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        <NontaxableBenefitsFilingOrg>19519</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRADLEY BAGAN</NamePerson>
        <BaseCompensationFilingOrg>844143</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2224</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRIS KARAS</NamePerson>
        <BaseCompensationFilingOrg>834598</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2155</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20228</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIRZA BAIG</NamePerson>
        <BaseCompensationFilingOrg>832388</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2630</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20228</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21924</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KYRIACOS PANAYIDES</NamePerson>
        <BaseCompensationFilingOrg>538048</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2255</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20228</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CASS FRANKLIN</NamePerson>
        <BaseCompensationFilingOrg>450719</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5205</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20228</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8082</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>484234</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>METHODS USED TO ESTABLISH PRESIDENT/CEO COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED TAX-EXEMPT ORGANIZATION. MMC USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>DURING THE 2010 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2010, THERE WERE NO CONTRIBUTIONS/DISTRIBUTIONS MADE BY CHI TO/FROM THE DEFERRED COMPENSATION PLAN.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000128" softwareVersion="v2010.1.0">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>I. ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE MERCY PROFESSIONAL PRACTICE ASSOCIATES IS A MULTI-SPECIALTY PHYSICIAN PRACTICE LOCATED IN DES MOINES, IA. THE MISSION OF THE GROUP IS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THESE SERVICES INCLUDE MANAGING THE EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, FOR MERCY MEDICAL CENTER-DES MOINES, A TAX-EXEMPT HOSPITAL. IN ADDITION, THE GROUP PROVIDES SPECIALTY SERVICES IN PEDIATRIC MEDICINE, ENDOCRINOLOGY, PSYCHIATRY, BREAST HEALTH AND SEDATION TO THE COMMUNITY BASED ON NEED. MERCY PROFESSIONAL PRACTICE ASSOCIATES IS GUIDED BY THE VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE AND WE HOLD OURSELVES TO A HIGH STANDARD OF GIVING TO THE POOR AND BROADER COMMUNITY. THE GROUP PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS LIKE MEDICAID AND MEDICARE. II. COMMUNITY BENEFIT APPROACH MERCY PROFESSIONAL PRACTICE ASSOCIATES HAS A TRADITION OF PROVIDING EXCELLENT HEALTH CARE TO ALL PEOPLE. WE ARE EQUALLY COMMITTED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PARTNERING WITH INDIVIDUALS, ORGANIZATIONS AND ELECTED OFFICIALS TO ANTICIPATE, IDENTIFY AND MEET THE CHANGING HEALTH NEEDS OF CENTRAL IOWANS. MERCY PROFESSIONAL PRACTICE ASSOCIATES HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW-INCOME PERSONS LIKE THE UNINSURED/UNDERINSURED PATIENT DISCOUNT POLICY AND THE SELF-PAY AND THIRD-PARTY DISCOUNTS POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"). PURSUANT TO THE ORGANIZATION'S BYLAWS, BOTH MMC AND CATHOLIC HEALTH INITIATIVES ("CHI") (MMC'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE MMC BOARD: - APPROVE MEMBERS OF THE MERCY PROFESSIONAL PRACTICE ASSOCIATES ("MPPA") BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF MPPA - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MPPA - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MPPA THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF MPPA - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MPPA - APPROVAL OF ISSUANCE OF DEBT BY MPPA - APPROVAL OF PARTICIPATION OF MPPA IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY MPPA - APPROVAL OF A MERGER INVOLVING MPPA - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MPPA - TO REQUIRE THE TRANSFER OF ASSETS BY MPPA TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS ALSO PURSUANT TO THE ORGANIZATION'S BYLAWS, MMC OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11a</ReturnReference>
        <Explanation>THE ORGANIZATION'S ACCOUNTING PERSONNEL WORK WITH THE CHI TAX DEPARTMENT PERSONNEL TO PREPARE THE FORM 990. WHEN AVAILABLE, THE CFO REVIEWS THE RETURN AND ANY NECESSARY REVISIONS ARE INCLUDED IN THE FINAL VERSION WHICH IS APPROVED FOR FILING WITH THE IRS. SUBSEQUENT TO REVIEW BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. SUBSEQUENT TO E-FILING, THE FINAL E-FILED FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO DECLARE THE CONFLICT BEFORE THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. THE ENTIRE BOARD OR COMMITTEE DETERMINES WHETHER THE AFFECTED BOARD MEMBER SHOULD BE EXCLUDED FROM THE MEETING DUE TO THE DISCLOSED CONFLICT.</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 PRESIDENT/CEO IS COMPENSATED BY CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED TAX-EXEMPT ORGANIZATION. MMC USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND PRESENTS COMPENSATION RANGES FOR THE TOP MANAGEMENT OFFICIAL TO THE BOARD OF DIRECTORS FOR FINAL DETERMINATION AND APPROVAL. COMPENSATION IS ALSO COMPARED TO CURRENT INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. THE REVIEW PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES AND WAS LAST UNDERTAKEN IN JUNE 2009 FOR CALENDAR YEAR 2010 COMPENSATION.</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>COMPENSATION PAID BY RELATED ORGANIZATION: VARIOUS OFFICERS AND DIRECTORS ARE COMPENSATED BY CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED TAX-EXEMPT ORGANIZATION. MMC USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND PRESENTS COMPENSATION RANGES FOR VARIOUS POSITIONS TO THE BOARD OF DIRECTORS FOR FINAL DETERMINATION AND APPROVAL. COMPENSATION IS ALSO COMPARED TO CURRENT INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. THE REVIEW PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES AND WAS LAST UNDERTAKEN IN JUNE 2009 FOR CALENDAR YEAR 2010 COMPENSATION. COMPENSATION PAID BY FILING ORGANIZATION: THE ORGANIZATION REFERENCES INDUSTRY COMPENSATION COMPARABILITY STUDIES AND SURVEYS WHEN SETTING COMPENSATION AMOUNTS, WHICH WERE REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT, APPROVED BY A COMPENSATION COMMITTEE, AND PAID IN ACCORDANCE WITH A WRITTEN EMPLOYMENT CONTRACT. THE ORGANIZATION'S BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. THE REVIEW PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES AND WAS LAST UNDERTAKEN IN JUNE 2009 FOR CALENDAR YEAR 2010 COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Disclosure</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT, AND ARE ALSO AVAILABLE FROM THE IOWA SECRETARY OF STATE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1A</ReturnReference>
        <Explanation>THE INDIVIDUALS LISTED IN PART VII THAT REPORT COMPENSATION PAID BY A RELATED ORGANIZATION DEVOTE APPROXIMATELY 40 HOURS PER WEEK TO THE RELATED ORGANIZATIONS AND RECEIVE COMPENSATION IN EXCHANGE FOR THEIR SERVICES PROVIDED.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="10000128" softwareVersion="v2010.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH - BERGAN MERCY HEALTH SYS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7500 MERCY ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68124</ZIPCode>
        </AddressUS>
        <EIN>470484764</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH - MERCY HOSPITAL CORNING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 368</AddressLine1>
          <City>CORNING</City>
          <State>IA</State>
          <ZIPCode>50841</ZIPCode>
        </AddressUS>
        <EIN>420782518</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHBMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALVERNA APARTMENTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 SE 8TH AVENUE</AddressLine1>
          <City>LITTLE FALLS</City>
          <State>MN</State>
          <ZIPCode>56345</ZIPCode>
        </AddressUS>
        <EIN>411351177</EIN>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>APPLETREE COURT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 OAK STREET</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <EIN>411850500</EIN>
        <PrimaryActivities>SENIOR HOMES</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BISHOP DRUMM RETIREMENT CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>420725196</EIN>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BORNEMANN HEALTHCARE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE RD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232187242</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CARRINGTON HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 NORTH 4TH STREET</AddressLine1>
          <City>CARRINGTON</City>
          <State>ND</State>
          <ZIPCode>58421</ZIPCode>
        </AddressUS>
        <EIN>450227311</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH CARE FEDERATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>208473567</EIN>
        <PrimaryActivities>JURDIC PERSON</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
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          <AddressLine1>961 EAST COLORADO AVENUE</AddressLine1>
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          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
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          <State>CO</State>
          <ZIPCode>80918</ZIPCode>
        </AddressUS>
        <EIN>841513085</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-157673</ShareOfTotalIncome>
        <ShareOfEOYAssets>14390550</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.501</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AVANTAS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1207 SOUTH 13 STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68108</ZIPCode>
        </AddressUS>
        <EIN>392045003</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>UNRELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.95</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BERYWOOD OFFICE PROPERTIES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 BERYWOOD TRAIL</AddressLine1>
          <City>CLEVELAND</City>
          <State>TN</State>
          <ZIPCode>37312</ZIPCode>
        </AddressUS>
        <EIN>621875199</EIN>
        <PrimaryActivity>PHYS OFFICE</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.63</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BLUEGRASS REGIONAL IMAGING CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1218 SOUTH BROADWAY SUITE 310</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611386736</EIN>
        <PrimaryActivity>DIAGNOSTIC</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJ HOSPITAL LEX</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.65</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL NEBRASKA HOME CARE SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1146-4510 SECOND AVENUE</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470692112</EIN>
        <PrimaryActivity>HEALTHCARE SRVC</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HSE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-99941</ShareOfTotalIncome>
        <ShareOfEOYAssets>1021498</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>-48712</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL NEBRASKA REHAB SERVICE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3004 W FAIDLEY AVE</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <EIN>810653461</EIN>
        <PrimaryActivity>PHYSICAL THERAPY</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>1857991</ShareOfTotalIncome>
        <ShareOfEOYAssets>2262775</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHI OPERATING INVESTMENT PROGRAM LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>470727942</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>UNRELATED</PredominantIncomeType>
        <ShareOfTotalIncome>139679805</ShareOfTotalIncome>
        <ShareOfEOYAssets>2069974790</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>371292</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTHCARE SUPPORT SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 9804</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <EIN>721546196</EIN>
        <PrimaryActivity>LAUNDRY</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>196124</ShareOfTotalIncome>
        <ShareOfEOYAssets>3913481</ShareOfEOYAssets>
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        <CodeVAmount>-58436</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>1</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH RIVER SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>2209 WILDWOOD AVENUE</AddressLine1>
          <City>SHERWOOD</City>
          <State>AR</State>
          <ZIPCode>72120</ZIPCode>
        </AddressUS>
        <EIN>710799771</EIN>
        <PrimaryActivity>AMBUL SURG CTR</PrimaryActivity>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
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        <ShareOfTotalIncome>198313</ShareOfTotalIncome>
        <ShareOfEOYAssets>1758688</ShareOfEOYAssets>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5745</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ORTHOCOLORADO LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11650 WEST 2ND PLACE</AddressLine1>
          <City>LAKEWOOD</City>
          <State>CO</State>
          <ZIPCode>80255</ZIPCode>
        </AddressUS>
        <EIN>371577105</EIN>
        <PrimaryActivity>ORTHO HOSPITAL</PrimaryActivity>
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        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>-3249314</ShareOfTotalIncome>
        <ShareOfEOYAssets>10905384</ShareOfEOYAssets>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENINSULA RADIATION ONCOLOGY</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>314 MARTIN LUTHER KING JR WAY 11</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>870808610</EIN>
        <PrimaryActivity>HEALTHCARE SRVC</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
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          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>131195</ShareOfTotalIncome>
        <ShareOfEOYAssets>3052504</ShareOfEOYAssets>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENRAD IMAGING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1139 KELLY JOHNSON BLVD</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80920</ZIPCode>
        </AddressUS>
        <EIN>841072619</EIN>
        <PrimaryActivity>MEDICAL IMAGING</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>1857228</ShareOfTotalIncome>
        <ShareOfEOYAssets>5457224</ShareOfEOYAssets>
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        <CodeVAmount>0</CodeVAmount>
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        <PercentageOwnership>0.7</PercentageOwnership>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>RUXTON SURGICENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8322 BELLONA AVENUE SUITE 201</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>522095835</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT JOSEPH - SCA HOLDINGS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>453801157</EIN>
        <PrimaryActivity>OP SURGERY</PrimaryActivity>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANOTHONY REGIONAL MTN CANCER CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4231 W 16TH AVENUE</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>371568013</EIN>
        <PrimaryActivity>CANCER CENTER</PrimaryActivity>
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          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-290552</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>ST FRANCIS LAND COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5390 N ACADEMY BLVD SUITE 300</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80918</ZIPCode>
        </AddressUS>
        <EIN>263134100</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-180979</ShareOfTotalIncome>
        <ShareOfEOYAssets>14886022</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST FRANCIS MEDICAL CENTER ASSOCIATES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911352698</EIN>
        <PrimaryActivity>MED. OFFICE</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>116948</ShareOfTotalIncome>
        <ShareOfEOYAssets>1652280</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.54</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH-PAML LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>452116736</EIN>
        <PrimaryActivity>MGMT SERVICES</PrimaryActivity>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.625</PercentageOwnership>
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      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>SUPERIOR MEDICAL IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5000 NORTH 26TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68521</ZIPCode>
        </AddressUS>
        <EIN>262884555</EIN>
        <PrimaryActivity>OP DIAGNOSTICS</PrimaryActivity>
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          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER OF LEXINGTON LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1451 HARRODSBURG ROAD</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>621179539</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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        <ShareOfTotalIncome>808840</ShareOfTotalIncome>
        <ShareOfEOYAssets>4236901</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALTERNATIVE INSURANCE MANAGEMENT SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3900 OLYMPIC BOULEVARD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
        </AddressUS>
        <EIN>841112049</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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        <ShareOfEOYAssets>3267441</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERICAN NURSING CARE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311085414</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>1778617</ShareOfTotalIncome>
        <ShareOfEOYAssets>44470358</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERIMED INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311158699</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>2395230</ShareOfTotalIncome>
        <ShareOfEOYAssets>11869657</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CADUCEUS MEDICAL ASSOCIATES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>6028 SHALLOWFORD ROAD SUITE D</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
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        <EIN>621570736</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>1008</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPTIVE MANAGEMENT INITIATIVES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 10073 APO</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GEORGETOWN, GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1001</PostalCode>
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          <BusinessNameLine1>PHYSICIAN HEALTH SYSTEM NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1149 MARKET ST</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
        </AddressUS>
        <EIN>911746721</EIN>
        <PrimaryActivity>HEALTH ORG.</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RAY &amp; SHIRLEY DAVID 1999 UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037077</EIN>
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        <LegalDomicileState>ND</LegalDomicileState>
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          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfEOYAssets>24194</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ROBERT &amp; WANDA CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
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        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>13030</ShareOfTotalIncome>
        <ShareOfEOYAssets>537775</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT CLARE''S PRIMARY CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>66 FORD ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
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        <EIN>222441202</EIN>
        <PrimaryActivity>BILLING SERVICES</PrimaryActivity>
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          <BusinessNameLine1>SCCC</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-342970</ShareOfTotalIncome>
        <ShareOfEOYAssets>2177166</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAMARITAN FAMILY CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>40 W FOURTH ST 1700</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45402</ZIPCode>
        </AddressUS>
        <EIN>311299450</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>232307408</EIN>
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        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfEOYAssets>3180100</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJL PHYSICIAN MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CR 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>270164198</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANTHONY DEVELOPMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 SOUTHGATE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <EIN>931216943</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST ANTHONY H</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>53891</ShareOfTotalIncome>
        <ShareOfEOYAssets>3007554</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST VINCENT COMMUNITY HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EIN>710710785</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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        <ShareOfEOYAssets>14049375</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH DEVELOPMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911480569</EIN>
        <PrimaryActivity>RENTAL</PrimaryActivity>
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          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH OFFICE PARK ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1401 HARRODSBURG ROAD BLDG B70</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611079899</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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        <PercentageOwnership>0.85</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TOM DEYLE CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192393</EIN>
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          <BusinessNameLine1>GSHF</BusinessNameLine1>
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        <ShareOfEOYAssets>166321</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TOWSON MANAGEMENT INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>521710750</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-469016</ShareOfTotalIncome>
        <ShareOfEOYAssets>498393</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY CLINICS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1592143</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHI-IOWA CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>13800000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHI-IOWA CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>107669</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>