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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1585538</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>172723</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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      <TotalContributionsAmt>15499754</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>785972</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2717922</TotalRevenueColumnAmt>
        <ExclusionAmt>2717922</ExclusionAmt>
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      <TotalRevenueGrp>
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      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1758263</TotalAmt>
        <ProgramServicesAmt>943645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>786689</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>22019338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1954654</ManagementAndGeneralAmt>
        <FundraisingAmt>52004</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>580745</TotalAmt>
        <ProgramServicesAmt>175755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>402680</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4953758</TotalAmt>
        <ProgramServicesAmt>4531659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422099</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1737546</TotalAmt>
        <ProgramServicesAmt>1558234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173605</ManagementAndGeneralAmt>
        <FundraisingAmt>5707</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1710277</TotalAmt>
        <ProgramServicesAmt>1497017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213260</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>14191</TotalAmt>
        <ProgramServicesAmt>13559</ProgramServicesAmt>
        <FundraisingAmt>632</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1018834</TotalAmt>
        <ProgramServicesAmt>520434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>496428</ManagementAndGeneralAmt>
        <FundraisingAmt>1972</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1033535</TotalAmt>
        <ManagementAndGeneralAmt>1033535</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>22224</TotalAmt>
        <ProgramServicesAmt>11120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11050</ManagementAndGeneralAmt>
        <FundraisingAmt>54</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>183418</TotalAmt>
        <ProgramServicesAmt>156339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27079</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>518140</TotalAmt>
        <ProgramServicesAmt>237236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280904</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>177167</TotalAmt>
        <ManagementAndGeneralAmt>177167</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>6374712</TotalAmt>
        <ProgramServicesAmt>6121843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249337</ManagementAndGeneralAmt>
        <FundraisingAmt>3532</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>1484296</TotalAmt>
        <ProgramServicesAmt>318738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1164898</ManagementAndGeneralAmt>
        <FundraisingAmt>660</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>529111</TotalAmt>
        <ProgramServicesAmt>253449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>275662</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TAXES AND LICENSES</Desc>
        <TotalAmt>73435</TotalAmt>
        <ProgramServicesAmt>33252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40183</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>46195648</TotalAmt>
        <ProgramServicesAmt>38391618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7709230</ManagementAndGeneralAmt>
        <FundraisingAmt>94800</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2932134</BOYAmt>
        <EOYAmt>2786778</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8631171</BOYAmt>
        <EOYAmt>18622777</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>987803</BOYAmt>
        <EOYAmt>1135350</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>5696246</BOYAmt>
        <EOYAmt>6706748</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>231008</BOYAmt>
        <EOYAmt>268233</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <LandBldgEquipCostOrOtherBssAmt>20414107</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9757267</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10331948</BOYAmt>
        <EOYAmt>10656840</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>13232938</BOYAmt>
        <EOYAmt>16892736</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>160713</BOYAmt>
        <EOYAmt>71371</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>42203961</BOYAmt>
        <EOYAmt>57140833</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3077966</BOYAmt>
        <EOYAmt>9505164</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1176196</BOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4254162</BOYAmt>
        <EOYAmt>9505164</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>37949799</BOYAmt>
        <EOYAmt>47635669</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>37949799</BOYAmt>
        <EOYAmt>47635669</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>42203961</BOYAmt>
        <EOYAmt>57140833</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>9426631</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>998437</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-739198</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>512313</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>512313</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>15140250</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>6339104</DepreciationAmt>
        <BookValueAmt>8801146</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>4761544</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>3418163</DepreciationAmt>
        <BookValueAmt>1343381</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>10656840</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>56620716</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>998437</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>998437</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>55622279</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>55622279</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>46195648</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>46195648</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>46195648</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDALL BASHORE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>450330</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>33656</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>498986</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN BLACKWELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>302080</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14130</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>36018</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>352228</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES W ALLBAUGH</PersonNm>
        <TitleTxt>CHIEF FIN. OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>280341</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>40396</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>335737</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID M CAMPANELLI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>242174</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8532</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>41319</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>292025</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULA TOMKO</PersonNm>
        <TitleTxt>CHIEF EXEC. OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>242951</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>21334</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>279285</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL VIRGINIA HEALTH SERVICES, INC. (ORGANIZATION) IS A NON-PROFIT HEALTH CARE ORGANIZATION WITH LOCATIONS IN BOWLING GREEN, CHARLES CITY, NEW CANTON, CHARLOTTE COURT HOUSE, FARMVILLE, ALBERTA, PETERSBURG, AYLETT, HOPEWELL, MONTROSS, CHARLOTTESVILLE AND FREDERICKSBURG VIRGINIA. THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH AND MEDICAL CARE SERVICES ON AN OUT-PATIENT BASIS TO THE RESIDENTS OF THE COUNTIES OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KIND AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE, RICHMOND, CITY OF PETERSBURG, CITY OF HOPEWELL, CITY OF FREDERICKSBURG, CITY OF CHARLOTTESVILLE AND OTHER SURROUNDING COUNTIES. THE CENTER SERVES APPROXIMATELY 40,000 PATIENTS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COPLIANCE IS ENFORCED AT VARYING LEVELS OF DISCIPLINARY ACTIONS FOR VIOLATIONS TO BE REPORTED PROMPTLY TO THE EXECUTIVE DIRECTOR OR TO THE PRESIDENT OF THE BOARD, IF THE EXECUTIVE DIRECTOR HAS VIOLATED THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR IS HIRED AND EVAULATED ANNUALLY BY THE BOARD OF DIRECTORS. ALL OTHER EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR WHO DETERMINES THEIR COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUESTS TO THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT TO RECORD CONTRACTUAL ADJ. ASU 2014-09 -739,198</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
