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        <Identifier>POST-TERMINATION PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JOHN MORAHAN DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JOHN MORAHAN $36,939 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JOHN MORAHAN $24,127</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000266" softwareVersion="v2012.1.0">
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>ST. JOSEPH MEDICAL GROUP (SJMG) PROVIDES QUALITY PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY IN CONJUNCTION WITH, AND IN SUPPORT OF, ST. JOSEPH REGIONAL HEALTH NETWORK, IN READING, PENNSYLVANIA, WHICH IS ALSO A 501(C)(3) CHARITABLE, TAX EXEMPT ORGANIZATION. SJMG PROVIDES THESE SERVICES TO THE CITIZENS OF ITS COMMUNITY WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES AND MEDICAL EDUCATION. THEREFORE, IN KEEPING WITH THE COMMITMENT OF SJMG AND ST. JOSEPH REGIONAL HEALTH NETWORK TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND INDIVIDUAL'S INABILITY TO PAY COEXIST. SJMG PROVIDES THE FOLLOWING PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY THROUGH ITS DULY-LICENSED PHYSICIANS, EMPLOYEES AND CONTRACTORS: FAMILY MEDICINE, OB/GYN, GENERAL SURGICAL SERVICES, NEUROLOGY, NEUROSURGERY, VASCULAR SERVICES, ORTHOPEDICS, AND CONTINUING COMMUNITY AND MEDICAL EDUCATION SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>ACCORDING TO THE BYLAWS OF ST. JOSEPH MEDICAL GROUP, THE ENTITY'S SOLE MEMBER IS BORNEMANN HEALTH CORPORATION, A PENNSYLVANIA NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS AS NEEDED TO FILL EXPIRED TERMS OR VACANCIES AMONG THE DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>ST.JOSEPH MEDICAL GROUP'S (SJMG) CORPORATE MEMBER IS BORNEMANN HEALTH CORPORATION (BHC). PURSUANT TO SECTION 5.4 OF SJMG'S BYLAWS THE CORPORATE MEMBER HAS THE RIGHT TO APPROVE OR DISAPPROVE ANY OF THE FOLLOWING ACTIONS: - ANY CHANGE IN THE MISSION OR PHILOSOPHY OF THE CORPORATION; - ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; - THE REMOVAL, WITH OR WITHOUT CAUSE, OF ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; - THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, AND CAPITAL LEASES, IN EXCESS OF THRESHOLDS AND WITHIN THE LIMITS ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - ANY JOINT VENTURE TO WHICH THE CORPORATION IS A PARTY; - THE CREATION OF A NEW CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY OF THE CORPORATION; - ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; - SALE, LEASE OR OTHER DISPOSITION OF ANY REAL OR PERSONAL PROPERTY OF THE CORPORATION WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS TO BE SET FROM TIME TO TIME BY THE CORPORATE MEMBER, BUT ONLY WHERE SUCH SALE, LEASE OR OTHER DISPOSITION HAS NOT OTHERWISE BEEN PREVIOUSLY APPROVED BY THE CORPORATE MEMBER IN THE CORPORATION'S BUDGETING PROCESS OR OTHERWISE; - SALE, RELEASE, DISSOLUTION, TRANSFER, EXCHANGE OR OTHER DISPOSITION OF ANY ORGANIZATION (OR OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SUCH ORGANIZATION) CONTROLLED BY THE CORPORATION; - THE ADOPTION OF LONG RANGE AND STRATEGIC PLANS; - THE ADOPTION OF OPERATING AND CAPITAL BUDGETS AND AMENDMENTS THERTO; AND - ANY VARIATIONS FROM PREVIOUSLY APPROVED OPERATING AND/OR CAPITAL BUDGETS, IN EXCESS OF THRESHOLDS ESTABLISHED BY THE CORPORATE MEMBER; - EXPENDITURES FOR (I) NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, AND (II) ITEMS WHICH ARE INCLUDED IN THE CORPORATION'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE CORPORATE MEMBER. IN ADDITION TO THE RIGHTS RESERVED TO THE CORPORATE MEMBER, THE CORPORATE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO THE CORPORATE MEMBER TO THE EXTENT NECESSARY TO ACCOMPLISH THE CORPORATE MEMBER'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF THE CORPORATE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, ISSUED OR INCURRED BY OR ON BEHALF OF THE CORPORATE MEMBER OR A CORPORATE MEMBER AFFILIATE IN FURTHERANCE OF THE CORPORATE MEMBER'S GOAL AND OBJECTIVES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE ST. JOSEPH MEDICAL GROUP'S BOARD EITHER AT A BOARD MEETING OR ELECTRONICALLY. SUBSEQUENT TO PROVIDING A COPY TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS AND ORGANIZATION LEADERS ANNUALLY DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER REVIEWS EACH OF THE DISCLOSURE STATEMENTS AND PREPARES A REPORT DETAILING ANY IDENTIFIED CONFLICTS. THE CONFLICT DISCLOSURE REVIEW IS PRESENTED AT THE BOARD AFFAIRS COMMITTEE. ALL EMPLOYEES AND BOARD MEMBERS RECEIVE EDUCATION ON CONFLICTS OF INTEREST, WITH BOARD MEETINGS AND PHYSICIAN TRANSACTION REVIEW MEETINGS STARTING WITH A REQUEST TO DECLARE POTENTIAL CONFLICTS WITH AGENDA ITEMS. ANY POTENTIAL ISSUES ARE REVIEWED AND INDIVIDUALS WITH A MATERIAL CONFLICT ARE PERMITTED TO PARTICIPATE IN DISCUSSIONS BUT DO NOT PARTICIPATE IN THE VOTE ON ANY ACTION ITEM. DEPARTMENT LEADERS DISCLOSE ANY POTENTIAL EMPLOYEE CONFLICTS TO THE CRO WITH THE CEO DETERMINING THE COURSE OF ACTION FOR ANY POTENTIALLY SIGNIFICANT CONFLICTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>DURING THE TAX YEAR ENDED JUNE 30, 2013, NO OFFICERS, DIRECTORS, OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION WAS PAID BY ST. JOSEPH REGIONAL HEALTH NETWORK, A RELATED ORGANIZATION, AND WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE ST. JOSEPH REGIONAL HEALTH NETWORK BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS OR COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Expenses</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11g</ReturnReference>
        <Explanation>OTHER EXPENSES - TOTAL EXPENSE: 181515, PROGRAM SERVICE EXPENSE: 181515, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER CONTRACT PROFESSIONALS - TOTAL EXPENSE: 1096344, PROGRAM SERVICE EXPENSE: 882858, MANAGEMENT AND GENERAL EXPENSES: 213486, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 203967, PROGRAM SERVICE EXPENSE: 203967, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; BILLING FEES - TOTAL EXPENSE: 882469, PROGRAM SERVICE EXPENSE: 882469, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; TRANSCRIPTION - TOTAL EXPENSE: 109603, PROGRAM SERVICE EXPENSE: 109603, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT CREIGHTON CLINIC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT CREIGHTON HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH - BERGAN MERCY HEALTH SYS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7500 MERCY ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68124</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>631 N 8TH STREET</AddressLine1>
          <City>MISSOURI VALLEY</City>
          <State>IA</State>
          <ZIPCode>51555</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH IMMANUEL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6901 NORTH 72ND STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68122</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>104 W 17TH STREET</AddressLine1>
          <City>SCHUYLER</City>
          <State>NE</State>
          <ZIPCode>68661</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 368</AddressLine1>
          <City>CORNING</City>
          <State>IA</State>
          <ZIPCode>50841</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHBMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALVERNA APARTMENTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 SE 8TH AVENUE</AddressLine1>
          <City>LITTLE FALLS</City>
          <State>MN</State>
          <ZIPCode>56345</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>APPLETREE COURT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 OAK STREET</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <PrimaryActivities>SENIOR HOMES</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BISHOP DRUMM RETIREMENT CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BORNEMANN HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE RD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CARRINGTON HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 NORTH 4TH STREET</AddressLine1>
          <City>CARRINGTON</City>
          <State>ND</State>
          <ZIPCode>58421</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6385 CORPORATE DRIVE</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80919</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
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        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
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          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
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        <LegalDomicileState>CO</LegalDomicileState>
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        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION</BusinessNameLine1>
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          <AddressLine1>6385 CORPORATE DRIVE</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80919</ZIPCode>
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        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES-COLORADO</BusinessNameLine1>
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          <AddressLine1>188 INVERNESS DRIVE WEST SUITE 500</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
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        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES</BusinessNameLine1>
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          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
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        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>CENTENNIAL MEDICAL GROUP INC</BusinessNameLine1>
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          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
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        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
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          <BusinessNameLine1>MMC</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRAL KANSAS MEDICAL CENTER</BusinessNameLine1>
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          <AddressLine1>3515 BROADWAY</AddressLine1>
          <City>GREAT BEND</City>
          <State>KS</State>
          <ZIPCode>67530</ZIPCode>
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        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI HEALTH CONNECT AT HOME - FARGO</BusinessNameLine1>
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          <AddressLine1>4816 AMBER VALLEY PARKWAY SOUTH</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58104</ZIPCode>
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        <LegalDomicileState>ND</LegalDomicileState>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI KENTUCKY INC</BusinessNameLine1>
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          <AddressLine1>3900 OLYMPIC BLVD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
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        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>CHI NATIONAL HOME CARE</BusinessNameLine1>
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          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
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          <BusinessNameLine1>CHI NHC</BusinessNameLine1>
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          <BusinessNameLine1>CHI NATIONAL SERVICES</BusinessNameLine1>
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          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
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          <AddressLine1>6940 O STREET</AddressLine1>
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          <BusinessNameLine1>COMMUNITY LIMITED CARE DIALYSIS CENTER</BusinessNameLine1>
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          <BusinessNameLine1>GSH</BusinessNameLine1>
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          <BusinessNameLine1>COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA</BusinessNameLine1>
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          <BusinessNameLine1>AHCMH</BusinessNameLine1>
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          <BusinessNameLine1>CONTINUING CARE HOSPITAL</BusinessNameLine1>
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          <AddressLine1>150 NORTH EAGLE CREEK DRIVE</AddressLine1>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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          <BusinessNameLine1>COVENANT HOME CARE</BusinessNameLine1>
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          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
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          <BusinessNameLine1>ENUMCLAW REGIONAL HOSPITAL ASSOCIATION</BusinessNameLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>GOOD SAMARITAN COLLEGE OF NURSING &amp; HEALTH SCIENCE</BusinessNameLine1>
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          <BusinessNameLine1>GOOD SAMARITAN FOUNDATION OF CINCINNATI INC</BusinessNameLine1>
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          <State>OH</State>
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          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
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          <BusinessNameLine1>GSH</BusinessNameLine1>
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          <BusinessNameLine1>ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK</BusinessNameLine1>
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          <AddressLine1>6624 FANNIN</AddressLine1>
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          <BusinessNameLine1>SLHS</BusinessNameLine1>
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          <City>LOUISVILLE</City>
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          <BusinessNameLine1>SCHS</BusinessNameLine1>
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          <BusinessNameLine1>SAINT CLARE'S FOUNDATION</BusinessNameLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>SAINT ELIZABETH FOUNDATION</BusinessNameLine1>
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          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
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          <BusinessNameLine1>SAMARITAN BEHAVIORAL HEALTH</BusinessNameLine1>
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          <BusinessNameLine1>ST JOSEPH HEALTH MINISTRIES</BusinessNameLine1>
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          <AddressLine1>1601 SE COURT AVENUE</AddressLine1>
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          <ZIPCode>97801</ZIPCode>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>ST ANTHONY HOSPITAL FOUNDATION</BusinessNameLine1>
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          <AddressLine1>1601 SE COURT AVENUE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
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          <BusinessNameLine1>SA HOSPITAL</BusinessNameLine1>
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          <AddressLine1>FOUR HOSPITAL DRIVE</AddressLine1>
          <City>MORRILTON</City>
          <State>AR</State>
          <ZIPCode>72110</ZIPCode>
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          <BusinessNameLine1>SVIMC</BusinessNameLine1>
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          <AddressLine1>401 EAST SPRUCE STREET</AddressLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <AddressLine1>401 EAST SPRUCE STREET</AddressLine1>
          <City>GARDEN CITY</City>
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          <ZIPCode>97914</ZIPCode>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>ST FRANCIS LIFE CARE CORPORATION</BusinessNameLine1>
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          <BusinessNameLine1>ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>SLHS</BusinessNameLine1>
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        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>SLHS</BusinessNameLine1>
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          <BusinessNameLine1>ST LUKE'S MEDICAL CENTER</BusinessNameLine1>
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          <AddressLine1>6624 FANNIN</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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          <BusinessNameLine1>ST MARY'S COMMUNITY HOSPITAL</BusinessNameLine1>
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          <AddressLine1>1314 3RD AVENUE</AddressLine1>
          <City>NEBRASKA CITY</City>
          <State>NE</State>
          <ZIPCode>68410</ZIPCode>
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        <PublicCharityStatus>3</PublicCharityStatus>
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          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
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          <BusinessNameLine1>ST MARY'S HEALTHCARE CENTER</BusinessNameLine1>
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          <AddressLine1>801 EAST SIOUX AVENUE</AddressLine1>
          <City>PIERRE</City>
          <State>SD</State>
          <ZIPCode>57501</ZIPCode>
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        <PublicCharityStatus>3</PublicCharityStatus>
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          <BusinessNameLine1>ST MARY'S HOSPITAL FOUNDATION</BusinessNameLine1>
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          <AddressLine1>1314 3RD AVENUE</AddressLine1>
          <City>NEBRASKA CITY</City>
          <State>NE</State>
          <ZIPCode>68410</ZIPCode>
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        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>ST VINCENT FOUNDATION</BusinessNameLine1>
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          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
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          <BusinessNameLine1>ST VINCENT INFIRMARY MEDICAL CENTER</BusinessNameLine1>
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          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
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        <PublicCharityStatus>3</PublicCharityStatus>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>ST VINCENT MEDICAL GROUP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
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        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ST LUKE'S SUGAR LAND PROPERTIES CORPORATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
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          <BusinessNameLine1>SL CDC - SL</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH</BusinessNameLine1>
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          <AddressLine1>619 OAK STREET ACCOUNTING-3 W</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
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          <BusinessNameLine1>THE PHYSICIAN NETWORK</BusinessNameLine1>
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          <AddressLine1>2000 Q STREET SUITE 500</AddressLine1>
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          <State>NE</State>
          <ZIPCode>68503</ZIPCode>
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          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
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          <BusinessNameLine1>TOTAL HEALTHCARE</BusinessNameLine1>
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          <AddressLine1>188 INVERNESS DRIVE WEST SUITE 500</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
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          <BusinessNameLine1>UNITY FAMILY HEALTHCARE</BusinessNameLine1>
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          <AddressLine1>815 SE 2ND STREET</AddressLine1>
          <City>LITTLE FALLS</City>
          <State>MN</State>
          <ZIPCode>56345</ZIPCode>
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          <BusinessNameLine1>VILLA NAZARETH INC</BusinessNameLine1>
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          <AddressLine1>801 PAGE DRIVE</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58103</ZIPCode>
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          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF ST CLARE'S</BusinessNameLine1>
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          <BusinessNameLine1>WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>MRI AT ST JOSEPH MEDICAL CENTER LLC</BusinessNameLine1>
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          <AddressLine1>7253 AMBASSADOR ROAD</AddressLine1>
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          <BusinessNameLine1>NORTH RIVER SURGERY CENTER LLC</BusinessNameLine1>
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          <BusinessNameLine1>TMI</BusinessNameLine1>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.6658</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ORTHOCOLORADO LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>11650 WEST 2ND PLACE</AddressLine1>
          <City>LAKEWOOD</City>
          <State>CO</State>
          <ZIPCode>80255</ZIPCode>
        </AddressUS>
        <EIN>371577105</EIN>
        <PrimaryActivity>ORTHO HOSPITAL</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1846153</ShareOfTotalIncome>
        <ShareOfEOYAssets>8411844</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENINSULA RADIATION ONCOLOGY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>315 MARTIN LUTHER KING JR WAY 111</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>870808610</EIN>
        <PrimaryActivity>HEALTHCARE SRVC</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>256567</ShareOfTotalIncome>
        <ShareOfEOYAssets>3262002</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENRAD IMAGING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1390 KELLY JOHNSON BLVD</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80920</ZIPCode>
        </AddressUS>
        <EIN>841072619</EIN>
        <PrimaryActivity>MEDICAL IMAGING</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
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        <ShareOfTotalIncome>715094</ShareOfTotalIncome>
        <ShareOfEOYAssets>3489436</ShareOfEOYAssets>
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        <CodeVAmount>0</CodeVAmount>
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        <PercentageOwnership>0.7</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RUXTON SURGICENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8322 BELLONA AVENUE SUITE 201</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>522095835</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
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        <ShareOfTotalIncome>-69345</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT JOSEPH - SCA HOLDINGS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1451 HARRDOSBURG ROAD</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
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        <EIN>453801157</EIN>
        <PrimaryActivity>OP SURGERY</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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        <CodeVAmount>0</CodeVAmount>
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      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 ABRAHAM FLEXNER WAY</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EIN>721386840</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
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          <BusinessNameLine1>JH</BusinessNameLine1>
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        <ShareOfTotalIncome>3388</ShareOfTotalIncome>
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      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>ST FRANCIS LAND COMPANY LLC</BusinessNameLine1>
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          <AddressLine1>5390 N ACADEMY BLVD SUITE 300</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80918</ZIPCode>
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        <LegalDomicileState>CO</LegalDomicileState>
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          <BusinessNameLine1>ST FRANCIS MEDICAL CENTER ASSOCIATES</BusinessNameLine1>
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          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
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        <EIN>911352698</EIN>
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          <BusinessNameLine1>ST JOSEPH-PAML LLC</BusinessNameLine1>
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          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
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          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
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          <BusinessNameLine1>SUPERIOR MEDICAL IMAGING LLC</BusinessNameLine1>
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          <AddressLine1>5000 NORTH 26TH STREET</AddressLine1>
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          <State>NE</State>
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          <BusinessNameLine1>SURGERY CENTER OF LEXINGTON LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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          <BusinessNameLine1>SURGERY CENTER OF LOUISVILLE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>200 ABRAHAM FLEXNER WAY</AddressLine1>
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          <BusinessNameLine1>JH</BusinessNameLine1>
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          <BusinessNameLine1>ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC</BusinessNameLine1>
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          <AddressLine1>3606 N 156TH STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
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          <AddressLine1>7710 MERCY ROAD STE 100</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
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          <BusinessNameLine1>LAKESIDE AMBULATORY SURGICAL CENTER LLC</BusinessNameLine1>
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          <AddressLine1>17031 LAKESIDE HILLS DR</AddressLine1>
          <City>OMAHA</City>
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          <BusinessNameLine1>LAKESIDE ENDOSCOPY CENTER LLC</BusinessNameLine1>
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          <AddressLine1>17001 LAKESIDE HILLS PLZ STE 201</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68130</ZIPCode>
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          <BusinessNameLine1>NEBRASKA SPINE HOSPITAL LLC</BusinessNameLine1>
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          <City>OMAHA</City>
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          <BusinessNameLine1>PRAIRIE HEALTH VENTURES LLC</BusinessNameLine1>
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          <AddressLine1>421 S 9TH ST 102</AddressLine1>
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          <BusinessNameLine1>SAINT JOSEPH-ANC HOME CARE SERVICES</BusinessNameLine1>
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          <BusinessNameLine1>LINCOLN CK LEASING LLC</BusinessNameLine1>
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          <AddressLine1>8770 BRYN MAWR SUITE 1370</AddressLine1>
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          <BusinessNameLine1>HIGHLINE IMAGING LLC</BusinessNameLine1>
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          <AddressLine1>275 SW 160TH ST</AddressLine1>
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          <State>WA</State>
          <ZIPCode>98166</ZIPCode>
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          <BusinessNameLine1>HC SL VINTAGE I LLC</BusinessNameLine1>
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          <AddressLine1>18000 WEST SARAH LANE SUITE 250</AddressLine1>
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      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>ST LUKE'S HOSPITAL AT THE VINTAGE LLC</BusinessNameLine1>
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          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>HOSPITAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>SL CDC - VINTAGE</BusinessNameLine1>
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        <ShareOfEOYAssets>69158748</ShareOfEOYAssets>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>PMC HOSPITAL LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>SL CDC - PMC</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S DIAGNOSTIC CATH LAB LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6620 MAIN ST SUITE 1520</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>710959365</EIN>
        <PrimaryActivity>DIAGNOSTIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>SLHS HOLDINGS</BusinessNameLine1>
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        <ShareOfEOYAssets>868814</ShareOfEOYAssets>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.573</PercentageOwnership>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S LAKESIDE HOSPITAL LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <PrimaryActivity>HOSPITAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>SL CDC - WOODLANDS</BusinessNameLine1>
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        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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          <BusinessNameLine1>ST LUKE'S THE WOODLANDS SLEEP CENTER LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 800</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <EIN>462795726</EIN>
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        <LegalDomicileState>TX</LegalDomicileState>
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        <PercentageOwnership>0.51</PercentageOwnership>
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          <BusinessNameLine1>ALTERNATIVE INSURANCE MANAGEMENT SERVICE</BusinessNameLine1>
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          <AddressLine1>3900 OLYMPIC BOULEVARD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
        </AddressUS>
        <EIN>841112049</EIN>
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        <LegalDomicileState>CO</LegalDomicileState>
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        <ShareOfEOYAssets>6272746</ShareOfEOYAssets>
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          <BusinessNameLine1>AMERICAN NURSING CARE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
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        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
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        </AddressUS>
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        <ShareOfEOYAssets>14669219</ShareOfEOYAssets>
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          <BusinessNameLine1>BC HOLDING COMPANY INC</BusinessNameLine1>
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          <AddressLine1>1850 BLUEGRASS AVE</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40215</ZIPCode>
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        <PrimaryActivity>FITNESS CLUB</PrimaryActivity>
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          <BusinessNameLine1>JH</BusinessNameLine1>
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          <BusinessNameLine1>CADUCEUS MEDICAL ASSOCIATES INC</BusinessNameLine1>
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          <AddressLine1>5600 BRAINERD ROAD SUITE 500</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37411</ZIPCode>
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          <BusinessNameLine1>CAPTIVE MANAGEMENT INITIATIVES</BusinessNameLine1>
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          <AddressLine1>PO BOX 10073 APO</AddressLine1>
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          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
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          <AddressLine1>4231 W 16TH AVENUE</AddressLine1>
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          <State>CO</State>
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          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
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          <State>OH</State>
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          <AddressLine1>1111 6TH AVENUE</AddressLine1>
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          <AddressLine1>PO BOX 10073 APO</AddressLine1>
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          <State>WA</State>
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          <BusinessNameLine1>MEDQUEST</BusinessNameLine1>
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          <State>CO</State>
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          <State>TN</State>
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        <PrimaryActivity>MGMT SVC ORG</PrimaryActivity>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>5312313</ShareOfTotalIncome>
        <ShareOfEOYAssets>4520865</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALL SAINTS INSURANCE COMPANY SPC LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 69 GT 720 WEST BAY ROAD</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY-1102</PostalCode>
        </AddressForeign>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>43866961</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VINTAGE DOCTOR GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>