Civic Intelligence

Community Medical Associates Inc

EIN 61-1276316 • 501(c)3 • Louisville, KY

Profile

Community Medical Associates, Inc.'s purpose is: to promote the health and wellness of the communities it serves; to operate clinics and other health care facilities; to conduct certain educational activities designed to promote the health and wellness and of the communities it serves, including educational activities related to rendering care to the sick and injured; to participate in activities designed and carried on to promote the general health of the community; and to participate in and promote the integration of the delivery of health care in order to enhance the cost-effectiveness and quality of health care that is delivered to the community, and to otherwise provide and promote cost-effective and high-quality health care.

Accounting 224 E BROADWAY 5th FloorLouisville, KY 40202-2025

www.nortonhealthcare.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

10.55x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

86th percentile

2.28x

Higher debt load relative to revenue than 86% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

5th percentile

-35%

Higher net margin than 5% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

95th percentile

$4,115,838

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

19th percentile

-1.4%

Faster asset growth than 19% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

80th percentile

26%

Faster revenue growth than 80% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$199,132,486

Down $2,744,273 (-1.4%) from 2023

Liabilities

Up

$2,101,181,890

Up $316,192,319 (+18%) from 2023

Net Assets

Down

-$1,902,049,404

Down $318,936,592 (-20%) from 2023

Revenue

Up

$919,748,939

Up $189,431,373 (+26%) from 2023

Expenses

Up

$1,238,843,742

Up $215,181,832 (+21%) from 2023

Net Income

Down

-$319,094,803

Down $25,750,459 (-8.8%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0B$2.0B$0-$2.0BAssets 2010: $27,574,491Liabilities 2010: $114,615,621Net Assets 2010: -$87,041,1302010Assets 2011: $35,400,543Liabilities 2011: $169,067,952Net Assets 2011: -$133,667,4092011Assets 2012: $38,120,755Liabilities 2012: $226,038,960Net Assets 2012: -$187,918,2052012Assets 2013: $42,072,167Liabilities 2013: $265,979,123Net Assets 2013: -$223,906,9562013Assets 2014: $41,332,752Liabilities 2014: $306,551,064Net Assets 2014: -$265,218,3122014Assets 2015: $47,591,626Liabilities 2015: $356,864,231Net Assets 2015: -$309,272,6052015Assets 2016: $51,303,455Liabilities 2016: $427,170,501Net Assets 2016: -$375,867,0462016Assets 2017: $63,427,366Liabilities 2017: $517,802,936Net Assets 2017: -$454,375,5702017Assets 2018: $54,120,098Liabilities 2018: $625,049,955Net Assets 2018: -$570,929,8572018Assets 2019: $63,913,918Liabilities 2019: $754,856,001Net Assets 2019: -$690,942,0832019Assets 2020: $72,616,390Liabilities 2020: $944,953,805Net Assets 2020: -$872,337,4152020Assets 2021: $118,589,616Liabilities 2021: $1,226,444,042Net Assets 2021: -$1,107,854,4262021Assets 2022: $138,310,242Liabilities 2022: $1,427,749,718Net Assets 2022: -$1,289,439,4762022Assets 2023: $201,876,759Liabilities 2023: $1,784,989,571Net Assets 2023: -$1,583,112,8122023Assets 2024: $199,132,486Liabilities 2024: $2,101,181,890Net Assets 2024: -$1,902,049,4042024

Highlighted filing

2024

Assets$199,132,486
Liabilities$2,101,181,890
Net Assets-$1,902,049,404

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5B$1.0B$500M$0-$500MExpenses 2010: $172,345,2532010Revenue 2011: $198,594,036Expenses 2011: $245,120,815Net Income 2011: -$46,526,7792011Revenue 2012: $239,857,976Expenses 2012: $294,106,922Net Income 2012: -$54,248,9462012Revenue 2013: $257,858,029Expenses 2013: $293,843,780Net Income 2013: -$35,985,7512013Revenue 2014: $283,929,179Expenses 2014: $325,237,034Net Income 2014: -$41,307,8552014Revenue 2015: $316,637,975Expenses 2015: $360,683,482Net Income 2015: -$44,045,5072015Revenue 2016: $330,270,049Expenses 2016: $396,843,396Net Income 2016: -$66,573,3472016Revenue 2017: $348,510,183Expenses 2017: $427,009,907Net Income 2017: -$78,499,7242017Revenue 2018: $390,277,574Expenses 2018: $506,826,111Net Income 2018: -$116,548,5372018Revenue 2019: $414,854,158Expenses 2019: $545,612,055Net Income 2019: -$130,757,8972019Revenue 2020: $515,224,331Expenses 2020: $692,237,353Net Income 2020: -$177,013,0222020Revenue 2021: $644,234,409Expenses 2021: $870,071,076Net Income 2021: -$225,836,6672021Revenue 2022: $751,571,554Expenses 2022: $933,095,959Net Income 2022: -$181,524,4052022Revenue 2023: $730,317,566Expenses 2023: $1,023,661,910Net Income 2023: -$293,344,3442023Revenue 2024: $919,748,939Expenses 2024: $1,238,843,742Net Income 2024: -$319,094,8032024

Highlighted filing

2024

Revenue$919,748,939
Expenses$1,238,843,742
Net Income-$319,094,803

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$199$2,101$1,902$920$1,239$319
2023Detailed filing. Detailed filing data is available for this year.$202$1,785$1,583$730$1,024$293
2022Detailed filing. Detailed filing data is available for this year.$138$1,428$1,289$752$933$182
2021Detailed filing. Detailed filing data is available for this year.$119$1,226$1,108$644$870$226
2020Detailed filing. Detailed filing data is available for this year.$72.6$945$872$515$692$177
2019Detailed filing. Detailed filing data is available for this year.$63.9$755$691$415$546$131
2018Detailed filing. Detailed filing data is available for this year.$54.1$625$571$390$507$117
2017Detailed filing. Detailed filing data is available for this year.$63.4$518$454$349$427$78.5
2016Detailed filing. Detailed filing data is available for this year.$51.3$427$376$330$397$66.6
2015Detailed filing. Detailed filing data is available for this year.$47.6$357$309$317$361$44.0
2014Detailed filing. Detailed filing data is available for this year.$41.3$307$265$284$325$41.3
2013Detailed filing. Detailed filing data is available for this year.$42.1$266$224$258$294$36.0
2012Summary only. Only limited summary data is available for this year.$38.1$226$188$240$294$54.2
2011Summary only. Only limited summary data is available for this year.$35.4$169$134$199$245$46.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.6$115$87.0$172
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 6, 2025
Return Version
2024v5.1
Gross Receipts
$920,454,694
Mission and Program Overview

Mission

Community Medical Associates, Inc.'s purpose is: to promote the health and wellness of the population and of the communities it serves; to operate clinics and other health care facilities; to conduct certain educational activities designed to promote the health and wellness of the population and of the communities it serves, including educational activities related to rendering care to the sick and injured; to participate in any activity designed and carried on to promote the general health of the community; and to participate in and promote the integration of the delivery of health care in order to enhance the cost-effectiveness and quality of health care that is delivered to the community, and to otherwise provide and promote cost-effective and high-quality health care.

Community Medical Associates, Inc.'s purpose is: to promote the health and wellness of the communities it serves; to operate clinics and other health care facilities; to conduct certain educational activities designed to promote the health and wellness of the communities it serves, including educational activities related to rendering care to the sick and injured; to participate in activities designed and carried on to promote the general health of the community; and to participate in and promote the integration of the delivery of health care in order to enhance the cost-effectiveness and quality of health care that is delivered to the community, and to otherwise provide and promote cost-effective and high-quality health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$101,223,901$107,951,949▲ $6,728,048
Accounts Receivable$76,389,486$69,565,995▼ $6,823,491
Intangible Assets$14,001,802$14,001,802→ $0
Inventories for Sale or Use$3,221,091$4,173,217▲ $952,126
Cash and Non-Interest-Bearing Accounts$22,419$22,579▲ $160
Prepaid Expenses and Deferred Charges-$5,531-
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$201,876,759$199,132,486▼ $2,744,273
Other Assets Total$7,018,060$3,411,413▼ $3,606,647
Liabilities
Other Liabilities$1,716,079,935$2,018,163,113▲ $302,083,178
Accounts Payable and Accrued Expenses$68,909,636$83,018,777▲ $14,109,141
Total Liabilities$1,784,989,571$2,101,181,890▲ $316,192,319
Net Assets / Fund Balance
Net Assets With Donor Restrictions$4,421,520$4,278,643▼ $142,877
Net Assets Without Donor Restrictions$-1,587,534,332$-1,906,328,047▼ $318,793,715
Total Net Assets Fund Balance$-1,583,112,812$-1,902,049,404▼ $318,936,592
Total Liabilities and Net Assets / Fund Balance$201,876,759$199,132,486▼ $2,744,273

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$38,582,633$74,676,936$113,259,569
Buildings$66,673,536$29,106,166$95,779,702
Other Land Buildings$2,695,780$1,373,241$4,069,021
Land$0-$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ryan Krupp MDPhysicianFT$1,945,520$125,408$2,070,928
Jeffrey Gum MDPhysicianFT$1,647,858$35,833$1,683,691
Mahan Ghiassi MDPhysicianFT$1,486,611$143,628$1,630,239
Charles Crawford MDPhysicianFT$1,451,021$3,954$1,454,975
James Tipton MDPhysicianFT$885,707$4,651$890,358
Barry PennybakerTrustee--$2,000$2,000
Craig D GrantVice Chair--$2,000$2,000
Edie NixonChair--$2,000$2,000
G Hunt Rounsavall SrTrustee--$2,000$2,000
Gail LyttleTrustee--$2,000$2,000
Gary L StewartTrustee--$2,000$2,000
Gregory E MayesTrustee--$2,000$2,000
James L Sublett MDTrustee (PARTIAL YEAR)--$2,000$2,000
Joe CraigTrustee--$2,000$2,000
Judge Denise ClaytonTrustee--$2,000$2,000
Lee K GarloveTrustee--$2,000$2,000
Maria HamptonTrustee--$2,000$2,000
Maria L BouvetteTrustee--$2,000$2,000
Martha K Heyburn MDTrustee--$2,000$2,000
Richard R IveyTrustee--$2,000$2,000
Ronald Lehocky MDTrustee--$2,000$2,000
Sue Davis EdD RNTrustee--$2,000$2,000

Board Members and Trustees

NameTitle
Russell F CoxPresident & CEO/Trustee
Donald H RobinsonTrustee
Michael W GoughExec VP and COO (partial year)
Adam KempfSr VP & CFAO
Robert B AzarSr VP Chief Legal Officer/Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Pediatric Anesthesia Associates PSCAnesthesia2600 Meidinger Tower, Louisville, KY 40202$20,097,468
Weatherby Locums IncContract LaborPO Box 972633, Dallas, TX 75397-2663$5,838,290
CHG Companies IncMedical StaffingPO Box 972651, Dallas, TX 73597-2651$2,575,793
Jackson & Coker Locum TenensContract LaborPO Box 277638, Atlanta, GA 30384-7638$2,400,363
Abel Construction Co IncConstruction2401 Stanley Gault Pkwy, Louisville, KY 40223$1,963,500
Revenue and Support

Revenue Composition

Contributions and Grants
$4,664,813
Program Service Revenue
$900,554,914
Investment Income
$0
Other Revenue
$14,529,212
Change in Net Assets
$-319,094,803

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeReported AmountValuation Method
Books and Publications$60,000Market value
Total Noncash Contributions$60,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$832,689,991
Other Expenses$406,153,751
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$717,714,691--$717,714,691
Fees for Services Other$139,365,176$0$0$139,365,176
Other Employee Benefits$52,896,631--$52,896,631
Occupancy$47,729,334--$47,729,334
Payroll Taxes$38,969,843--$38,969,843
Pension Plan Contributions$23,001,001--$23,001,001
Insurance$16,507,618--$16,507,618
Depreciation Depletion$14,122,573--$14,122,573
Office Expenses$7,381,490--$7,381,490
All Other Expenses$3,890,673$0$0$3,890,673
Travel$2,751,556--$2,751,556
Other Expenses$1,345,994$13,179,787-$1,345,994
Advertising$334,807--$334,807
Conferences and Meetings$149,773--$149,773
Comp Disqual Persons$107,825--$107,825
Fees for Services Legal$32,895--$32,895
Total Functional Expenses$1,225,663,955$13,179,787$0$1,238,843,742
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Family member of Lee K. Garlove, TrusteeCompensationNo$107,825

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$2,018,163,113
Payable to Affiliate-
Due to third party payors-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A Delegate broad authority to A committee

The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e) hire or fire the Chief Executive Officer; and f) amend the Articles of Incorporation or Bylaws.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

Russell F. Cox, Robert B. Azar, Adam D. Kempf, and Michael W. Gough (Officers, Norton Enterprises, Inc.) - Business relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

Norton Healthcare, Inc. (EIN 61-1028725) is the sole member of Community Medical Associates, Inc.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The Board of Trustees of Norton Healthcare, Inc. appoints the trustees of the organization.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

According to the Articles of Incorporation of the organization, Norton Healthcare, Inc. (NHC), the sole member, possesses all of the rights granted to a member pursuant to law, including the right to elect trustees or directors and approve amendments to the Articles of Incorporation of the organization. NHC also possesses the right to require the organization to (i) provide contributions of funds of the organization to pay all or a portion of the principal of , interest on, and all other payments to become due and owing with respect to any and all indebtedness by NHC, and (ii) provide security for such indebtedness.

Form 990, Part VI, Line 11B Review of form 990 by governing body

At the October 2025 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 2025 NHC Board of Trustees meeting, the 990s were discussed and committee members and trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the 990s were made available to all members of the Finance Committee and Board of Trustees through the Directors portal site, prior to the filing with the IRS. NHC is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., Norton Healthcare-Indiana, Inc., and Norton WLH Real Estate, Inc.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by annually distributing a questionnaire that requires officers, trustees, and key employees to disclose interests that may give rise to conflicts. If a conflict arises, the policy provides procedures for addressing conflicts to ensure decisions are made in the best interest of the organization.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The top management official is paid by a related organization. Please see explanation provided for Form 990, Part VI, Line 15b.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Gallagher, to provide comparability data, including review of other health systems and hospital organizations that have filed Form 990s, for NHC's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. Gallagher consultants presented and discussed this comparability data in 2023 for the 2024 compensation review and met in 2024 for the 2025 compensation review with the Executive Committee of the Board of Trustees (Board). The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHC's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation.

Form 990, Part VI, Line 19 Required documents available to the public

Consolidated financial statements are available here: https://nortonhealthcare.com/about-us/financial-information/. Governing documents and conflicts of interest policies are not required disclosures pursuant to internal revenue code (irc) section 6104. These documents are not available to the public.

Form 990, Part VII, Section A, Line 1A, Column (E) Board Member Stipend Payments

Norton Healthcare, Inc. (NHC) and Affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., and Norton Healthcare-Indiana, Inc.) encourages and facilitates Board member attendance at educational programs and conferences on subjects relevant to NHC. NHC's travel policy for Board of Trustees provides that for each Trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS Regulations, NHC provides a Form 1099 to any Trustee that receives a stipend. These amounts have been reported in Part VII on the Form 990 as reportable compensation to the Trustee receiving stipends in 2024.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Other - Total Revenue: 357518, Related or Exempt Function Revenue: 357518, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Clinical Services - Total Revenue: 207355, Related or Exempt Function Revenue: 207355, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Community Medical Associates Inc
EIN
61-1276316
Phone
5026298263
Address
Accounting 224 E BROADWAY 5th Floor, LOUISVILLE, KY 40202-2025

Signing Officer

Name
Adam Kempf
Title
Senior VP & CFAO
Phone
5026298263
Signed
2025-11-06
Discuss with paid preparer
Yes

Organization Details

Formed
1993
Legal Domicile
Ky
Voting Board Members
18
Independent Board Members
17
Employees
7,385
Volunteers
3

Preparer

Firm
Crowe Llp
Address
4801 Olympia Park Plaza Suite 4000, Louisville, KY 40241-2098
Preparer
Rachel Spurlock
Phone
5023263996
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2A EMPLOYEES REPORTED ON FORM W-3

Norton healthcare, inc. (nhc) ein 61-1028725 is the common paying agent for community medical associates, inc. (cma) therefore, all applicable irs tax compliance filings are reported by nhc on behalf of cma. Cma has approximately 7,385 employees.

Form 990, Part V, Line 1A VENDORS REPORTED ON FORM 1096

NORTON HEALTHCARE, INC. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR COMMUNITY MEDICAL ASSOCIATES, INC. (CMA) AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS ARE PAID BY NHC ON BEHALF OF CMA FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF Forms 1099 REPORTED AND FILED FOR 2024 BY NHC FOR CMA WAS 33. CMA HAS 72 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2024.

Form 990, Part IX, Line 11G Other Fees

OUTSIDE SERVICES - Total Expense: 22687006, Program Service Expense: 22687006, Management and General Expenses: , Fundraising Expenses: ; Physician Practice Subsidy Pro Fees - Total Expense: 39180381, Program Service Expense: 39180381, Management and General Expenses: , Fundraising Expenses: ; Integration Pro Fees - Total Expense: 77497789, Program Service Expense: 77497789, Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfers to affiliates - 158211; Total - 158211;

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IRS990/MissionDesc0Community Medical Associates, Inc.'s purpose is: to promote the health and wellness of the communities it serves; to operate clinics and other health care facilities; to conduct certain educational activities designed to promote the health and wellness and of the communities it serves, including educational activities related to rendering care to the sick and injured; to participate in activities designed and carried on to promote the general health of the community; and to participate in and promote the integration of the delivery of health care in order to enhance the cost-effectiveness and quality of health care that is delivered to the community, and to otherwise provide and promote cost-effective and high-quality health care.
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