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        <NamePerson>STEVEN L MICKUS</NamePerson>
        <Title>COO, PRESIDENT OF HEALTHCARE OPERATIONS</Title>
        <BaseCompensationFilingOrg>827750</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>346416</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>282116</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>149330</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>31852</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1637464</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS URBAN</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>390587</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>83655</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>21828</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>47659</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16128</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>559857</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Health or social club dues or initiation fees</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>BECAUSE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS WHICH ARE HEALTH CLUBS). THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE BENEFIT WAS PROVIDED TO THE FOLLOWING LISTED INDIVIDUALS: MICHAEL BEZNEY, MICHAEL CONNELLY, JANE CROWLEY, AND JAMES MAY. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Severance or change-of-control payment</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4a</ReturnReference>
        <Explanation>SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: STEVEN MICKUS $15,000; ROGER LOGAN $100,000, JANICE K. VAN DYNE $145,288.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDING. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL CONNELLY $369,986; MICHAEL BEZNEY $147,814; A. DAVID JIMENEZ $593,733; JEFFREY COPELAND $157,740; JANE CROWLEY $216,552; JAMES GRAVELL $121,690; JAMES MAY $179,382; STEVEN MICKUS $234,135; JAMES REBER $53,111; ROBERT SHRODER $103,001; JOHN STARCHER, JR. $21,395; REBECCA SYKES $153,597; BRIAN SMITH $78,749; STEVEN GROSSBART $64,239; SAMANTHA PLATZKE $83,378; THOMAS URBAN $0; JOSEPH GAGE, JR. $0; ANDREA PRICE $0.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F)</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE CHP EXECUTIVE RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL BEZNEY $0; JEFFREY COPELAND $310,539; JANE CROWLEY $0; JAMES GRAVELL $0; JAMES MAY $0; STEVEN MICKUS $0; JOHN STARCHER, JR $383,081; REBECCA SYKES $0; JEROME JUDD $0; DAVID NOWISKI $0; STEVEN GROSSBART $211,698.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>TERMS AND CONDITIONS OF THE MHPSWO EXECUTIVE BENEFIT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE MERCY HEALTH PARTNERS OF SOUTHWEST OHIO EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: THOMAS URBAN $0.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>TERMS AND CONDITIONS OF THE CHPRHS SERP</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE CHP REGIONAL HEALTH SYSTEM NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR ARE AS FOLLOWS: EDWIN M. OLEY $0.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>TERMS AND CONDITIONS OF THE CMHP SERP</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE COMMUNITY MERCY HEALTH PARTNERS (CMHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE CMHP COMMITTEE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INVESTMENT RETURNS AND/OR LOSSES. PARTICIPANTS VEST AT THE LATER OF FIVE YEARS OF ACTIVE SERVICE OR THE SECOND ANNIVERSARY OF HIS OR HER SEPARATION FROM SERVICE WITH THE EMPLOYER. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDING. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: MARK WIENER $0.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>TERMS AND CONDITIONS OF THE SRMC SERP PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE ST. RITA'S MEDICAL CENTER 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCE, WHICH IS BASED ON A SPECIFIED PERCENTAGE OF COMPENSATION, MAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $0.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Non-fixed payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 7</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF LORAIN OHIO (SERIES 2003)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346001704</IssuerEIN>
        <CUSIPNumber>543583HE1</CUSIPNumber>
        <DateIssued>2003-10-09</DateIssued>
        <IssuePrice>327700000</IssuePrice>
        <DescriptionOfPurpose>REFINANCE PRIOR TAX-EXEMPT BOND DEBT AND PAY THE COSTS OF ISSUING SERIES 2003 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF LORAIN OHIO (SERIES 2006)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346001704</IssuerEIN>
        <CUSIPNumber>543583HR2</CUSIPNumber>
        <DateIssued>2006-05-04</DateIssued>
        <IssuePrice>450000000</IssuePrice>
        <DescriptionOfPurpose>ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2006 BONDS ISSUE COSTS</DescriptionOfPurpose>
        <Defeased>true</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEALTH EDUCATIONAL &amp; HOUSING FACILITY BD KNOX CNTY TN</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621220275</IssuerEIN>
        <CUSIPNumber>499523VL9</CUSIPNumber>
        <DateIssued>2008-05-13</DateIssued>
        <IssuePrice>375000000</IssuePrice>
        <DescriptionOfPurpose>ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2008 BONDS ISSUE COSTS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF ALLEN OHIO (SERIES 2010A AND 2010B)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346400019</IssuerEIN>
        <CUSIPNumber>01757LCT1</CUSIPNumber>
        <DateIssued>2010-04-15</DateIssued>
        <IssuePrice>502270474</IssuePrice>
        <DescriptionOfPurpose>REFINANCE TAX-EXEMPT BOND DEBT, PAY SERIES 2010A AND 2010B ISSUE COST, FINANCE HOSPITAL FACILITIES</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>137845000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>327700000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>2788900</IssuanceCostsFromProceeds>
        <CreditEnhancement>7553724</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>317357376</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>1997</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>286650000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>450000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>3484159</IssuanceCostsFromProceeds>
        <CreditEnhancement>7901897</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>441613944</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <AmountRetired>75000000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>375000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1651981</IssuanceCostsFromProceeds>
        <CreditEnhancement>621407</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>96722660</CapitalExpenditures>
        <OtherSpentProceeds>276003952</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>D</BondReferenceCd>
        <AmountRetired>27045000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>502270474</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>5112739</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>149378773</CapitalExpenditures>
        <OtherSpentProceeds>347778962</OtherSpentProceeds>
        <AmountUnspent>43486107</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>true</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.0070</PrcntgeBondFinancedProp>
        <RemedialActionTaken>true</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0017</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0017</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.0000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0001</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>true</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.1127</PrcntgeBondFinancedProp>
        <RemedialActionTaken>true</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.0000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>true</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>true</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>true</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0.0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>true</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0.0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>ISSUER NAME: COUNTY OF LORAIN, OHIO (Series 2003): No Rebate Due.</Identifier>
        <ReturnReference>Schedule K, Part IV, Line 2c</ReturnReference>
        <Explanation>THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 1/21/2009.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>ISSUER NAME: COUNTY OF LORAIN, OHIO (Series 2006): No Rebate Due.</Identifier>
        <ReturnReference>Schedule K, Part IV, Line 2c</ReturnReference>
        <Explanation>THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 7/7/2011.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>ISSUER NAME: HEALTH EDUCATIONAL &amp; HOUSING FACILITY BD KNOX CNTY TN: No Rebate Due.</Identifier>
        <ReturnReference>Schedule K, Part IV, Line 2c</ReturnReference>
        <Explanation>THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 7/17/2013.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF ALLEN OHIO (SERIES 2010C AND 2010D)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346400019</IssuerEIN>
        <CUSIPNumber>01757LDW3</CUSIPNumber>
        <DateIssued>2010-04-28</DateIssued>
        <IssuePrice>195000000</IssuePrice>
        <DescriptionOfPurpose>FINANCE COST OF HOSPITAL FACILITES AND PAY COST OF ISSUANCE OF SERIES 2010C AND 2010D</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF ALLEN OHIO (SERIES 2011)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346400019</IssuerEIN>
        <DateIssued>2011-09-30</DateIssued>
        <IssuePrice>87426265</IssuePrice>
        <DescriptionOfPurpose>REFUND PORTION OF SERIES 2001A BONDS AND PAY SERIES 2011 ISSUANCE COSTS.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF ALLEN OHIO (SERIES 2012AB)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346400019</IssuerEIN>
        <CUSIPNumber>01757LER3</CUSIPNumber>
        <DateIssued>2012-05-10</DateIssued>
        <IssuePrice>390675321</IssuePrice>
        <DescriptionOfPurpose>ACQUIRE, CONSTRUCT, RENOVATE HOSPITAL, REFUND SERIES 2001A BOND, PAY SERIES 2012A/B COSTS.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>195000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1115779</IssuanceCostsFromProceeds>
        <CreditEnhancement>163874</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>193720346</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>61983928</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>12075000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>87426265</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>217815</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>87208450</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2002</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>390675321</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>3031393</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>215789065</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0060</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0060</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.0000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.0000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.0000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>true</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.0000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>true</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>true</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>true</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0.0</TermOfGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>CHAN HEALTHCARE AUDITORS</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER SR. GERALDINE HOYLER, CSC IS ON THE BD OF MANAGERS FOR CHAN HEALTHCARE AUDITORS</Relationship>
        <AmountOfTransaction>3809117</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTRACTOR</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PREMIER</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BD MEMBER MICHAEL CONNELLY IS A BD MEMBER OF PREMIER</Relationship>
        <AmountOfTransaction>9216410</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTRACTOR</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000266" softwareVersion="v2012.1.0">
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>FIVE SPONSORING ORGANIZATIONS OVERSEE THE GOVERNANCE OF CHP AND DESIGNATE NO FEWER THAN FIVE NOR MORE THAN SEVEN PERSONS TO CONSTITUTE THE CORPORATE MEMBER IN ACCORDANCE WITH THE CO-SPONSORSHIP AGREEMENT. NO PERSON MAY BE DESIGNATED OR CONTINUE TO SERVE ON THE CHP CORPORATE MEMBER UNLESS THAT PERSON EITHER IS A CONGREGATIONAL REPRESENTATIVE, A MEMBER OF THE SISTERS OF CHARITY OF MONTREAL, GREY NUNS, OR A MEMBER OF THE GOVERNING BOARD OF COVENANT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>THE CHP CORPORATE MEMBER HAS THE RIGHT TO ELECT OR REMOVE TRUSTEES. ALL MEMBERS OF THE BOARD OF TRUSTEES HAVE FULL VOTING RIGHTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>THE SPONSORING CONGREGATIONS HAVE CERTAIN INHERENT RIGHTS TO APPROVE DECISIONS OF THE GOVERNING BODY. CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. CHP'S REGULATIONS DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT &amp; CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT &amp; CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>ALL BOARD MEMBERS, COMMITTEE MEMBERS AND MEMBERS OF MANAGEMENT ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. PRIOR TO THE START OF ALL BOARD AND COMMITTTEE MEETINGS MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION &amp; EVALUATION COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND DETERMINES THE RANGE FOR THE CEO'S COMPENSATION AND THE COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE DETERMINES THAT COMPENSATION WITHIN THESE RANGES IS REASONABLE AND IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO'S COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE COMMITTEE RECOMMENDS TO THE FULL BOARD THE CEO'S INCENTIVE AWARD AND THE INCENTIVE AWARD LEVELS FOR WHICH OTHER LISTED INDIVIDUALS MAY BE ELIGIBLE. THE COMMITTEE'S REPORT CONCERNING SALARY RANGE ADJUSTMENTS, INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS GOES TO THE FULL BOARD FOR CONSIDERATION IN EXECUTIVE SESSION WHICH DOES NOT INCLUDE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE FULL BOARD REVIEWS THE CEO'S PERFORMANCE AND DETERMINES THE ADJUSTMENTS TO BE MADE FOR THE CEO. FOR THE COO, CAO, EVP, AND SVP POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH BOARD-APPROVED PARAMETERS AND DISCLOSED TO THE COMMITTEE. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE APPROVED BY THE SUPERVISING EXECUTIVE WITHIN SUCH PARAMETERS, WITH REGIONAL BOARD APPROVAL WHEN APPROPRIATE, AND DISCLOSED TO THE COMMITTEE. INCENTIVE AWARDS ARE SUBJECT TO REPAYMENT IF THE ORGANIZATION MUST RESTATE FINANCIAL REPORTS DUE TO MATERIAL NONCOMPLIANCE WITH THE ORGANIZATION'S CODE OF RESPONSIBILITY AND STANDARDS OF REASONABLE CONDUCT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>PLEASE REFER TO THE LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR THE OTHER OFFICERS AND KEY EMPLOYEES</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 SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CHP WEBSITE (WWW.HEALTH-PARTNERS.ORG).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Expenses</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11g</ReturnReference>
        <Explanation>OTHER PURCHASED SERVICES - TOTAL EXPENSE: 7353422, PROGRAM SERVICE EXPENSE: 6618080, MANAGEMENT AND GENERAL EXPENSES: 735342, FUNDRAISING EXPENSES: ; CONTRACT &amp; CONSULTING - TOTAL EXPENSE: 33509340, PROGRAM SERVICE EXPENSE: 30158406, MANAGEMENT AND GENERAL EXPENSES: 3350934, FUNDRAISING EXPENSES: ; EMPLOYMENT COSTS - TOTAL EXPENSE: 1087804, PROGRAM SERVICE EXPENSE: 979024, MANAGEMENT AND GENERAL EXPENSES: 108780, FUNDRAISING EXPENSES: ;</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990 , Part XI, Line 9</ReturnReference>
        <Explanation>MHP-TN EQUITY TRANSFER - XXX-XX-XXXX; NEPA EQUITY TRANSFER - 32479408; SWAP AMORTIZATIONS - -358524; DISCONTINUED OPERATIONS - -1378791; CHP INSURANCE INCOME - -36110475; UNREPORTED JOINT VENTURE INCOME - 244851; OTHER CHANGES IN FUND BALANCE - 8696248;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTHSPAN LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 PICTORIA DRIVE SUITE 320</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45246</ZIPCode>
        </AddressUS>
        <EIN>311431434</EIN>
        <PrimaryActivities>PPO</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <TotalIncome>9299702</TotalIncome>
        <EOYAssets>2567476</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE SYSTEM PARENT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HUD PARENT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>RETIREMENT TRUST</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>8</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3700 KOLBE ROAD</AddressLine1>
          <City>LORAIN</City>
          <State>OH</State>
          <ZIPCode>44053</ZIPCode>
        </AddressUS>
        <PrimaryActivities>REGIONAL PARENT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3700 KOLBE ROAD</AddressLine1>
          <City>LORAIN</City>
          <State>OH</State>
          <ZIPCode>44053</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALLEN MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 WEST LORAIN ST</AddressLine1>
          <City>OBERLIN</City>
          <State>OH</State>
          <ZIPCode>44074</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3700 KOLBE ROAD</AddressLine1>
          <City>LORAIN</City>
          <State>OH</State>
          <ZIPCode>44053</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3700 KOLBE ROAD</AddressLine1>
          <City>LORAIN</City>
          <State>OH</State>
          <ZIPCode>44053</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MEDICAL OFFICE RENTAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 WEST LORAIN ST</AddressLine1>
          <City>OBERLIN</City>
          <State>OH</State>
          <ZIPCode>44074</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MEDICAL OFFICE RENTAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ALLEN MEDICAL CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4600 MCAULEY PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45242</ZIPCode>
        </AddressUS>
        <PrimaryActivities>REGIONAL PARENT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4600 MCAULEY PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45242</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITALS WEST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2446 KIPLING AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45239</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL ANDERSON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7500 STATE ROAD</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45255</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE SISTERS OF MERCY OF HAMILTON OHIO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3000 MACK ROAD</AddressLine1>
          <City>FAIRFIELD</City>
          <State>OH</State>
          <ZIPCode>45014</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3000 HOSPITAL DRIVE</AddressLine1>
          <City>BATAVIA</City>
          <State>OH</State>
          <ZIPCode>45103</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7010 ROWAN HILLS DR</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45227</ZIPCode>
        </AddressUS>
        <PrimaryActivities>RETIREMENT HOME</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY SACRED HEART INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2120 PAYNE STREET</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40206</ZIPCode>
        </AddressUS>
        <PrimaryActivities>RETIREMENT HOME</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY LONG TERM CARE INITIATIVE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4915 CHARLESTOWN RD</AddressLine1>
          <City>NEW ALBANY</City>
          <State>IN</State>
          <ZIPCode>47150</ZIPCode>
        </AddressUS>
        <PrimaryActivities>RETIREMENT HOME</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FRANCISCAN SOCIAL MINISTRIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1800 LOGAN STREET</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45210</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FRANCISCAN AT ST RAPHAEL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>610 HIGH STREET</AddressLine1>
          <City>HAMILTON</City>
          <State>OH</State>
          <ZIPCode>45011</ZIPCode>
        </AddressUS>
        <PrimaryActivities>SERVICES TO THE POOR</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS OF SOUTHWEST OHIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE S LIMESTONE ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>OH</State>
          <ZIPCode>45502</ZIPCode>
        </AddressUS>
        <PrimaryActivities>REGIONAL PARENT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
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          <AddressLine1>1343 N FOUNTAIN BLVD</AddressLine1>
          <City>SPRINGFIELD</City>
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          <AddressLine1>ONE S LIMESTONE ST</AddressLine1>
          <City>SPRINGFIELD</City>
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          <AddressLine1>1150 E HOME ROAD</AddressLine1>
          <City>SPRINGFIELD</City>
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          <ZIPCode>45503</ZIPCode>
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          <BusinessNameLine1>THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST</BusinessNameLine1>
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          <AddressLine1>ONE S LIMESTONE ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>OH</State>
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          <BusinessNameLine1>MERCY HEALTH SYSTEM - NORTHERN REGION</BusinessNameLine1>
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          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
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          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
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          <BusinessNameLine1>MERCY HEALTH SYSTEM - NORTHERN REGION</BusinessNameLine1>
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          <BusinessNameLine1>ST CHARLES MERCY HOSPITAL OF OREGON OHIO</BusinessNameLine1>
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          <AddressLine1>2600 NAVARRE AVENUE</AddressLine1>
          <City>OREGON</City>
          <State>OH</State>
          <ZIPCode>43616</ZIPCode>
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          <AddressLine1>2600 NAVARRE AVENUE</AddressLine1>
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          <BusinessNameLine1>CATHOLIC HEALTH PARTNERS</BusinessNameLine1>
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          <BusinessNameLine1>SRHC FOUNDATION</BusinessNameLine1>
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          <AddressLine1>730 W MARKET STREET</AddressLine1>
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          <AddressLine1>880 SR 6W</AddressLine1>
          <City>TUNKHANNOCK</City>
          <State>PA</State>
          <ZIPCode>18657</ZIPCode>
        </AddressUS>
        <PrimaryActivities>IN-HOME MEDICAL CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>MERCY TYLER HEALTH SYSTEMS</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>NWO INTEGRATED LABORATORIES MERCY LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43624</ZIPCode>
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        <EIN>341898285</EIN>
        <PrimaryActivity>LABORATORY SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
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          <BusinessNameLine1>TIFFIN AMBULATORY SURGICAL ASSOCIATES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>45 ST LAWRENCE DRIVE</AddressLine1>
          <City>TIFFIN</City>
          <State>OH</State>
          <ZIPCode>44833</ZIPCode>
        </AddressUS>
        <EIN>371567866</EIN>
        <PrimaryActivity>AMBULATORY SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HOSPITAL OF DEFIANCE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1404 E SECOND ST</AddressLine1>
          <City>DEFIANCE</City>
          <State>OH</State>
          <ZIPCode>43512</ZIPCode>
        </AddressUS>
        <EIN>020701635</EIN>
        <PrimaryActivity>HOSPITAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>WEST CENTRAL OHIO SURGERY &amp; ENDO CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>770 W HIGH ST SUITE 100</AddressLine1>
          <City>LIMA</City>
          <State>OH</State>
          <ZIPCode>45801</ZIPCode>
        </AddressUS>
        <EIN>341868154</EIN>
        <PrimaryActivity>AMBULATORY SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEW VISION MEDICAL LAB LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>750 W HIGH STREET</AddressLine1>
          <City>LIMA</City>
          <State>OH</State>
          <ZIPCode>45801</ZIPCode>
        </AddressUS>
        <EIN>341913433</EIN>
        <PrimaryActivity>LAB SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WEST CENTRAL OHIO GROUP LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>801 MEDICAL DRIVE</AddressLine1>
          <City>LIMA</City>
          <State>OH</State>
          <ZIPCode>45804</ZIPCode>
        </AddressUS>
        <EIN>341848147</EIN>
        <PrimaryActivity>ORTHOPEDIC HOSPITAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>KIDNEY SERVICES OF WEST CENTRAL OHIO</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>750 W HIGH STREET SUITE 100</AddressLine1>
          <City>LIMA</City>
          <State>OH</State>
          <ZIPCode>45801</ZIPCode>
        </AddressUS>
        <EIN>061644264</EIN>
        <PrimaryActivity>DIALYSIS CENTER</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ELIZABETH CARDIAC CATH LAB LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1044 BELMONT AVE</AddressLine1>
          <City>YOUNGSTOWN</City>
          <State>OH</State>
          <ZIPCode>44501</ZIPCode>
        </AddressUS>
        <EIN>300023795</EIN>
        <PrimaryActivity>CARDIAC CATH LAB</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ELIZABETH SOUTHWOODS IMAGING</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>250 DEBARTOLO PLACE BLDG B</AddressLine1>
          <City>YOUNGSTOWN</City>
          <State>OH</State>
          <ZIPCode>44512</ZIPCode>
        </AddressUS>
        <EIN>261626482</EIN>
        <PrimaryActivity>DIAGNOSTIC IMAGING</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1044 BELMONT AVE</AddressLine1>
          <City>YOUNGSTOWN</City>
          <State>OH</State>
          <ZIPCode>44501</ZIPCode>
        </AddressUS>
        <EIN>262989686</EIN>
        <PrimaryActivity>RADIATION THERAPY</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HMHPUSP SURGERY CENTERS LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>15305 DALLAS PKWY STE 1600</AddressLine1>
          <City>ADDISON</City>
          <State>TX</State>
          <ZIPCode>75001</ZIPCode>
        </AddressUS>
        <EIN>271953122</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OSC-HMHP LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6505 MARKET ST BLDG B STE 101</AddressLine1>
          <City>BOARDMAN</City>
          <State>OH</State>
          <ZIPCode>44512</ZIPCode>
        </AddressUS>
        <EIN>010724836</EIN>
        <PrimaryActivity>ORTHOPEDIC SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>LOURDES AMBULATORY SURGERY CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>225 MEDICAL CENTER DRIVE</AddressLine1>
          <City>PADUCAH</City>
          <State>KY</State>
          <ZIPCode>42003</ZIPCode>
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        <EIN>611258960</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>EAST TENNESSEE DIAGNOSTIC CENTER LLC</BusinessNameLine1>
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          <AddressLine1>1450 DOWELL SPRINGS BLVD SUITE 250</AddressLine1>
          <City>KNOXVILLE</City>
          <State>TN</State>
          <ZIPCode>37909</ZIPCode>
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        <EIN>204773300</EIN>
        <PrimaryActivity>DIAGNOSTIC SERVICES</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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          <BusinessNameLine1>CHP INSURANCE LTD</BusinessNameLine1>
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          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
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        <EIN>980621978</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST</BusinessNameLine1>
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          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
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        <EIN>310990309</EIN>
        <PrimaryActivity>WORKERS COMPENSATION TRUST</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <TypeOfEntity>TRUST</TypeOfEntity>
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          <BusinessNameLine1>MHSWO HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1 S LIMESTONE ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>OH</State>
          <ZIPCode>45502</ZIPCode>
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        <EIN>311072139</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTHPARKE MEDICAL COMMONS CONDO ASSN</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>333 N LIMESTONE ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>OH</State>
          <ZIPCode>45503</ZIPCode>
        </AddressUS>
        <EIN>311391230</EIN>
        <PrimaryActivity>REAL PROPERTY MGMNT</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEALTH AFFILIATES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
        </AddressUS>
        <EIN>341372633</EIN>
        <PrimaryActivity>PHYSICIAN SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHYSICIAN'S HEALTH COLLABORATIVE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
        </AddressUS>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTHSIDE CORPORATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
        </AddressUS>
        <EIN>341318438</EIN>
        <PrimaryActivity>RESIDENT RENTALS</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY WORK SOLUTIONS</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
        </AddressUS>
        <EIN>300066340</EIN>
        <PrimaryActivity>WORKERS COMPENSATION</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEALTH SYSTEM PHO</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
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        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHYSICIAN MANAGED CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2200 JEFFERSON AVENUE</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43604</ZIPCode>
        </AddressUS>
        <EIN>341565320</EIN>
        <PrimaryActivity>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MCAULEY MANAGEMENT SERVICES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>730 W MARKET STREET</AddressLine1>
          <City>LIMA</City>
          <State>OH</State>
          <ZIPCode>45801</ZIPCode>
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        <EIN>341379037</EIN>
        <PrimaryActivity>PROPERTY RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LIMA MEDICAL SUPPLIES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>730 W MARKET STREET</AddressLine1>
          <City>LIMA</City>
          <State>OH</State>
          <ZIPCode>45801</ZIPCode>
        </AddressUS>
        <EIN>340944477</EIN>
        <PrimaryActivity>MEDICAL EQUIPMENT</PrimaryActivity>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS ENTERPRISES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3700 KOLBE ROAD</AddressLine1>
          <City>LORAIN</City>
          <State>OH</State>
          <ZIPCode>44053</ZIPCode>
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        <EIN>341455525</EIN>
        <PrimaryActivity>HOLDING COMPANY</PrimaryActivity>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS PHYSICIANS INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3700 KOLBE ROAD</AddressLine1>
          <City>LORAIN</City>
          <State>OH</State>
          <ZIPCode>44053</ZIPCode>
        </AddressUS>
        <EIN>341803352</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICES</PrimaryActivity>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMC PHYSICIANS INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>200 W LORAIN STREET</AddressLine1>
          <City>OBERLIN</City>
          <State>OH</State>
          <ZIPCode>44074</ZIPCode>
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        <EIN>371439554</EIN>
        <PrimaryActivity>PHYSICIAN SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEALTH VENTURES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4600 MCAULEY PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45242</ZIPCode>
        </AddressUS>
        <EIN>311185477</EIN>
        <PrimaryActivity>DIVERSIFIED ACTIVITIES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4600 MCAULEY PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45242</ZIPCode>
        </AddressUS>
        <EIN>311640789</EIN>
        <PrimaryActivity>DIVERSIFIED ACTIVITIES</PrimaryActivity>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY FRANCISCAN AT WINTON WOODS I INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10290 MILL ROAD</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45231</ZIPCode>
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</Return>
