEND, ALTER, MODIFY, OR REPEAL THE BYLAWS; 4. DISSOLVE AND/OR LIQUIDATE THE CORPORATION, TO MERGE OR TO CONSOLIDATE THIS CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM, OR TO AFFILIATE THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION, OR PROGRAM; AND 5. TO REQUIRE A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME. MARSHALL HEALTH NETWORK ALSO HAS TO GIVE WRITTEN CONSENT TO THE FOLLOWING BOARD INITIATED ACTIONS: 1. THE ADOPTION OF THE LONG-TERM STRATEGIC AND BUSINESS PLANS OF THE CORPORATION AND ANY MATERIAL CHANGE TO SUCH PLANS; 2. THE ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; 3. THE APPROVAL OF ANY INCREMENTAL INCREASE OR ADDITIONS TO THE CAPITAL DEBT OF THE CORPORATION OR RENEGOTIATION, MODIFICATION, OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION UNLESS OTHERWISE PERMITTED BY SECTION B.11; 4. THE CREATION OF, ACQUISITION OF, AFFILIATION WITH, PARTNERSHIP WITH (E.G., JOINT VENTURE), MEMBERSHIP IN, OR INVESTMENT IN ANY OTHER ORGANIZATION; 5. THE ADOPTION OF THE MASTER CLINICAL COMPENSATION AND BENEFITS PLANS FOR PROVIDERS EMPLOYED BY OR CONTRACTED WITH THE CORPORATION AND ANY AMENDMENTS TO SUCH MASTER COMPENSATION OR BENEFIT PLANS; 6. THE ADOPTION OF THE PHYSICIAN RECRUITMENT PLAN AND CONTRACTING GUIDELINES FOR PROVIDERS EMPLOYED BY OR CONTRACTED WITH THE CORPORATION AND ANY AMENDMENTS TO SUCH PLAN OR GUIDELINES; 7. THE SALE, LEASE, TRANSFER, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; 8. THE TERMINATION, TRANSFER, OR MATERIAL DECREASE OF SERVICES BY THE CORPORATION OR THE TERMINATION BY THE CORPORATION OF THE EMPLOYMENT OF MULTIPLE CLINICAL FACULTY WITHIN THE SAME SPECIALTY (I.E., A SIGNIFICANT RESIZING OF A PROGRAM), OTHER THAN FOR ANY INSTANCE OF DEMONSTRABLE IMPROPER CONDUCT, IN EACH CASE THAT MAY MATERIALLY ADVERSELY AFFECT THE SCHOOL OF MEDICINE; 9. THE APPOINTMENT OF A PRESIDENT (AS DESCRIBED IN ARTICLE VII) TO SERVE AS CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 10. FINAL APPROVAL OVER (I) THE ADOPTION AND AMENDMENT OF BYLAWS FOR THE PRACTICE OF MEDICINE, DENTISTRY, AND PODIATRY IN THE CORPORATION AND (II) DELINEATION OF APPROVED CATEGORIES OF NON-PHYSICIAN PROVIDERS AND THEIR AUTHORIZED SCOPE OF PRACTICE IN THE CORPORATION. NEITHER THE MEDICAL STAFF, THE CORPORATION, NOR THE CORPORATE MEMBER MAY UNILATERALLY AMEND THE MEDICAL STAFF BYLAWS, RULES OR REGULATIONS; 11. THE APPROVAL OF ANY UNBUDGETED EXPENDITURE, FINANCIAL COMMITMENT, LOAN, GUARANTEE, OR DEBT INDIVIDUALLY OR IN THE AGGREGATE IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); AND 12. THE APPROVAL OF ANY CONTRACT, OTHER THAN FOR THE PURCHASE OF REAL PROPERTY, OF THE CORPORATION WHERE THE AMOUNT OF FUNDS TO BE EXPENDED OR THE OBLIGATION INCURRED IS IN EXCESS OF TWO MILLION DOLLARS ($2,000,000), OR ANY CONTRACT FOR THE PURCHASE OF REAL PROPERTY WHERE THE PURCHASE PRICE OF SUCH REAL PROPERTY, EXCLUSIVE OF FEES, COMMISSIONS, AND CLOSING COSTS, EXCEEDS TWO HUNDRED FIFTY THOUSAND DOLLARS ($250,000); PROVIDED, HOWEVER, THAT NO APPROVAL SHALL BE REQUIRED FOR APPROVED BUDGETED ITEMS OR PHYSICIAN SERVICES AGREEMENTS THAT ARE CONSISTENT WITH THE THEN CURRENT MASTER CLINICAL COMPENSATION AND BENEFITS PLAN, THE THEN CURRENT PHYSICIAN RECRUITMENT PLAN AND PROVIDER CONTRACTING GUIDELINES, AND THE APPROVED OPERATING AND CAPITAL BUDGETS OF THE CORPORATION.</ExplanationTxt>
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        <ExplanationTxt>MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2025 AND 2024.</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>292098</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER HOFFMAN</PersonNm>
        <TitleTxt>MHN VP OF ONCOLOGY SERVICES</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286830</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH JACKSON</PersonNm>
        <TitleTxt>MHN VP FACILITY &amp; SUPPORT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>242738</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1996</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7357</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>33459</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>285550</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOLLY FRICK</PersonNm>
        <TitleTxt>MHN CHIEF HUMAN RESOURCES OFFICER -</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>215230</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2583</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>6696</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>57862</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>282371</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELANIE AKERS</PersonNm>
        <TitleTxt>MHN VP OF WOMEN/CHILD SERVICE LINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>206671</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>672</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6353</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>54968</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>268664</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN K FIFE</PersonNm>
        <TitleTxt>MHN VP SUPPLY CHAIN OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>184979</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3794</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5723</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>242115</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAWN BASTIN</PersonNm>
        <TitleTxt>RIVERS HEALTH PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>210350</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTI ARROWOOD</PersonNm>
        <TitleTxt>MHN INTERIM VP CORP FDN - STARTED JU</TitleTxt>
        <BaseCompensationFilingOrgAmt>127026</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>396</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4B: THE FOLLOWING PAYMENTS WERE DISTRIBUTED FROM A 457(F) PLAN: REGINA CAMPBELL, CHIEF NURSING OFFICER $133,496 HOYT BURDICK, VP CMO $198,063 LARRY DIAL, EX OFFICIO CPE &amp; CHIEF CLINICAL OFFICER $167,645</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS REVIEWED BY DREW HEFNER, VP OF FINANCE; BETH CUTLER, FINANCE MANAGER; KEVIN BARR, INTERIM CFO; LISA POSTELWAIT, INTERIM CONTROLLER, AND MELISSA LEASURE, CHIEF LEGAL OFFICER. AFTER REVIEW BY THESE INDIVIDUALS, THE FINAL COPY OF FORM 990 IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT-OF-INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, GENERAL COUNSEL, AND THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION. EACH BOARD MEMBER FILLS OUT A QUESTIONNAIRE AT THE END OF THE FISCAL YEAR. THE QUESTIONNAIRE HAS QUESTIONS ON IT THAT DETERMINE INDEPENDENCE STATUS AND OTHER RELATIONSHIPS BETWEEN BOARD MEMBERS AND BETWEEN THE BOARD MEMBER AND THE HOSPITAL. THIS HELPS IN DETERMINING POSSIBLE CONFLICTS THAT MAY ARISE. IN ADDITION, THE BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST POLICY THAT REQUIRES THEM WITH DUE DILIGENCE TO STATE THAT THEY HAVE A CONFLICT OF INTEREST WHEN THAT CONFLICT ARISES. THE BOARD MEMBER MUST LEAVE THE BOARD MEETING DURING DISCUSSIONS AND VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE AVAILABLE ON GUIDESTAR. IT IS ALSO AVAILABLE BY REQUESTING IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 28,986,247. MANAGEMENT AND GENERAL EXPENSES 5,115,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,101,467.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNTAIN HEALTH VENTURES -1,159,221.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>1340 HAL GREER BLVD</AddressLine1Txt>
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          <AddressLine1Txt>1600 MEDICAL CENTER DR</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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</Return>