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        <PersonNm>JAMES M KIRBY II</PersonNm>
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        <PersonNm>JENNY LOPEZ</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE MARTINEZ MPA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRAN PASCHALL MBA DNP RN CEND</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>AVRIL PINDER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBBY RUSSELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL STEEN MBA PHR SHRM-CP</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN D STILES MD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACKSON TEAGUE DDS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARIN WATERS PHD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM R HATHAWAY MD</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN LEVIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN HODGE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL COULSON</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA FOGLIA</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBYN LATESSA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH BUYS</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN BUIE</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>RYSE CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5 S TUPELO DR</AddressLine1Txt>
            <CityNm>HORSE SHOE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28742</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MISSION HOSPITALS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>509 BILTMORE AVENUE</AddressLine1Txt>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PULLIAM WESTRIDGE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 7376</AddressLine1Txt>
            <CityNm>ASHEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28802</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MISSION HEALTH COMMUNITY MULTISPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 550</AddressLine1Txt>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37202</ZIPCd>
          </USAddress>
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      <AllOtherContributionsAmt>2006143</AllOtherContributionsAmt>
      <TotalContributionsAmt>2006143</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>38821831</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTINUING PROFESSIONA</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1828706</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>1318813</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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        <OtherAmt>435</OtherAmt>
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        <ExclusionAmt>224632</ExclusionAmt>
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        <ExclusionAmt>1543445</ExclusionAmt>
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        <ProgramServicesAmt>593464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130533</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1374897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71724</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8829544</ProgramServicesAmt>
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        <ProgramServicesAmt>614799</ProgramServicesAmt>
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        <ProgramServicesAmt>97017</ProgramServicesAmt>
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        <ProgramServicesAmt>2227782</ProgramServicesAmt>
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        <ProgramServicesAmt>2802242</ProgramServicesAmt>
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        <ProgramServicesAmt>1630217</ProgramServicesAmt>
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        <ProgramServicesAmt>528965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31794</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4367402</ProgramServicesAmt>
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        <ProgramServicesAmt>770158</ProgramServicesAmt>
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        <ProgramServicesAmt>122601633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6226299</ManagementAndGeneralAmt>
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        <EOYAmt>7050</EOYAmt>
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        <EOYAmt>10914575</EOYAmt>
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        <EOYAmt>7560322</EOYAmt>
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        <EOYAmt>10449681</EOYAmt>
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        <EOYAmt>1195069</EOYAmt>
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        <EOYAmt>1689395</EOYAmt>
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        <EOYAmt>51068663</EOYAmt>
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        <EOYAmt>18647158</EOYAmt>
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        <BOYAmt>12587606</BOYAmt>
        <EOYAmt>12338566</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>113870479</EOYAmt>
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        <EOYAmt>8441243</EOYAmt>
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        <EOYAmt>2479909</EOYAmt>
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        <EOYAmt>23222819</EOYAmt>
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        <EOYAmt>1885842</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>36029813</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>58074086</BOYAmt>
        <EOYAmt>60569820</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>18734003</BOYAmt>
        <EOYAmt>17270846</EOYAmt>
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        <EOYAmt>77840666</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>113870479</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>342541</ReconcilationRevenueExpnssAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE PERFORMANCE OF THE CEO ANNUALLY AND APPROVES COMPENSATION FOR THE CEO. CEO COMPENSATION IS DETERMINED THROUGH REVIEW OF INTERNAL PAY GRADES AND COMPARISONS TO MARKET SURVEY DATA IN RELATION TO CEO PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS MADE PRINCIPAL 457 PLAN CONTRIBUTIONS IN THE AMOUNTS LISTED BELOW: CAROL COULSON: $17,725 JESSICA KNAPP: $22,500 KRISTIN CHALLY: $22,497 LISA FOGLIA: $19,403 STEVE BUIE: $22,495</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 WILL BE REVIEWED BY THE OFFICERS AND THE BOARD PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE PERFORMANCE OF THE CEO ANNUALLY AND APPROVES COMPENSATION FOR THE CEO. CEO COMPENSATION IS DETERMINED THROUGH REVIEW OF INTERNAL PAY GRADES AND COMPARISONS TO MARKET SURVEY DATA . OTHER OFFICERS' COMPENSATION IS DETERMINED BY THE CEO AND DIRECTOR OF TALENT MANAGEMENT. THE CFO AND DIRECTOR OF TALENT MANAGEMENT DETERMINE KEY EMPLOYEE SALARIES THROUGH REVIEW OF INTERNAL PAY GRADES AND MARKET COMPARISONS. COMPENSATION IS APPROVED BY THESE PARTIES COLLECTIVELY. THE BOARD AND FINANCE COMMITTEE APPROVE AN OPERATING BUDGET ANNUALLY WHICH INCLUDES SALARY EXPENSE FOR THE ORGANIZATION. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER SERVICES: PROGRAM SERVICE EXPENSES 10,550,028. MANAGEMENT AND GENERAL EXPENSES 1,184,123. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,734,151. SERVICES -- SURGERY: PROGRAM SERVICE EXPENSES 528,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,000. SERVICES -- PSYCHIATRY: PROGRAM SERVICE EXPENSES 112,698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,698. SERVICES - HENDERSONVILLE: PROGRAM SERVICE EXPENSES 416,602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 416,602. PRECEPTOR SERVICES: PROGRAM SERVICE EXPENSES 446,236. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446,236.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE IN PERPERTUALLY RESTRICTED 5,246.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERSIGHT AND SELECTION PROCESS IS UNCHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>