﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2018v3.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-08-04T08:48:05-05:00</ReturnTs>
    <TaxPeriodEndDt>2019-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>363077757</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>GRAY HUNTER STENN LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>500 MAINE ST</AddressLine1Txt>
        <CityNm>QUINCY</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>62301</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>371128706</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>BLESSING CORPORATE SERVICES INC</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>PATRICK GERVELER</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>BLES</BusinessNameControlTxt>
      <PhoneNum>2172231200</PhoneNum>
      <USAddress>
        <AddressLine1Txt>BROADWAY AT 11TH PO BOX 7005</AddressLine1Txt>
        <CityNm>QUINCY</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>623057005</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>PATRICK M GERVELER</PersonNm>
      <PersonTitleTxt>TREASURER &amp; CFO</PersonTitleTxt>
      <PhoneNum>2172231200</PhoneNum>
      <SignatureDt>2020-05-21</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>ERIN J WHARTON CPA</PreparerPersonNm>
      <PTIN>P01294277</PTIN>
      <PhoneNum>2172220304</PhoneNum>
      <PreparationDt>2020-08-04</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>216.138.22.18</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-08-04</IPDt>
      <IPTm>08:48:05</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>2BE353FB2307F31039FDCCB65331A33EA6E48E3A</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>2BE353FB2307F31039FDCCB65331A33EA6E48E3A</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc6" referenceDocumentId="RetDoc12">
      <PrincipalOfficerNm>MAUREEN KAHN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
        <CityNm>QUINCY</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>62301</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>111680806</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.BLESSINGHEALTHSYSTEM.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1983</FormationYr>
      <LegalDomicileStateCd>IL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE PURPOSE OF BLESSING CORPORATE SERVICES, INC. IS TO DEVELOP EXPANDED HEALTH CARE SERVICES TO ITS REGIONAL MARKETPLACE. BLESSING CORPORATE SERVICES, INC. IS THE PARENT COMPANY TO ALL ORGANIZATIONS WITHIN THE BLESSING HEALTH SYSTEM.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>528</TotalEmployeeCnt>
      <TotalVolunteersCnt>73</TotalVolunteersCnt>
      <TotalGrossUBIAmt>18301</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>31532271</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>47469484</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>64970098</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>63064152</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>2842</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>48150</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-52083</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1043842</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>96453128</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>111625628</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>307728</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>150228</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>58396734</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>67334259</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>30874104</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>34629846</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>89578566</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>102114333</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>6874562</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>9511295</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>68452908</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>72949627</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>38145387</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>41261484</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>30307521</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>31688143</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>BLESSING CORPORATE SERVICES, INC. (BCS) IS THE PARENT COMPANY TO THE FOLLOWING ORGANIZATIONS: BLESSING HOSPITAL - AN ACUTE CARE HOSPITAL WITH 307 LICENSED BEDS, LOCATED IN QUINCY, IL. THE BLESSING FOUNDATION, INC. - RAISES, MANAGES, AND DISTRIBUTES CHARITABLE DONATIONS ON BEHALF OF THE BLESSING HEALTH SYSTEM. DENMAN SERVICES, INC. - A FOR-PROFIT ORGANIZATION MADE UP OF SEVEN SEPARATE BUSINESS VENTURES: DENMAN MEDICAL EQUIPMENT &amp; SUPPLY; MACOMB MEDICAL; DENMAN LINEN SERVICES; ADAPTIVE MOBILITY SYSTEMS; DENMAN BIOMEDICAL; ILLINI HEALTH SERVICES, LLC; HANNIBAL MEDICAL SUPPLIES, LLC. BLESSINGCARE CORPORATION - OWNS AND OPERATES ILLINI COMMUNITY HOSPITAL, PITTSFIELD, IL. BLESSING AFFILIATES, INC. - CURRENTLY INACTIVE. BLESSINGCARE CORPORATION - MISSOURI - CURRENTLY INACTIVE. CHS HOLDING COMPANY - A TAXABLE CORPORATION THAT PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. BLESSING PHYSICIAN SERVICES (BPS) IS A DIVISION OF BCS WHICH OPERATES A HEALTH CARE PROVIDER PRACTICE. IT IS THE POLICY O</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>68482009</ExpenseAmt>
      <GrantAmt>150228</GrantAmt>
      <RevenueAmt>43579440</RevenueAmt>
      <Desc>PHYSICIAN SERVICES - THE ORGANIZATION OPERATES A HEALTH CARE PROVIDER PRACTICE DBA BLESSING PHYSICIAN SERVICES (BPS). THE PROVIDER GROUP HAS A TOTAL OF 77 PROVIDERS COVERING 20 MEDICAL SPECIALTIES. DURING THE YEAR BPS PROVIDED 203,335 PATIENT VISITS AND EMPLOYED 392 PEOPLE. WITHIN THESE PROVIDER PRACTICES, IT IS THE POLICY OF THE ORGANIZATION THAT NO ONE IS TO BE DENIED HEALTH CARE FOR INABILITY TO PAY. BPS CONTINUES ITS PRESENCE IN THE REGION WITH SPECIALTY CLINICS IN OUT-REACH LOCATIONS. IN FY 2019, GOALS IN QUALITY, SATISFACTION, AND GROWTH WERE ALL EXCEEDED, MAKING THE YEAR EXCEPTIONAL FOR BPS. THE BLESSING HEALTH SYSTEM'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: BECOME AN INDEPENDENT REGIONAL DESTINATION HEALTH SYSTEM ACHIEVE TOP DECILE PERFORMANCE ACHIEVE TOP DECILE STAKEHOLDER ENGAGEMENT IMPROVE PEOPLE SYSTEMS EFFECTIVE RESOURCE ALLOCATION THROUGH EVIDENCE BASED FINANCIAL LEADERSHIP PRACTICES</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>19683866</ExpenseAmt>
        <RevenueAmt>19484712</RevenueAmt>
        <Desc>MANAGEMENT SERVICES - THE ORGANIZATION PROVIDES MANAGEMENT SERVICES TO ITS FOLLOWING TAX EXEMPT SUBSIDIARIES: BLESSING HOSPITAL, THE BLESSING FOUNDATION, INC., BLESSING AFFILIATES, INC., BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL, BLESSINGCARE CORPORATION-MO (INACTIVE), AND BLESSING WALK-IN CLINIC, LLC. IT ALSO PROVIDES MANAGEMENT SERVICES TO ITS TAXABLE SUBSIDIARIES: DENMAN SERVICES, INC., CHS HOLDING COMPANY, HANNIBAL CLINIC, INC, AND BLESSING ASSURANCE COMPANY. MANAGEMENT SERVICES PROVIDED INCLUDE STRATEGIC PLANNING IN THE AREAS OF FINANCE, MARKETING, STRATEGIC AND BUSINESS DEVELOPMENT, ENGINEERING AND FACILITY DEVELOPMENT, CAPITAL AND INFORMATION TECHNOLOGY DEVELOPMENT, PHYSICIAN PRACTICE OPERATIONS, AND CORPORATE COMPLIANCE.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>1844693</ExpenseAmt>
        <Desc>CROSSRIVER QUALITY HEALTH PARTNERS IS A CLINICALLY INTEGRATED NETWORK OF REGIONAL PHYSICIANS DEDICATED TO ENHANCING CARE QUALITY.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>90010568</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc14">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc7">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc7">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc7">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc8">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc8">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc8">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc8">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc8">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc8">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc8">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc8">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc8">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc8">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc8">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc8">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc8">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc15">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc15">false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc15">false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc9">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc9">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc10">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc11">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc11">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc11">true</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc11">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc11">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc11">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="RetDoc11">false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc13">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc13">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc13">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc13">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc13">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>88</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>528</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>true</ForeignFinancialAccountInd>
      <ForeignCountryCd>CJ</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>PATRICK GERVELER</PersonNm>
        <PhoneNum>2172231200</PhoneNum>
        <USAddress>
          <AddressLine1Txt>BROADWAY AT 11TH</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>623057005</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID BOSTER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT J HOFMEISTER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN PROTHRO HOUSE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN KAHN</PersonNm>
        <TitleTxt>PRESIDENT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1041402</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>240033</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL D KLINGNER</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY D KOONTZ</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY D KENNETT MD MACC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>11250</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER J NIEMANN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK R SHARKEY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY OAKLEY WINTERS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK M GERVELER</PersonNm>
        <TitleTxt>TREASURER &amp;</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>623711</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>129314</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA E MCELHOE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>66833</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20414</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN E HULL</PersonNm>
        <TitleTxt>PRESIDENT/CE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>312353</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34162</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETTY J KASPARIE</PersonNm>
        <TitleTxt>VP COMPLIANC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>313223</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD E KEMPE</PersonNm>
        <TitleTxt>VP STRATEGY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>432106</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>86089</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD S KOELLIKER</PersonNm>
        <TitleTxt>VP BPS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>435997</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76781</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELLIOT H KUIDA</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>507621</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>99618</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY A MOORE</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>364161</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31270</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOELLEN L RANDALL</PersonNm>
        <TitleTxt>VP HUMAN RES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>335935</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN W KRAUSE DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1147679</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35369</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL MOORE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>887262</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23546</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY R COOK MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>816842</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34162</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD G ST HILL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>825591</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33038</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALVADOR I SANCHEZ MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>854074</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34162</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>8976040</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>934735</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHYSICIAN MANAGEMENT SVCS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9828 ALLENDALE DR</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63123</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SVCS</ServicesDesc>
        <CompensationAmt>735000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WEATHERBY LOCUMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972633</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SVCS</ServicesDesc>
        <CompensationAmt>651164</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH MEDICAL STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972625</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SVCS</ServicesDesc>
        <CompensationAmt>633637</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCHMIEDESKAMP ROBERTSON NEU AND MITC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>525 JERSEY</AddressLine1Txt>
            <CityNm>QUINCY</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>62301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>589146</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STUDER GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 71676</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60694</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SVCS</ServicesDesc>
        <CompensationAmt>453133</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>16</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>47310128</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>159356</GovernmentGrantsAmt>
      <TotalContributionsAmt>47469484</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN PRACTICE REVENUE</Desc>
        <TotalRevenueColumnAmt>37610587</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37610587</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CORPORATE FEES</Desc>
        <TotalRevenueColumnAmt>19484712</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19484712</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADMIN. FEES - CLINICS</Desc>
        <TotalRevenueColumnAmt>5968853</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5968853</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>63064152</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>48150</TotalRevenueColumnAmt>
        <ExclusionAmt>48150</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossSalesOfInventoryAmt>73479</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>55178</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>18301</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>18301</UnrelatedBusinessRevenueAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCOME (LOSS) IN SUBSIDIARIES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>801281</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>801281</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>224260</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>224260</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1025541</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>111625628</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64089693</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>18301</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>48150</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>150228</TotalAmt>
        <ProgramServicesAmt>150228</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>5406848</TotalAmt>
        <ProgramServicesAmt>5058647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>348201</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>49508252</TotalAmt>
        <ProgramServicesAmt>46238694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3269558</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>3453165</TotalAmt>
        <ProgramServicesAmt>3091104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>362061</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>8965994</TotalAmt>
        <ProgramServicesAmt>8158509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>807485</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>4685903</TotalAmt>
        <ProgramServicesAmt>2697766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1988137</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1347806</TotalAmt>
        <ProgramServicesAmt>1094883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252923</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52698</TotalAmt>
        <ProgramServicesAmt>42158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10540</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>8356</TotalAmt>
        <ProgramServicesAmt>7481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>875</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>93524</TotalAmt>
        <ProgramServicesAmt>26689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66835</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>4235598</TotalAmt>
        <ProgramServicesAmt>4073501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162097</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>253917</TotalAmt>
        <ProgramServicesAmt>198151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55766</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>126174</TotalAmt>
        <ProgramServicesAmt>94493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31681</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>638480</TotalAmt>
        <ProgramServicesAmt>602927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35553</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>205027</TotalAmt>
        <ProgramServicesAmt>202001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3026</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>580817</TotalAmt>
        <ProgramServicesAmt>477773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103044</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSES</Desc>
        <TotalAmt>5456936</TotalAmt>
        <ProgramServicesAmt>1627664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3829272</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>5101740</TotalAmt>
        <ProgramServicesAmt>5026193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75547</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OUTSIDE MEDICAL SERVICES</Desc>
        <TotalAmt>4374714</TotalAmt>
        <ProgramServicesAmt>4374714</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHYSICIAN FEES</Desc>
        <TotalAmt>2522548</TotalAmt>
        <ProgramServicesAmt>2509211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13337</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>4945608</TotalAmt>
        <ProgramServicesAmt>4257781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>687827</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>102114333</TotalAmt>
        <ProgramServicesAmt>90010568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12103765</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1490244</BOYAmt>
        <EOYAmt>786142</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5341685</BOYAmt>
        <EOYAmt>6281283</EOYAmt>
      </AccountsReceivableGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>90000</BOYAmt>
        <EOYAmt>69997</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>197079</BOYAmt>
        <EOYAmt>2214855</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7377</BOYAmt>
        <EOYAmt>215597</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>495554</BOYAmt>
        <EOYAmt>634792</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4431588</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2794195</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1358432</BOYAmt>
        <EOYAmt>1637393</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>44770405</BOYAmt>
        <EOYAmt>43112128</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>14702132</BOYAmt>
        <EOYAmt>17997440</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>68452908</BOYAmt>
        <EOYAmt>72949627</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4666936</BOYAmt>
        <EOYAmt>6709698</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>22873</BOYAmt>
        <EOYAmt>25886</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>20000000</BOYAmt>
        <EOYAmt>20000000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>13455578</BOYAmt>
        <EOYAmt>14525900</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>38145387</BOYAmt>
        <EOYAmt>41261484</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>30307521</BOYAmt>
        <EOYAmt>31688143</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>30307521</BOYAmt>
        <EOYAmt>31688143</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>68452908</BOYAmt>
        <EOYAmt>72949627</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>9511295</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-8130673</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc14">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>16544578</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25500888</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29142530</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>31532271</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47469484</CurrentTaxYearAmt>
        <TotalAmt>150189751</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>53739387</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>63776121</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>64826294</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65418595</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>63343590</CurrentTaxYearAmt>
        <TotalAmt>311103987</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>70283965</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>89277009</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>93968824</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>96950866</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>110813074</CurrentTaxYearAmt>
        <TotalAmt>461293738</TotalAmt>
      </Total509Grp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>18956071</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26752928</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20651301</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26780802</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16631807</CurrentTaxYearAmt>
        <TotalAmt>109772909</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>18956071</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26752928</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20651301</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26780802</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16631807</CurrentTaxYearAmt>
        <TotalAmt>109772909</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>351520829</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1429</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>805</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1102</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2842</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48150</CurrentTaxYearAmt>
        <TotalAmt>54328</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>60488</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>92000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>69235</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>55690</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18301</CurrentTaxYearAmt>
        <TotalAmt>295714</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>61917</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>92805</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>70337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>58532</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>66451</CurrentTaxYearAmt>
        <TotalAmt>350042</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>70345882</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>89369814</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>94039161</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>97009398</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>110879525</CurrentTaxYearAmt>
        <TotalAmt>461643780</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.76150</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.74800</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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>
    <IRS990ScheduleC documentId="RetDoc7">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>90000</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>90000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BLESSING CORPORATE SERVICES HAS RETAINED PICKERING &amp; ASSOC., LLC. THE WORK ON BEHALF OF THE BLESSING HEALTH SYSTEM WILL INCLUDE PROVIDING STRATEGIC COUNSEL, TACTICAL PLANNING AND DIRECT LOBBYING WITH REGARD TO GOVERNMENT AFFAIRS WITH THE STATE OF ILLINOIS EXECUTIVE AND LEGISLATIVE BRANCHES. ISSUES MAY INCLUDE CAPITAL FUNDING, MEDICAID, PROFESSIONAL REGULATION, AND PUBLIC HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc8">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>92165</OtherCostOrOtherBasisAmt>
        <BookValueAmt>92165</BookValueAmt>
      </LandGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1369719</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1097381</DepreciationAmt>
        <BookValueAmt>272338</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2969704</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1696814</DepreciationAmt>
        <BookValueAmt>1272890</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1637393</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>43112128</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>43112128</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED TO PAY RETIREMENT BEN</Desc>
        <BookValueAmt>8600634</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>5092431</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ACCOUNTS RECEIVABLE -RELATED PARTIES</Desc>
        <BookValueAmt>2704357</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NOTES RECEIVABLE - RELATED PARTIES</Desc>
        <BookValueAmt>940128</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER CURRENT ASSETS</Desc>
        <BookValueAmt>490856</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>169034</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>17997440</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>9590134</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>HOLDBACK HC ACQUISITION</Desc>
        <Amt>3500000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATIONS</Desc>
        <Amt>1085161</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASES</Desc>
        <Amt>246993</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT NOTES PAYABLE</Desc>
        <Amt>83905</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED PRO. LIABILITY CLAIMS</Desc>
        <Amt>19707</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>14525900</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>100447526</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-11233280</OtherRevenueAmt>
      <RevenueNotReportedAmt>-11233280</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>111680806</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-55178</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-55178</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>111625628</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>100447027</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>55178</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>55178</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>100391849</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1722484</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1722484</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>102114333</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBT -1,722,484 EQUITY EARNINGS IN SUBSIDIARIES -9,510,796</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD -55,178</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 55,178</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS 1,722,484</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc15">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <TypeOfActivitiesConductedTxt>INVESTMENT</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>250000</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>250000</SubtotalSpentAmt>
      <TotalSpentAmt>250000</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN 0 250,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PAGE 5, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENDITURES ARE REPORTED ON AN ACCRUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc9">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>QUINCY FAMILY PRACTICE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>612 NORTH 11TH STREET</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <RecipientEIN>376005961</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>140228</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>ACADEMIC GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF THE DIOCESE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>OF SPRINGFIELD IN ILLINOIS</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>620 MAINE STREET</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <RecipientEIN>371053827</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SIU HEALTHCARE - QUINCY FAMILY PRACTICE CENTER - SIU (QUINCY FAMILY PRACTICE) PROVIDES THE BOARD OF TRUSTEES WITH AN ANNUAL UPDATE REGARDING ITS USE OF THE GRANT FUNDS PROVIDED TO THEIR PROGRAM. ALL OTHER ORGANIZATIONS - BCS PROVIDES GRANTS PRIMARILY TO LOCALLY MANAGED 501(C)(3) ORGANIZATIONS THAT SUPPORT OR SHARE THE MISSION OF THE BLESSING HEALTH SYSTEM. SENIOR LEADERSHIP APPROVES ALL GRANTS. WHEN AN ORGANIZATION IS GIVEN A DONATION, IT EITHER AGREES TO RESTRICT THE DONATION TO THE PURPOSE FOR WHICH IT WAS GIVEN, OR IT RECEIVES A LETTER DIRECTING THAT THE DONATION MAY BE USED ONLY FOR THE APPROVED PURPOSE. BLESSING HEALTH SYSTEM EMPLOYEES FREQUENTLY ATTEND MANY OF THE SPONSORED EVENTS OR BCS RECEIVES ACKNOWLEDGEMENT FROM THE ORGANIZATION ABOUT THE PROGRAM THAT WAS SUPPORTED BY THE GRANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc10">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN KAHN</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>758219</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>251223</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>31960</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>209500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30533</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1281435</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK M GERVELER</PersonNm>
        <TitleTxt>TREASURER &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>405141</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>136215</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>82355</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>98500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30814</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>753025</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN E HULL</PersonNm>
        <TitleTxt>PRESIDENT/CEO, BCC</TitleTxt>
        <BaseCompensationFilingOrgAmt>205614</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>72501</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>34238</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26672</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346515</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETTY J KASPARIE</PersonNm>
        <TitleTxt>VP COMPLIANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>205311</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>56653</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>51259</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11333</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23192</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>341423</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD E KEMPE</PersonNm>
        <TitleTxt>VP STRATEGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>257745</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>90843</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>83518</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>70860</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23368</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>518195</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD S KOELLIKER</PersonNm>
        <TitleTxt>VP BPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>284495</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>96985</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>54517</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>68750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16370</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>512778</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELLIOT H KUIDA</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>347858</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>112723</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>47040</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>82750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25984</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>607239</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY A MOORE</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>257267</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>74919</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>31975</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25510</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>395431</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOELLEN L RANDALL</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>240242</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>65420</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>30273</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11057</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24695</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>364512</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN W KRAUSE DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>570802</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>555690</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>21187</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28830</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1183048</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL MOORE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>712984</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>154395</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19883</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1927</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28272</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>910808</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY R COOK MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>667215</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>116504</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>33123</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25845</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>851004</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD G ST HILL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>374664</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>427955</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22972</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23973</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>858629</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SALVADOR I SANCHEZ MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>403738</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>424248</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>26088</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25097</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>888236</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MAUREEN KAHN 0 195,750 0 PATRICK M. GERVELER 0 84,750 0 RICHARD E. KEMPE 0 57,500 0 RONALD S. KOELLIKER 0 57,500 0 ELLIOT H. KUIDA 0 69,000 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc11">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JEFFREY COOK MD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>EDUCATION DEBT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>119995</OriginalPrincipalAmt>
        <BalanceDueAmt>69997</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>69997</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc12">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>BLESSING CORPORATE SERVICES, INC. (BCS) IS THE PARENT COMPANY TO THE FOLLOWING ORGANIZATIONS: BLESSING HOSPITAL - AN ACUTE CARE HOSPITAL WITH 307 LICENSED BEDS, LOCATED IN QUINCY, IL. THE BLESSING FOUNDATION, INC. - RAISES, MANAGES, AND DISTRIBUTES CHARITABLE DONATIONS ON BEHALF OF THE BLESSING HEALTH SYSTEM. DENMAN SERVICES, INC. - A FOR-PROFIT ORGANIZATION MADE UP OF SEVEN SEPARATE BUSINESS VENTURES: DENMAN MEDICAL EQUIPMENT &amp; SUPPLY; MACOMB MEDICAL; DENMAN LINEN SERVICES; ADAPTIVE MOBILITY SYSTEMS; DENMAN BIOMEDICAL; ILLINI HEALTH SERVICES, LLC; HANNIBAL MEDICAL SUPPLIES, LLC. BLESSINGCARE CORPORATION - OWNS AND OPERATES ILLINI COMMUNITY HOSPITAL, PITTSFIELD, IL. BLESSING AFFILIATES, INC. - CURRENTLY INACTIVE. BLESSINGCARE CORPORATION - MISSOURI - CURRENTLY INACTIVE. CHS HOLDING COMPANY - A TAXABLE CORPORATION THAT PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. BLESSING PHYSICIAN SERVICES (BPS) IS A DIVISION OF BCS WHICH OPERATES A HEALTH CARE PROVIDER PRACTICE. IT IS THE POLICY OF BPS THAT NO ONE IS TO BE DENIED HEALTHCARE FOR INABILITY TO PAY. BLESSING WALK-IN CLINIC, LLC - OPERATES HEALTH CLINICS IN RETAIL FACILITIES. CROSSRIVER QUALITY HEALTH PARTNERS - A CLINICALLY INTEGRATED NETWORK OF REGIONAL PHYSICIANS DEDICATED TO ENHANCING CARE QUALITY. BLESSING ASSURANCE COMPANY - A TAXABLE FOREIGN CORPORATION THAT PROVIDES SELF-INSURANCE TO THE AFFILIATED GROUP. HANNIBAL CLINIC, INC. - A TAXABLE CORPORATION THAT OPERATES A PHYSICIAN CLINIC PROVIDING MULTI-SPECIALTY OUTPATIENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN SERVICES - THE ORGANIZATION OPERATES A HEALTH CARE PROVIDER PRACTICE DBA BLESSING PHYSICIAN SERVICES (BPS). THE PROVIDER GROUP HAS A TOTAL OF 77 PROVIDERS COVERING 20 MEDICAL SPECIALTIES. DURING THE YEAR BPS PROVIDED 203,335 PATIENT VISITS AND EMPLOYED 392 PEOPLE. WITHIN THESE PROVIDER PRACTICES, IT IS THE POLICY OF THE ORGANIZATION THAT NO ONE IS TO BE DENIED HEALTH CARE FOR INABILITY TO PAY. BPS CONTINUES ITS PRESENCE IN THE REGION WITH SPECIALTY CLINICS IN OUT-REACH LOCATIONS. IN FY 2019, GOALS IN QUALITY, SATISFACTION, AND GROWTH WERE ALL EXCEEDED, MAKING THE YEAR EXCEPTIONAL FOR BPS. THE BLESSING HEALTH SYSTEM'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: BECOME AN INDEPENDENT REGIONAL DESTINATION HEALTH SYSTEM ACHIEVE TOP DECILE PERFORMANCE ACHIEVE TOP DECILE STAKEHOLDER ENGAGEMENT IMPROVE PEOPLE SYSTEMS EFFECTIVE RESOURCE ALLOCATION THROUGH EVIDENCE BASED FINANCIAL LEADERSHIP PRACTICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CAYMAN ISLANDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION ARE AS FOLLOWS: (A) THOSE PERSONS FROM TIME TO TIME SERVING ON THE BOARD OF TRUSTEES OF THE CORPORATION; (B) THE CHAIRMEN OF BLESSING HOSPITAL, BLESSING PHYSICIAN SERVICES, BLESSING AFFILIATES, INC., THE BLESSING FOUNDATION, INC., DENMAN SERVICES, INC., AND BLESSINGCARE CORPORATION; (C) NON-TRUSTEE MEMBERS OF STANDING COMMITTEES OF THE CORPORATION; AND (D) FOUR REPRESENTIVES OF BLESSING PHYSICIAN SERVICES, AS SELECTED BY THE BOARD OF TRUSTEES OF SUCH ORGANIZATION, AND FOUR REPRESENTATIVES OF EACH OF THE FOLLOWING ORGANIZATIONS OF BLESSING HOSPITAL, AS SELECTED BY EACH SUCH ORGANIZATION: MEDICAL-DENTAL STAFF, BLESSING-REIMAN COLLEGE OF NURSING &amp; HEALTH SCIENCES, AND BLESSING VOLUNTEERS IN PARTNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF BCS ELECT THE APPROPRIATE NUMBER OF TRUSTEES TO FILL THE POSITIONS LEFT VACANT OR TO BE VACANT BY TRUSTEES WHOSE TERMS HAVE EXPIRED OR WILL BE EXPIRING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING MANAGEMENT AND LEGAL REVIEW, FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO BE READ, SIGNED, AND RETURNED TO THE ORGANIZATION. THE SIGNED POLICIES ARE RETAINED IN THE CORPORATE ADMINISTRATIVE FILES. IN ADDITION, EACH OFFICER, DIRECTOR, OR TRUSTEE IS REQUIRED TO DECLARE NO CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH MONTHLY BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ON A BI-ANNUAL BASIS COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ON A BI-ANNUAL BASIS COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CAPITAL CONTRIBUTIONS 1,380,123 EQUITY EARNINGS IN SUBSIDIARIES -9,510,796 TOTAL -8,130,673</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc13">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CROSSRIVER QUALITY HEALTH PARTNERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>301007158</EIN>
        <PrimaryActivitiesTxt>QUALITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>370661183</EIN>
        <PrimaryActivitiesTxt>NON-PROFIT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE BLESSING FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>BROADWAY AT 11TH PO BOX 7005</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>623057005</ZIPCd>
        </USAddress>
        <EIN>371128705</EIN>
        <PrimaryActivitiesTxt>FUNDRAISE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSING AFFILIATES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>BROADWAY AT 11TH PO BOX 7005</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>623057005</ZIPCd>
        </USAddress>
        <EIN>371128708</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>640 WEST WASHINGTON</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62363</ZIPCd>
        </USAddress>
        <EIN>371396010</EIN>
        <PrimaryActivitiesTxt>NON-PROFIT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION - MO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>431371818</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL SELF-INSURANCE PL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>371045366</EIN>
        <PrimaryActivitiesTxt>LIAB CLMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BCS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLESSING WALK-IN CLINIC LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>814181593</EIN>
        <PrimaryActivitiesTxt>MED SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ILLINI HEALTH SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 40</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>623060040</ZIPCd>
        </USAddress>
        <EIN>470901851</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DENMAN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DENMAN</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CURRENT HEALTH NETWORK LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>811681509</EIN>
        <PrimaryActivitiesTxt>PRVDR NTWK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHS HLDGS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHEAST MISSOURI AMBULATORY SURGE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>98 MEDICAL DRIVE</AddressLine1Txt>
          <CityNm>HANNIBAL</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>634010511</ZIPCd>
        </USAddress>
        <EIN>431857277</EIN>
        <PrimaryActivitiesTxt>MED SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HANNIBAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DENMAN SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>BROADWAY AT 14TH ST</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62306</ZIPCd>
        </USAddress>
        <EIN>371132117</EIN>
        <PrimaryActivitiesTxt>MED. EQUIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHS HOLDING COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1005 BROADWAY</AddressLine1Txt>
          <CityNm>QUINCY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62301</ZIPCd>
        </USAddress>
        <EIN>320481381</EIN>
        <PrimaryActivitiesTxt>GRP HLTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HANNIBAL CLINIC INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 MEDICAL DRIVE</AddressLine1Txt>
          <CityNm>HANNIBAL</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63401</ZIPCd>
        </USAddress>
        <EIN>431033473</EIN>
        <PrimaryActivitiesTxt>MED SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BCS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1159</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <ProvinceOrStateNm>CAYMAN ISLANDS</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981454767</EIN>
        <PrimaryActivitiesTxt>SELF-INS.</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>47212477</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>17535102</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>4026196</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>205500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE BLESSING FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1650711</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE BLESSING FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>234192</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSINGCARE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>915740</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DENMAN SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>309957</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HANNIBAL CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>130679</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>3646974</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING ASSURANCE COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>250000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLESSING HOSPITAL SELF-INSURANCE PL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>17316919</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>