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        <ManagementAndGeneral>164454</ManagementAndGeneral>
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        <CompReportPrior990RelatedOrgs>1362</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MARIA SZYMANSKI</NamePerson>
        <Title>CHAIR; TRINITY SVP RETIRED 1/13</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>AGNES HAGERTY</NamePerson>
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        <NamePerson>STEVEN GOSIK</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>PAUL CONLON</NamePerson>
        <Title>TRUSTEE; TRINITY SVP, CLIN, QUALITY</Title>
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        <CompReportPrior990RelatedOrgs>7849</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>LOUIS FIERENS</NamePerson>
        <Title>TRUSTEE, TRINITY SVP, SUP CHAIN MGMT</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>329192</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>133901</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>55547</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>53208</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15721</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>587569</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>9499</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GRACE MCCAULEY</NamePerson>
        <Title>TRUSTEE; CEO, TRINITY HOME HLTH SVCS</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>206803</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>75494</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>39201</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>58715</DeferredCompRelatedOrgs>
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        <TotalCompensationRelatedOrgs>400948</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>SALVATORE ALBANESE</NamePerson>
        <Title>SYSTEM VP ORGANIZATIONAL TALENT</Title>
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        <CompBasedOnRelatedOrgs>140403</CompBasedOnRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAMELA HARRIS</NamePerson>
        <Title>SYSTEM VP CLINICAL OPS &amp; CNO</Title>
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        <CompBasedOnRelatedOrgs>136317</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>16241</BonusRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>17054</NontaxableBenefitsRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>REBECCA LUND</NamePerson>
        <Title>ADMINISTRATOR</Title>
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        <CompBasedOnRelatedOrgs>122577</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH RZEPKA</NamePerson>
        <Title>FORMER INTERIM CFO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>116024</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 3</ReturnReference>
        <Explanation>MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: GRACE MCCAULEY - $21,815 KENNETH ROBBINS - $19,594 LOUIS FIERENS - $33,235 MARIA SZYMANSKI - $21,247 PAUL CONLON - $42,044</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION IS TRINITY CONTINUING CARE SERVICES. SEE LINE 7 FOR ADDITIONAL INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>TRINITY CONTINUING CARE SERVICES IS THE SOLE MEMBER OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION. TRINITY CONTINUING CARE SERVICES HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>AS SOLE MEMBER, TRINITY CONTINUING CARE SERVICES MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY CONTINUING CARE SERVICES MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION'S FORM 990 WAS REVIEWED BY MANAGEMENT. MANAGEMENT REVIEW TOOK PLACE BEFORE THE FORM 990 WAS FILED WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>MERCY SERVICES FOR AGING NON PROFIT HOUSING CORPORATION HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS, BOARD MEMBERS, AND KEY MANAGEMENT OFFICIALS OF MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 81,762. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,762. PURCHASED THERAPEUTIC SERVICES: PROGRAM SERVICE EXPENSES 995,534. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 995,534. PURCHASED LAUNDRY/LINEN SERVICES: PROGRAM SERVICE EXPENSES 103,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,032. MEDICAL PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,400. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 135. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,299. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,299. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 526,622. MANAGEMENT AND GENERAL EXPENSES 53,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 580,319.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2</ReturnReference>
        <Explanation>MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORP.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PAGE 1, DOING BUSINESS AS NAMES:</ReturnReference>
        <Explanation>SANCTUARY AT BELLBROOK MERCY BELLBROOK</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>245 STATE ST SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EIN>272491974</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMICARE HOSPICE SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>382949053</EIN>
        <PrimaryActivities>PROVIDE HOSPICE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUXILIARY OF HOLY ROSARY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>351 SW 9TH STREET</AddressLine1>
          <City>ONTARIO</City>
          <State>OR</State>
          <ZIPCode>97914</ZIPCode>
        </AddressUS>
        <EIN>943059469</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-ONTARIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>255 NORTH WELCH AVENUE</AddressLine1>
          <City>PRIMGHAR</City>
          <State>IA</State>
          <ZIPCode>51245</ZIPCode>
        </AddressUS>
        <EIN>421500277</EIN>
        <PrimaryActivities>ACUTE/AMBULATORY HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL &amp; CLINICS FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>255 NORTH WELCH AVENUE</AddressLine1>
          <City>PRIMGHAR</City>
          <State>IA</State>
          <ZIPCode>51245</ZIPCode>
        </AddressUS>
        <EIN>262973307</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHERINE MCAULEY HEALTH SERVICES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 995</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382507173</EIN>
        <PrimaryActivities>FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHE TRINITY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>900931907</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS OF SOUTH BEND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 3998</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46619</ZIPCode>
        </AddressUS>
        <EIN>263051440</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CRANBROOK HOSPICE CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 W LONG LAKE RD STE 102</AddressLine1>
          <City>TROY</City>
          <State>MI</State>
          <ZIPCode>48098</ZIPCode>
        </AddressUS>
        <EIN>383320699</EIN>
        <PrimaryActivities>PROVIDE HOSPICE HEALTH SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DILEY RIDGE MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>342032340</EIN>
        <PrimaryActivities>HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DUBUQUE MERCY HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 MERCY DRIVE</AddressLine1>
          <City>DUBUQUE</City>
          <State>IA</State>
          <ZIPCode>52001</ZIPCode>
        </AddressUS>
        <EIN>262227941</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DYERSVILLE HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 3RD STREET SW</AddressLine1>
          <City>DYERSVILLE</City>
          <State>IA</State>
          <ZIPCode>52040</ZIPCode>
        </AddressUS>
        <EIN>205383271</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>363332852</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GOTTLIEB MEMORIAL HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOTTLIEB MEMORIAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>743260011</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOTTLIEB MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>362379649</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LOYOLA UNIVERSITY HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 CLINTON ST PO BOX 3302</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494433302</ZIPCode>
        </AddressUS>
        <EIN>381358196</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 3302</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494433302</ZIPCode>
        </AddressUS>
        <EIN>382299878</EIN>
        <PrimaryActivities>SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY LIFE COUNSELING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1352 TERRACE ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494423545</ZIPCode>
        </AddressUS>
        <EIN>381386362</EIN>
        <PrimaryActivities>COUNSELING, EDUCATION, AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY VISITING NURSE SERVICES AND HOSPICE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>888 TERRACE ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>381359598</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS CARENET INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9184</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48333</ZIPCode>
        </AddressUS>
        <EIN>521945054</EIN>
        <PrimaryActivities>LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>208428450</EIN>
        <PrimaryActivities>CHARITABLE FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOLY CROSS HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS HEALTH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 FOREST GLEN RD</AddressLine1>
          <City>SILVER SPRING</City>
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        <PrimaryActivity>PROVIDE GASTROINTESTINAL SERVICES</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL OHIO SLEEP MEDICINE LTD</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311701029</EIN>
        <PrimaryActivity>SLEEP MEDICINE SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>CLINTON IMAGING SERVICES LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>615 VALLEY VIEW DR STE 202</AddressLine1>
          <City>MOLINE</City>
          <State>IL</State>
          <ZIPCode>61265</ZIPCode>
        </AddressUS>
        <EIN>412044739</EIN>
        <PrimaryActivity>MRI DIAGNOSTIC SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>FOREST PARK IMAGING LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>134365966</EIN>
        <PrimaryActivity>X-RAY AND MAMMOGRAPHY SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRANCES WARDE MEDICAL LABORATORY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 WEST TEXTILE ROAD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48104</ZIPCode>
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        <EIN>382648446</EIN>
        <PrimaryActivity>LABORATORY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>FRESNO IMAGING CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1303 E HERNDON AVE</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93720</ZIPCode>
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        <EIN>770363563</EIN>
        <PrimaryActivity>DIAGNOSTIC IMAGING</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAWARDEN REGIONAL HEALTH CLINICS LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1122 AVENUE L</AddressLine1>
          <City>HAWARDEN</City>
          <State>IA</State>
          <ZIPCode>51023</ZIPCode>
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        <EIN>201444339</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>IDAHO GYNONCOLOGY SERVICES LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1055 N CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>202975807</EIN>
        <PrimaryActivity>PROVIDE GYN ONCOLOGY SERVICES</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>INTERMOUNTAIN MEDICAL IMAGING LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>877 WEST MAIN ST STE 603</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83702</ZIPCode>
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        <EIN>820514422</EIN>
        <PrimaryActivity>PROVIDE IMAGING SERVICES</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>LOYOLA AMBULATORY SURGERY CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3000 RIVERCHASE GALLERIA STE 500</AddressLine1>
          <City>BIRMINGHAM</City>
          <State>AL</State>
          <ZIPCode>35244</ZIPCode>
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        <EIN>364119522</EIN>
        <PrimaryActivity>SURGICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MAGNETIC RESONANCE SERVICES PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1416 SIXTH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>421328388</EIN>
        <PrimaryActivity>MRI SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MASON CITY AMBULATORY SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>990 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>201960348</EIN>
        <PrimaryActivity>SURGERY-SAME DAY</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCE MOB IV LIMITED PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>421544707</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCMC POB III LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311392994</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDILUCENT MOB I</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>204911370</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY ADVANCED MRI LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>262116721</EIN>
        <PrimaryActivity>SUBLEASE MRI EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEART &amp; VASCULAR LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>205272726</EIN>
        <PrimaryActivity>SUBLEASE CT EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEART CTR OP SERVICES LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>134237594</EIN>
        <PrimaryActivity>CARDIOVASCULAR SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIANA HEALTH INFORMATION NETWORK LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>215 WEST MADISON STREET</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46601</ZIPCode>
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        <EIN>352050128</EIN>
        <PrimaryActivity>COMMUNITY BASED CLINICAL INFO SYS &amp; DATA DEPOSITORY</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311369473</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEWCO AMBULATORY SURGERY CTR LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4190 24TH AVENUE</AddressLine1>
          <City>FORT GRATIOT</City>
          <State>MI</State>
          <ZIPCode>48059</ZIPCode>
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        <EIN>300136708</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>SARMED OUTPATIENT PHARMACY LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>999 N CURTIS RD STE 102</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
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        <EIN>510483218</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>SIXTY FOURTH STREET LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2373 64TH ST STE 2200</AddressLine1>
          <City>BYRON CENTER</City>
          <State>MI</State>
          <ZIPCode>49315</ZIPCode>
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        <EIN>202443646</EIN>
        <PrimaryActivity>PROVIDE OUTPATIENT SURGICAL CARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ALPHONSUS CALDWELL CANCER CTR LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3123 MEDICAL DR</AddressLine1>
          <City>CALDWELL</City>
          <State>ID</State>
          <ZIPCode>83605</ZIPCode>
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        <PrimaryActivity>RADIATION ONCOLOGY</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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        <EIN>311603660</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>TAMARACK MEDICAL CLINIC LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>402 OLD STATE HWY</AddressLine1>
          <City>CASCADE</City>
          <State>ID</State>
          <ZIPCode>83611</ZIPCode>
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        <EIN>201637921</EIN>
        <PrimaryActivity>OUTPATIENT MEDICAL SERVICES</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311784409</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 E HURON RIVER DR</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
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        <EIN>760820959</EIN>
        <PrimaryActivity>RADIOLOGY/IMAGING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>ST PETER'S AMBULATORY SURGERY CENTER LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1375 WASHINGTON AVENUE STE 201</AddressLine1>
          <City>ALBANY</City>
          <State>NY</State>
          <ZIPCode>12206</ZIPCode>
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        <EIN>460463892</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>CATHERINE HORAN BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1221 MAIN STREET ROOM 108</AddressLine1>
          <City>HOLYOKE</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <PrimaryActivity>PROPERTY MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTERN MASSACHUSETTS PETCT IMAGING CENTER LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>100 BAYVIEW CIRCLE STE 400</AddressLine1>
          <City>NEWPORT BEACH</City>
          <State>CA</State>
          <ZIPCode>92660</ZIPCode>
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        <EIN>204744663</EIN>
        <PrimaryActivity>OUTPATIENT MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL NEW JERSEY HEART SERVICES LLC</BusinessNameLine1>
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          <AddressLine1>29 E 29TH STREET 2ND FLOOR</AddressLine1>
          <City>BAYONNE</City>
          <State>NJ</State>
          <ZIPCode>07002</ZIPCode>
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        <PrimaryActivity>CARDIAC PROGRAM</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>SMMC MOB II LP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1201 LANGHORNE-NEWTOWN ROAD</AddressLine1>
          <City>LANGHORNE</City>
          <State>PA</State>
          <ZIPCode>19047</ZIPCode>
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        <EIN>364559869</EIN>
        <PrimaryActivity>INVESTMENT AND OPERATION OF A MEDICAL BUILDING</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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          <BusinessNameLine1>THE AMBULATORY SURGERY CENTER AT ST MARY LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1203 LANGHORNE-NEWTOWN ROAD</AddressLine1>
          <City>LANGHORNE</City>
          <State>PA</State>
          <ZIPCode>19047</ZIPCode>
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        <EIN>232871206</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY</PrimaryActivity>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EAST NORRITON MEDICAL ASSOCIATES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>ONE WEST ELM STREET</AddressLine1>
          <City>CONSHOHOCKEN</City>
          <State>PA</State>
          <ZIPCode>19428</ZIPCode>
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        <PrimaryActivity>MEDICAL OFFICE BUILDING</PrimaryActivity>
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          <BusinessNameLine1>GATEWAY HEALTH PLAN</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>300 GRANT STREET</AddressLine1>
          <City>PITTSBURGH</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
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        <PrimaryActivity>MEDICAID &amp; MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCYMANOR PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 10086</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>436990086</ZIPCode>
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        <EIN>521931012</EIN>
        <PrimaryActivity>NURSING HOME</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST AGNES LONG TERM INTENSIVE CARE LLP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>C/O MERCY HEALTH SYSTEM ONE WEST EL</AddressLine1>
          <City>CONSHOHOCKEN</City>
          <State>PA</State>
          <ZIPCode>19428</ZIPCode>
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        <EIN>200984882</EIN>
        <PrimaryActivity>LONG TERM INTENSIVE CARE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>C/O NAZARETH HOSPITAL 2601 HOLME AV</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19152</ZIPCode>
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        <EIN>232388040</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJV MANAGEMENT LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 CENTURY PKWY STE 200E</AddressLine1>
          <City>MOUNT LAUREL</City>
          <State>NJ</State>
          <ZIPCode>08054</ZIPCode>
        </AddressUS>
        <EIN>202273476</EIN>
        <PrimaryActivity>RADIOLOGY</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHYSICIANS OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 NE 56TH STREET</AddressLine1>
          <City>OAKLAND PARK</City>
          <State>FL</State>
          <ZIPCode>33334</ZIPCode>
        </AddressUS>
        <EIN>352325646</EIN>
        <PrimaryActivity>AMBULATORY SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTER FOR SURGERY &amp; DIGESTIVE ORDERS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3641 SOUTH MIAMI AVENUE</AddressLine1>
          <City>MIAMI</City>
          <State>FL</State>
          <ZIPCode>33133</ZIPCode>
        </AddressUS>
        <EIN>510438152</EIN>
        <PrimaryActivity>OUTPATIENT MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>565 W WESTERN AVE</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>383522260</EIN>
        <PrimaryActivity>SOFTWARE MARKETING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GOTTLIEB MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>363330529</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH MANAGEMENT CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382961814</EIN>
        <PrimaryActivity>WEIGHT MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382589959</EIN>
        <PrimaryActivity>OTHER MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTHCARE EQUIPMENT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382578569</EIN>
        <PrimaryActivity>HOME MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383024797</EIN>
        <PrimaryActivity>REAL ESTATE RENTAL</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL PHARMACY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382447870</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEF INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383086401</EIN>
        <PrimaryActivity>OFFICE STAFFING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOLY CROSS PRIVATE HOME SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521986562</EIN>
        <PrimaryActivity>HOME CARE SERVICES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HPC CO-OWNERS ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 CLINTON</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>270734448</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOCIATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 EAST HURON RIVER DR PO BOX 992</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382475644</EIN>
        <PrimaryActivity>PROVIDES OFFICE RENTAL SPACE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IHA AFFILIATION CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383188895</EIN>
        <PrimaryActivity>MEDICAL MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MARYLAND CARE GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521815313</EIN>
        <PrimaryActivity>HEALTHCARE HOLDING</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDNOW INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>820389927</EIN>
        <PrimaryActivity>OUTPATIENT PHARMACY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY MEDICAL SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>801 5TH STREET</AddressLine1>
          <City>SIOUX CITY</City>
          <State>IA</State>
          <ZIPCode>51101</ZIPCode>
        </AddressUS>
        <EIN>421283849</EIN>
        <PrimaryActivity>PRIMARY CARE PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>363227348</EIN>
        <PrimaryActivity>DORMANT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN ATHLETIC CLUB</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 BURTON</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>382647304</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL HEALTH PROVIDERS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311382442</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH IOWA MERCY MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 4TH ST SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>421382308</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIORITY PLUS OF CALIFORNIA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 27230</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93729</ZIPCode>
        </AddressUS>
        <EIN>770395267</EIN>
        <PrimaryActivity>FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT ALPHONSUS PHYSICIANS PA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS ROAD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>837061370</ZIPCode>
        </AddressUS>
        <EIN>331078261</EIN>
        <PrimaryActivity>PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT MARY'S HEALTH MANAGEMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1640 EAST PARIS SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>383450733</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER FINANCING CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311531102</EIN>
        <PrimaryActivity>FINANCE, INSURANCE AND REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THRE SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>452603654</EIN>
        <PrimaryActivity>REAL ESTATE BROKERAGE SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRINITY HEALTH EMPLOYEE BENEFIT TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>383410377</EIN>
        <PrimaryActivity>GRANTOR TRUST</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>T</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VENZKE INSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 GRAND CAYMAN</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980453602</EIN>
        <PrimaryActivity>PROVISION OF INSURANCE COVERAGE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1820 44TH STREET SE</AddressLine1>
          <City>KENTWOOD</City>
          <State>MI</State>
          <ZIPCode>49508</ZIPCode>
        </AddressUS>
        <EIN>382700166</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOCIATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTSHORE HEALTH NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1820 44TH STREET</AddressLine1>
          <City>KENTWOOD</City>
          <State>MI</State>
          <ZIPCode>49508</ZIPCode>
        </AddressUS>
        <EIN>383280200</EIN>
        <PrimaryActivity>PHYSICIAN HOSPITAL ORGANIZATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WORKPLACE HEALTH OF GRAND HAVEN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383112035</EIN>
        <PrimaryActivity>OCCUPATIONAL HEALTH</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAMARITAN MEDICAL OFFICE BUILDING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2212 BURDETT AVENUE</AddressLine1>
          <City>TROY</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </AddressUS>
        <EIN>141607244</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AFFILIATED MANAGEMENT SERVICES CORPORATION INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1300 MASSACHUSETTS AVENUE</AddressLine1>
          <City>TROY</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </AddressUS>
        <EIN>141668024</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CATHERINE HORAN BUILDING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>C/O SPHS 1221 MAIN STREET SUITE 108</AddressLine1>
          <City>HOLYOKE</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>042938160</EIN>
        <PrimaryActivity>BUILDING MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
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</Return>